Senior Director, Medicaid Compliance

Role Overview

• Lead the Compliance Advisory & Research and Compliance Response & Escalation teams
• Providing strategic direction across complex compliance functions
• Partner closely with senior leadership to guide compliance research
• Oversee multi-market regulatory disclosures
• Help ensure key business initiatives align with applicable federal, state, and contractual requirements
• Support direct correspondence with state regulators
• Managing all facets of Compliance research for Medicaid line of business for the Enterprise
• Serve as senior leadership in Compliance Risk Assessment process
• Work closely with auditing and monitoring team, corrections team, and regulatory change management team to facilitate research and implementation
• Performs other duties as assigned

Requirements

• Bachelor's Degree in related field, or equivalent experience required
• 7+ years Compliance program management and contract experience with State Medicaid programs including internal and State audits required
• 5+ years Health care regulatory agencies in development of compliance and fraud programs; required
• 5+ years Overseeing implementation of contract requirements required
• 10+ years Compliance/Enterprise Risk Management preferred

Benefits

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• flexible approach to work with remote, hybrid, field or office work schedules