Director, Government Programs Compliance and Regulatory

Ankura is a team of excellence founded on innovation and growth. Ankura is seeking a Director to lead complex compliance and operational advisory engagements for health plans and other clients across Medicare Advantage, Medicaid managed care, and Affordable Care Act marketplace programs. The Director will serve as a senior subject matter expert on Centers for Medicare & Medicaid Services requirements, state Medicaid agency requirements, marketplace regulations, and related health plan operational expectations.

This individual will lead engagement teams, manage senior client relationships, and oversee the development of analyses and deliverables designed to withstand scrutiny from regulators, counsel, and other stakeholders. The Director will also play an important role in the continued growth of the practice by identifying client needs, scoping new engagements, contributing to proposals and business development efforts, and collaborating with Managing Directors to expand the practice’s capabilities and market presence.

• Lead complex compliance and operational advisory engagements involving Medicare Advantage, Medicaid managed care, and Affordable Care Act marketplace programs.
• Direct regulatory audits, program integrity reviews, compliance assessments, corrective action planning, and regulatory readiness engagements.
• Serve as a senior subject matter expert on CMS guidance, state Medicaid agency requirements, marketplace requirements, and their application to health plan operations.
• Translate complex regulatory and contractual requirements into practical strategies, recommendations, and operational solutions for clients.
• Develop engagement approaches, scopes, work plans, timelines, resource requirements, and deliverable strategies.
• Direct multiple engagement work streams and ensure that work is completed accurately, efficiently, and within established timelines and budgets.
• Identify significant compliance, operational, and regulatory risks and provide informed, practical recommendations to address them.
• Oversee complex analyses of health plan data, policies, procedures, controls, regulatory submissions, operational documentation, and other supporting materials.
• Guide the development of audit findings, work papers, reports, presentations, corrective action plans, and other client deliverables.
• Ensure that engagement documentation and final deliverables are clear, well-supported, and prepared to withstand review by regulators, counsel, and senior client stakeholders.
• Lead executive-level presentations and meetings, clearly communicating complex findings, risks, and recommendations.
• Proactively identify and mitigate engagement risks and elevate significant concerns when appropriate.

• business development by identifying prospective client needs and developing tailored solutions.
• Lead or contribute to the scoping of new engagements, including defining objectives, deliverables, staffing requirements, timelines, and fee structures.
• Develop and contribute to proposals, statements of work, presentations, and other business development materials.
• Participate in meetings with prospective clients and clearly articulate Ankura’s capabilities, approach, and value proposition.
• Collaborate with Managing Directors and other practice leaders to develop and expand service offerings.
• Monitor regulatory developments, enforcement trends, and emerging industry issues to identify market needs and new opportunities.
• Contribute to thought leadership, industry presentations, articles, webinars, and other market-facing initiatives.
• Develop reusable tools, methodologies, templates, and intellectual capital that strengthen project delivery and…