Program Compliance And Review Manager

Job Title: Program Compliance and Review Manager

Location: Baltimore, MD (Hybrid)

Duration: 5 Years

Job Summary

Seeking a senior-level Program Compliance and Review Manager to oversee quality assurance, case management compliance, internal reviews, risk-based monitoring, and corrective action activities for a large-scale government assistance program.

Required Qualifications

• Demonstrated knowledge of case management processes and quality assurance practices.
• Senior-level experience developing or implementing risk-based monitoring frameworks.
• Experience conducting internal audits and compliance reviews.
• Ability to identify operational control gaps and compliance deficiencies.
• Experience developing and tracking corrective action plans.
• Strong communication, analytical, problem-solving, and reporting skills.

Preferred Qualifications

• Certification in internal auditing, compliance and ethics, or regulatory compliance.
• Relevant certifications may include CIA, CCEP, CRCM, or comparable credentials.

Preferred Candidate Background client Recruiting Guidance

• Experience supporting state government, human services, social services, public benefits, Medicaid, SNAP, child care subsidy, or similar programs.
• Experience with eligibility determination, case processing, case file reviews, program integrity, and quality monitoring.
• Experience leading compliance teams, audit functions, or operational quality assurance.
• Approximately 7 10+ years of relevant experience is a useful senior-level sourcing target, not an RFP-mandated minimum.

Suggested sourcing titles: Compliance Manager, Program Integrity Manager, Quality Assurance Manager, Internal Audit Manager, Government Program Compliance Manager, Eligibility Quality Review Manager.