Ghc
Compliance Manager
Company
Role
Compliance Manager
Location
United States of America
Job type
Full-time
Found on Mokaru
Yesterday
Salary
Job description
Job Description
Kentucky Medicaid Waiver Compliance Manager (HCBS Programs)
Location: Kentucky (Remote with some travel)
Position Summary
The Waiver Compliance Manager is responsible for ensuring compliance with Kentucky Medicaid waiver (1915(c) HCBS) programs, including SCL, ABI, and Michelle P. waivers.
This role oversees program integrity, regulatory compliance, quality assurance, and audit readiness, ensuring adherence to federal CMS guidelines and Kentucky DMS requirements.
Essential Responsibilities
Regulatory Compliance & Monitoring
Ensure compliance with state and federal Medicaid waiver regulations
Conduct internal audits and prepare for DMS and CMS reviews
Monitor providers for adherence to waiver rules and contracts
Develop and implement corrective action plans when deficiencies are identified
Support fraud, waste, and abuse prevention efforts
Ensure accurate and timely documentation in MWMA (Medicaid Waiver Management Application) with frequent communication with case management agencies
Complete staff training and onboarding
Support policy updates and operational improvements
Complete and ensure compliance with referral intake process
Minimum Qualifications
Bachelor’s degree in:
Social Work, Health Administration, Public Health, or related field
3–5+ years experience in:
Medicaid waiver programs or HCBS including SCL, MPW, and ABI waiver programs
Compliance, QA, or program management
Preferred Qualifications
Experience with Kentucky waivers (HCB, SCL, ABI, MPW)
Prior audit, QA, or compliance leadership experience
Employee Type
EmployeeNOTICE:
- By supplying your phone number, you agree to receive communication via phone or text.
- By submitting your application, you are confirming that you are legally authorized to work in the United States.
Surpass Behavior Health is an Equal Opportunity Employer
