Medicaid Compliance Lead – Program & Audit Excellence

Kaiser Permanente; Hyattsville (MD); Vor Ort; USD 120.000 - 160.000; Vollzeit

Zusammenfassung

Kaiser Permanente is seeking a Compliance Consultant IV to maintain and enhance the Medicaid Compliance Program for KP Mid-Atlantic States (KPMAS) and advise regional staff on Medicaid requirements in Maryland and Virginia. This role emphasizes risk assessment, policy development, and training to strengthen program integrity.

You will collaborate with the Medicaid Operations Team and partners to develop corrective actions, monitor metrics, and support audits and regulatory changes across the

Qualifikationen

• Bachelor's degree and a minimum of six years' compliance or related experience; substitution allowed for degree.
• Preferred CHC or equivalent compliance certification may be advantageous.

Aufgaben

• Conduct company compliance activities with internal and external stakeholders.
• Develop compliance reports and monitor adherence to regulations and standards.
• Investigate compliance issues and coordinate corrective action plans.
• Support project management and cross-functional initiatives in compliance.
• Monitor regulatory changes and implement designated updates.
• Coordinate training and education across teams on compliance topics.

Kenntnisse

Ambiguity management

Attention to detail

Communication

Critical thinking

Problem solving

Project management

Teamwork

Ausbildung

Bachelor's degree in Health Care Administration/Clinical/Public Health/Business

Master's degree (preferred)

Jobbeschreibung

Kaiser Permanente is seeking a Compliance Consultant IV to maintain and enhance the Medicaid Compliance Program for KP Mid-Atlantic States (KPMAS) and advise regional staff on Medicaid requirements in Maryland and Virginia. This role emphasizes risk assessment, policy development, and training to strengthen program integrity.

You will collaborate with the Medicaid Operations Team and partners to develop corrective actions, monitor metrics, and support audits and regulatory changes across the