Maryland Licensed Medicaid Consultant

Job Summary

To enhance the Medicaid Compliance Program, the full-time Maryland Licensed Medicaid Consultant will manage compliance activities, develop functional procedures, and conduct training while working remotely.

Key responsibilities:

• Develop compliance reports and conduct compliance investigations to ensure adherence to Medicaid regulations
• Collaborate with internal and external stakeholders to implement compliance efforts and monitor performance against compliance metrics
• Conduct annual risk assessments and provide education and training on compliance issues to personnel

Required qualifications:

• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or a related field
• Minimum of six years of experience in compliance, health care operations, audit, finance, or regulatory development
• Experience in health plan compliance and operations preferred
• Project management experience is a plus
• Certified in Healthcare Compliance (CHC) or equivalent certification is preferred