Maryland Medicaid Compliance Consultant

Job Summary

To enhance the Medicaid Compliance Program, the full-time Maryland Medicaid Compliance Consultant will develop compliance procedures, monitor compliance metrics, conduct risk assessments, and provide training to personnel while working remotely.

Key responsibilities

• Develop and implement compliance reports and investigations, summarizing data and identifying potential risks
• Coordinate compliance efforts by assessing current compliance states and creating or revising compliance standards and training
• Collaborate with internal and external stakeholders to ensure adherence to Medicaid regulations and standards

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 developing and managing compliance initiatives
• Knowledge of Medicaid regulations and compliance standards
• Ability to work cross-functionally across departments and functions