Senior Manager, Medicaid Compliance - MI
Core
Manage, execute, and oversee the compliance program for Aetna's Michigan Medicaid managed care organization, serving as the designated Compliance Officer.
Role type
Senior Manager, 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
Required skills
Medicaid compliance, managed care regulation, regulatory reporting, external audit management, risk assessment, contract management, policy development, team leadership, stakeholder liaison, compliance software (e.g., Archer)
Preferred skills
Medicaid managed care experience, audit experience, Master's degree or Juris Doctor
Technologies
Archer, Microsoft products
Responsibilities
Serve as primary liaison to the state Medicaid agency; prepare and oversee submission of complex regulatory reports; lead and execute the Medicaid compliance program; conduct research to develop compliant business processes; manage external audits and corrective action plans; identify risks and support mitigation plans; train team members and educate business partners.
Seniority
Senior Manager, hands-on leadership
