Senior Medicaid Compliance Lead — Remote

Kaiser Permanente; Hyattsville (MD); On-site; USD 107,000 - 138,000; Full time

Job summary

Kaiser Permanente is seeking a Compliance Consultant IV to maintain and enhance the Medicaid Compliance Program for the KP Mid-Atlantic States, advising Maryland and Virginia staff on Medicaid requirements and developing compliant procedures. The role monitors performance against metrics, conducts risk assessments, and supports audits with the Medicaid Operations Team.

This individual contributor will lead compliance investigations, prepare reports, and coordinate actions across internal and

Qualifications

• Bachelor's degree in Health Care Administration or related field with at least 6 years in compliance or related areas.
• Preference for CHC or equivalent compliance certification.
• Experience working cross-functionally across departments and managing projects.

Responsibilities

• Develop compliance reports and conduct investigations in collaboration with stakeholders.
• Coordinate implementation of compliance efforts and monitor regulatory changes.
• Assist in project management and coordinate plans with stakeholders.
• Provide training and education on compliance issues as needed.

Skills

Analytical Skills

Compliance Management

Cross Department Coordination

Project Management

Written Communication

Technical Communication

Negotiation

Problem Solving

Education

Bachelor's degree in Health Care Administration

Job description

Kaiser Permanente is seeking a Compliance Consultant IV to maintain and enhance the Medicaid Compliance Program for the KP Mid-Atlantic States, advising Maryland and Virginia staff on Medicaid requirements and developing compliant procedures. The role monitors performance against metrics, conducts risk assessments, and supports audits with the Medicaid Operations Team.

This individual contributor will lead compliance investigations, prepare reports, and coordinate actions across internal and