Maryland Medicaid Compliance Consultant

Job Summary

To enhance the Medicaid Compliance Program, the full-time Maryland Medicaid Compliance Consultant will manage compliance activities, develop functional procedures, and conduct training while collaborating with internal and external stakeholders in a remote work environment.

Key responsibilities

• Develop compliance reports and conduct investigations to ensure adherence to Medicaid regulations
• Coordinate implementation of compliance efforts and monitor performance against compliance metrics
• Provide education and training on compliance issues to personnel and support audit activities

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, or a related field
• Experience in health plan compliance and operations preferred
• Project management experience is beneficial
• Certification in Healthcare Compliance (CHC) or equivalent is a plus