Medicaid Waiver Programs Compliance Specialist

MacDonald Training Center, Inc.•Tampa, FL

About The Position

MTC is seeking an experienced APD/iBudget Waiver Compliance Specialist to support regulatory compliance across an organization providing services to individuals with developmental disabilities. Reporting directly to the Senior Director of Compliance, the specialist will provide hands-on support with compliance monitoring, internal audits, documentation, billing practices, and quality assurance. The role helps identify risks, monitor corrective actions, support staff education, and promote adherence to APD, Florida Medicaid, and other relevant regulatory requirements. The position supports multiple iBudget service lines, which may include Adult Day Training, personal supports, supported living coaching, transportation, and other enrolled services. It also monitors applicable APD policies, waiver requirements, and regulatory updates, communicating relevant changes and significant concerns to the Senior Director of Compliance. Other duties or projects may be assigned by the Senior Director.

Requirements

Minimum of three 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.
Must pass a Level II background check/fingerprinting, drug screening, and FDOT/MVR check.

Nice To Haves

Four 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.

Responsibilities

Conduct internal compliance reviews, identify potential deficiencies, and assist with corrective actions and process improvements.
Assist with preparation for APD monitoring visits, audits, and quality assurance reviews; document findings and track corrective actions through resolution.
Review service records, personnel files, training records, and other required documentation for accuracy, completeness, and compliance.
Review supporting documentation, service authorizations, and billing practices; identify discrepancies and coordinate follow-up with billing and program staff.
Provide compliance support across applicable iBudget service lines, potentially including Adult Day Training, personal supports, supported living coaching, transportation, and other enrolled services.
Help staff understand compliance requirements; maintain reference materials and checklists; and support training on policies, procedures, and documentation standards.
Monitor applicable APD policies, waiver requirements, and regulatory updates, and communicate relevant changes to the Senior Director of Compliance.
Maintain compliance tracking records, report findings, follow up on outstanding issues, and promptly escalate significant concerns to the Senior Director of Compliance.
Perform other duties or projects as assigned by the Senior Director.