Program Compliance & Integrity Manager (Hybrid)

State of Maryland; Maryland; Hybrid; USD 90,000 - 120,000; Full time

Benefits offered by this job

Hybrid work arrangement

Job summary

State of Maryland's Developmental Disabilities Administration seeks a Program Manager for Program Compliance and Integrity to lead quality, compliance, and program integrity for HCBS waivers and state-funded services in Baltimore, MD.

The role oversees compliance monitoring, evidence reporting, and auditing activities to ensure services meet CMS and state requirements, promoting equity and continuous improvement across the organization.

Qualifications

• Education: Bachelor's or Master's in Healthcare Administration, Public Health, Business, Finance or related field with at least 6 years health/human services admin experience (3 yrs in a supervisory role).
• Master's degree substitutes for one year of general experience; Doctorate substitutes for two years. Additional degree substitutions by year.

Responsibilities

• Lead QA, quality improvement, compliance monitoring, and program integrity activities.
• Oversee efforts to prevent, detect, and address fraud, waste, abuse, and improper payments.
• Establish performance standards, identify systemic risks, oversee corrective actions, and provide technical assistance to strengthen provider and program performance.
• Monitor waiver performance measures and prepare evidence for federally required reports; coordinate audits.
• Coordinate Regional Office Quality Enhancement teams; assist with DDA Waiver Advisory Council duties.

Skills

Risk Management

Data Literacy

Reporting

Education

Bachelor's or Master's in Healthcare Administration / Public Health / Business / Finance

Job description

State of Maryland's Developmental Disabilities Administration seeks a Program Manager for Program Compliance and Integrity to lead quality, compliance, and program integrity for HCBS waivers and state-funded services in Baltimore, MD.

The role oversees compliance monitoring, evidence reporting, and auditing activities to ensure services meet CMS and state requirements, promoting equity and continuous improvement across the organization.