Medicaid Waiver Programs Compliance Specialist

Description

We are seeking an experienced APD/iBudget Waiver Compliance Specialist with in-depth knowledge of Florida’s Agency for Persons with Disabilities (APD) and the iBudget Florida Medicaid Waiver program. Our organization provides services to individuals with developmental disabilities across multiple service lines.

Reporting directly to the Sr. Director of Compliance, this individual will provide hands-on support with regulatory compliance, internal audits, documentation, billing practices, and quality assurance. The specialist will help identify compliance risks, monitor corrective actions, support staff education, and promote consistent adherence to applicable APD, Florida Medicaid, and other relevant regulatory requirements.

Compliance Monitoring: Conduct internal compliance reviews, identify potential deficiencies, and assist with implementing corrective actions and process improvements.

Audits and APD Reviews: Assist with preparation for APD monitoring visits, audits, and quality assurance reviews; document findings and track corrective actions through resolution.

Documentation and iConnect: Review service records, personnel files, training records, and other required documentation for accuracy, completeness, and compliance with applicable requirements.

Billing Compliance: Assist with reviewing supporting documentation, service authorizations, and billing practices; identify discrepancies and coordinate follow-up with billing and program staff.

Multi-Service Support: Provide compliance support across applicable iBudget service lines, which may include Adult Day Training, personal supports, supported living coaching, transportation, and other enrolled services.

Staff Guidance and Training: Help staff understand compliance requirements, maintain reference materials and checklists, and support training on policies, procedures, and documentation standards.

Regulatory Updates: Monitor applicable APD policies, waiver requirements, and regulatory updates and communicate relevant changes to the Senior Director of Compliance.

Reporting and Escalation: Maintain compliance tracking records, report findings, follow up on outstanding issues, and promptly escalate significant concerns to the Senior Director of Compliance.

Other duties or projects as assigned by the Sr. Director.

Requirements

Required Qualifications

• Minimum of three (3) years of relevant experience in Florida APD, the iBudget Florida Medicaid Waiver program, developmental disability services, or a related compliance role.
• Demonstrated working knowledge of APD requirements, the iBudget Florida Waiver Handbook, and applicable Florida Medicaid regulations.
• Familiarity with APD iConnect and waiver service documentation requirements.
• Experience with internal audits, compliance monitoring, regulatory reviews, or corrective action follow-up.
• Strong attention to detail, organizational skills, and written and verbal communication abilities.
• Ability to manage multiple priorities, maintain confidentiality, work collaboratively, and meet established deadlines.

Preferred Qualifications

• 4 or more years of experience with Florida APD/iBudget provider operations.
• Experience supporting multiple waiver service lines and preparing for APD monitoring visits or audits.
• Familiarity with Medicaid billing workflows, service authorizations, and corrective action plans.
• Experience developing staff training materials, compliance checklists, or operational procedures.
• Must pass a Level II background check/fingerprinting (https://info.flclearinghouse.com), drug screening, and FDOT/MVR check.
• Why Join Us?
• Rewarding opportunity to make a meaningful impact in the lives of individuals with disabilities.
• Opportunity to be part of a mission-driven organization.
• Collaborative and supportive work environment.
• Benefits package offered.
• If you are friendly, focused on people-first and thrive in a dynamic environment, we encourage you to apply!
• MTC is a drug-free workplace and an Equal Opportunity Employer.