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, conduct risk assessments, and provide training while working remotely.

Key responsibilities

• Develop and implement compliance reports, summarizing compliance data and performance indicators
• Conduct compliance investigations, analyzing data and creating corrective action plans for identified issues
• Coordinate the implementation of compliance efforts by assessing current compliance states and revising standards and procedures

Required qualifications

• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or a related field
• Minimum six years of experience in compliance, health care operations, audit, or related fields
• Experience in health plan compliance and operations
• Project management experience
• Ability to work cross-functionally across departments or business lines