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Compliance Manager

Surpass Behavioral Health
4 hours ago
Full-time
Remote friendly (Elizabethtown, Kentucky, United States)
United States
Bachelor's

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

Employee

NOTICE:

  • 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