Director of Regulatory Affairs (Medicaid) | CVS Health

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Job Description

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



You will report to the Plan Chief Operating Officer.


Pay Range

The typical pay range for this role is:

Minimum: 100,000

Maximum: 227,000

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.


Required Qualifications

• 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

health care 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


Preferred Qualifications

• 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