About this role

To enhance the Medicaid Compliance Program, the full-time Maryland Medicaid Compliance Consultant will collaborate with regional staff to advise on regulatory requirements, conduct compliance investigations, develop reports, and implement corrective actions in a remote work environment. Key responsibilities Develop compliance reports by evaluating data and summarizing audit information and risks Conduct compliance investigations, including data analysis and interviews, to identify corrective actions 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 a related field Minimum of 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 Master's degree or compliance certification (e.g., CHC) is preferred

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