Senior Manager, Medicaid Compliance - Ohio
Core
Manage, execute, and oversee the compliance program for Aetna's Ohio Medicaid managed care health plan, serving as the designated Compliance Officer.
Role type
Senior Manager, Medicaid Compliance (Designated Compliance Officer)
Builds
Compliant business operations, regulatory reporting systems, and risk mitigation strategies for a Medicaid health plan.
Domain
Health Insurance / Medicaid Managed Care / Regulatory Compliance
Deliverable
client delivery | dashboards & analysis
Required skills
Medicaid managed care compliance, regulatory reporting, external audit management, risk assessment, policy development, stakeholder liaison, team leadership, project management
Preferred skills
Audit experience, Master's degree or Juris Doctor
Technologies
Archer, Microsoft products
Responsibilities
Act as primary liaison to state Medicaid agency; maintain systems for regulatory reporting and submissions; lead external audit preparation and corrective action plans; develop compliant business processes and policies; conduct risk oversight and mitigation; provide training to team members.
Seniority
Senior Manager, hands-on leadership with team oversight
