Director of Regulatory Affairs; Medicaid CVS Health

Aetna Better Health of Michigan is seeking a Director, Regulatory Affairs for its managed Medicaid business. This role is critical to ensure performance management and oversight of all requirements of our State of Michigan Medicaid contract. This role will serve as the Medicaid Liaison for ABH-MI with its state customer and assist the Plan COO in the successful growth and performance of the plan.

The role interfaces, collaborates, and works cooperatively with functional leaders and centralized shared services business departments on regulatory matters. You will report to the Plan Chief Operating Officer.

Minimum: 100,000
Maximum: 227,000

• 7-10+ years of work experience that reflects a proven track record and knowledge of State of MI MDHHS regulations, processes, government programs such as Medicaid, including government affairs, legal, and an in-depth compliance/health plan operations background.
• Experience providing regulatory expertise and guidance based on state contractual requirements.
• Provide performance management and adherence to state contract requirements.
• Knowledgeable of the State of MI regulatory processes.
• The individual must have recent and related managed experience.
• Experience working collaboratively across many teams, prioritizing demands from those teams, synthesize information received, and generate meaningful conclusions.
• Strong knowledge of payer systems and configuration a plus.
• Resident of the State of Michigan.

• Knowledge of the State of Michigan’s legislative processes and healthcare-related priorities.
• Previous payer systems, benefit configuration and health plan operations knowledge preferred.

Bachelors Degree or equivalent work experience