Maryland Medicaid Compliance Consultant

Job Summary

To enhance the Medicaid Compliance Program, the full-time Maryland Medicaid Compliance Consultant will collaborate with regional staff to advise on regulatory requirements, develop compliance procedures, monitor performance metrics, and conduct training and risk assessments while working remotely.

Key responsibilities

• Conduct compliance investigations and develop corrective action plans based on findings
• Develop compliance reports by evaluating data and summarizing key compliance drivers and performance indicators
• Coordinate the implementation of compliance efforts, assessing current compliance states and identifying gaps

Required qualifications

• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or related field
• Minimum 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
• Certification in Healthcare Compliance (CHC) or equivalent is preferred