Manager, Medicaid Compliance
Core
Develop and maintain compliance systems and processes for a Medicaid managed care organization, ensuring adherence to Arizona-specific regulatory requirements and supporting audit processes.
Role type
Manager, Medicaid Compliance
Builds
Compliant business operations, regulatory reports, and corrective action plans for Arizona Medicaid programs
Domain
Healthcare / Medicaid Managed Care / Regulatory Compliance
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Regulatory compliance management, Project management, Risk assessment, Contract management, Audit coordination, Policy development
Preferred skills
Medicaid managed care experience, Audit coordination, Policy management
Technologies
Archer, Microsoft products
Responsibilities
Maintain systems to track and submit regulatory deliverables to Arizona Medicaid agencies; Conduct research to develop compliant business operations and policies; Manage external audit review processes and corrective action plans; Provide training and guidance to team members; Maintain contract library and internal reporting systems.
Seniority
Manager, experienced/career level
