Maryland Medicaid Compliance Consultant

Job Summary

To enhance the Medicaid Compliance Program, the full-time remote Maryland Medicaid Compliance Consultant will manage compliance activities, provide subject matter expertise, and collaborate with regional staff on Medicaid regulatory requirements while conducting compliance investigations and developing corrective action plans.

Key responsibilities:

• Develop compliance reports and monitor performance against Medicaid compliance metrics
• Conduct compliance investigations and provide recommendations for corrective actions based on findings
• Collaborate with internal and external stakeholders to ensure adherence to regulatory requirements and develop compliance 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, finance, 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