Director, Health Plan Compliance & CMS Regulatory Strategy

Ankura Consulting; United States; A distancia; USD 170.000 - 210.000; Jornada completa

Descripción de la vacante

Ankura is seeking a Director to lead complex compliance and operational advisory engagements for health plans across Medicare Advantage, Medicaid managed care, and ACA marketplace programs.

The Director will serve as a senior subject matter expert on CMS requirements, state Medicaid rules, and marketplace regulations, leading engagement teams and managing senior client relationships. The role also focuses on developing analyses and deliverables designed for regulator scrutiny.

Formación

• Bachelor's degree or higher required in a related field.
• Significant experience in health plan compliance, regulatory affairs, or health plan operations.
• Deep knowledge of Medicare Advantage, Medicaid managed care, and ACA marketplace programs.
• Strong working knowledge of CMS guidance, Medicaid requirements, and marketplace regulations.
• Experience leading regulatory audits, compliance assessments, or readiness activities.

Responsabilidades

• Lead complex compliance and operational advisory engagements for Medicare Advantage, Medicaid, and ACA marketplace programs.
• Direct regulatory audits, program integrity reviews, and compliance readiness activities.
• Serve as senior SME on CMS guidance and marketplace requirements and their application to health plan operations.
• Translate regulatory requirements into practical strategies and deliverables for clients.
• Develop engagement scopes, timelines, and resource plans; manage multiple workstreams.

Conocimientos

CMS guidance

Health plan compliance

Regulatory affairs

Client relationship mgmt

Project leadership

Regulatory audits

Data analysis

Stakeholder communication

Educación

Bachelor's degree

Advanced degree preferred

Herramientas

Excel

PowerPoint

Word

Descripción del empleo

Ankura is seeking a Director to lead complex compliance and operational advisory engagements for health plans across Medicare Advantage, Medicaid managed care, and ACA marketplace programs.

The Director will serve as a senior subject matter expert on CMS requirements, state Medicaid rules, and marketplace regulations, leading engagement teams and managing senior client relationships. The role also focuses on developing analyses and deliverables designed for regulator scrutiny.