The Compliance Consultant IV will maintain and enhance the Medicaid Compliance Program of KP Mid-Atlantic States (KPMAS) and partner closely with the KPMAS Medicaid Department to advise regional staff on contractual and regulatory Medicaid requirements in Maryland and Virginia; develop functional procedures compliant with state Medicaid program requirements; monitor performance against Medicaid compliance metrics; conduct annual risk assessment; and conduct education and training of personnel on compliance issues, as needed. The Medicaid Compliance Program Manager plays a key role by providing subject matter expertise and support for all regional program audit activity and works with the Medicaid Operations Team and other internal business partners to develop corrective actions in response to audit findings.

Job Summary:

This individual contributor is primarily responsible for conducting company compliance activities in collaboration with internal and external stakeh...