Manager, Medicaid Compliance, Indiana Residency Required

We are looking for a Manager, Medicaid Compliance to join us in leading our organization forward.

McLaren Integrated HMO Group (MIG), a division of McLaren Health Care Corporation, is an organization with a culture of high performance and a mission to help people live healthier and more satisfying lives.

McLaren Health Plan and MDwise, Inc., subsidiaries of MIG, value the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plans can thrive. As an employee MIG, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members.

McLaren Health Plan is our Michigan-based health plan dedicated to meeting the health care needs of each of our Michigan members. Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org

MDwise is our Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs. Learn more about MDwise, Inc. at https://www.mdwise.org/

Position Summary:

This position is an integral part of the Compliance Team and manages day-to-day activities under the Plan's Medicaid Programs' compliance plan. The Manager, Medicaid Compliance acts as a liaison with the State of Indiana to facilitate communications between OMPP, CMS, and the State's contractors, and MDwise executive leadership and staff for Medicaid Programs. This position works with both the Legal and Compliance teams and has a reporting relationship to the MDwise Director, Legal Affairs.

This is a leadership position with requirements to come onsite as scheduled with leader, Indianapolis, IN.

This position will require residency in Indiana.

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

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Qualifications:

Required:

• Bachelor's degree in health, management or related field or Associate's degree with (2) years of related experience, or High School with four (4) years of related experience related experience.

• Three (3) years' progressive experience in health plan compliance programs including two (2) years' experience in a management role with direct reports leading or assisting in all phases of effective supervision (i.e. Recruitment, performance management, training).

• Candidate must be approved by the Indiana Medicaid agency prior to hiring and the agency may ask to interview the candidate.

Preferred:

• Health Care Compliance certification .

• Two (2) years' experience and knowledge of HMO, PPO, TPA, PHO and Managed Care functions.

• Experience working as an independent auditor or accountant responsible for evaluating internal records for the purpose of ensuring regulatory compliance.

• Working knowledge of HIPAA and other federal or Indiana privacy laws.

• Experience presenting information to leadership.

Additional Information

• Schedule: Full-time

• Requisition ID: 24002780

• Daily Work Times: 8:30 am - 5:00 pm

• Hours Per Pay Period: 80

• On Call: No

• Weekends: No

Equal Opportunity Employer

McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.