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, 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, contract management, policy development, team leadership, stakeholder communication, system documentation, training
Preferred skills
Juris Doctor (JD), Master's degree, audit experience
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; maintain contract library and risk tracking tools; identify risks and support mitigation plans; train team members.
Seniority
Senior Manager, hands-on leadership with team oversight
