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, conduct risk assessments, and provide training on regulatory requirements while working remotely.

Key responsibilities:

• Develop compliance reports and conduct investigations to ensure adherence to Medicaid regulations
• Collaborate with internal and external stakeholders to implement compliance initiatives and monitor performance metrics
• Conduct education and training for personnel on compliance issues and regulatory changes

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 preferred
• Project management experience is a plus
• Certification in Healthcare Compliance (CHC) or equivalent is advantageous