Compliance Manager

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