Senior Manager – Corporate Compliance

This is a fully remote position, open to applicants in Maryland.

📋 Description

• Act as the Compliance Officer for Aetna's Maryland Medicaid health plan.

• Serve as the primary liaison with the Maryland Medicaid agency regarding compliance and contractual matters.

• Monitor, track, and timely submit necessary regulatory reports and responses.

• Lead the preparation and coordination of state audits, including developing corrective action plans and resolving issues.

• Oversee all elements of the Medicaid compliance program.

• Investigate regulatory requirements and offer recommendations to foster compliant business practices.

• Draft and manage responses to inquiries and requests from state Medicaid agencies.

• Maintain an expert understanding of Medicaid regulations, contracts, and program stipulations.

• Act as a compliance resource for staff, providing guidance, education, and training.

• Sustain compliance tools, risk assessments, reporting systems, and tracking procedures.

• Identify compliance risks, carry out monitoring activities, and suggest corrective actions.

• Assist business teams in crafting solutions to resolve compliance issues.

• Employ compliance management tools, including Microsoft Office and Archer.

• Establish and nurture strong relationships with both internal and external stakeholders.

• Offer guidance and coaching to less experienced team members.

• Carry out additional duties as assigned.

⛳️ Requirements

• Over 7 years of compliance experience in the healthcare, managed care, insurance, or a related sector.

• Candidates with an advanced degree may be eligible with 5+ years of pertinent experience.

• Experience in project management.

• Familiarity with Medicaid or Medicaid managed care programs.

• Background in supporting audits or regulatory reviews.

• Bachelor's degree in Public Policy, Government Affairs, Healthcare Administration, Public Administration, or a related field.

• Master's degree or Juris Doctor (JD) preferred.

🏝️ Benefits

• Medical, dental, and vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families.