Agency Compliance Manager
Job description
The Agency Compliance Manager provides operational leadership for AHCCCS's enterprise compliance program, including governance, policy management, investigations, monitoring, corrective action, training, reporting, and audit coordination. The role supervises assigned staff and advises the Chief Compliance Officer.
At a glance
- Employment
- Full-time · Employee (employment agreement)
- Work mode
- Hybrid
- Pay
- USD 108,000 – 119,000 / year
What you'll do
- Enterprise compliance program leadership, work planning, and staff management; maintain the Compliance Program Plan and annual compliance work plan
- Translate CCO and Compliance Committee direction into priorities, deliverables, assignments, and measurable outcomes
- Maintain an enterprise-level view of significant compliance obligations, emerging compliance risks, program gaps, and priorities
- Oversee workloads and quality; supervise, coach, and evaluate assigned staff; ensure appropriate delegation; identify resource and capacity needs; elevate material risks, trade-offs, or barriers to the CCO
- Direct the development, review cycle, maintenance, publication, and operationalization of the Code of Conduct, compliance policies, procedures, standard work, and related controls
- Coordinate regulatory research and interpretation with OGC, program leadership, and subject-matter experts
- Oversee policy life cycle controls, documentation, approvals, acknowledgments, exceptions, and implementation follow-up
- Oversee accessible and confidential reporting channels and the end-to-end compliance concern life cycle, including intake, logging, triage, assignment, review or investigation, documentation, disposition recommendations, corrective or preventive actions, follow-up, and closure
- Establish and administer consistent escalation, decision-routing, and status-reporting protocols
- Maintain complete, defensible case records; coordinate appropriate referrals; promptly elevate high-risk, sensitive, legally significant, executive-level, or reputational matters to the CCO
- Partner with business owners to identify, assess, and prioritize enterprise compliance risks; support mitigation strategies and monitor progress and effectiveness
- Coordinate periodic compliance risk assessment inputs; develop and oversee risk-based monitoring and review activities; evaluate controls and remediation effectiveness
- Support external audits and regulatory reviews as assigned; coordinate Compliance Office responses and evidence; track corrective actions through validated closure
- Direct the annual compliance training and education plan; identify training and awareness gaps; ensure training is targeted to identified risks and audiences
- Oversee general, targeted, role-based, on-boarding, and remedial training; coordinate agency communications and awareness initiatives; evaluate training completion and effectiveness
- Support Compliance Committee and divisional compliance liaison engagement
What we're looking for
- Knowledge of effective compliance program principles, including HHS OIG guidance and the operation of the seven elements of an effective compliance program
- Knowledge of compliance concern intake, triage, fact-finding, investigation, evidence management, root-cause analysis, referrals, corrective action, and closure validation
- Knowledge of risk-based compliance assessment, monitoring, auditing, control evaluation, external-audit coordination, and findings-management practices
- Knowledge of enterprise compliance governance, compliance committees, federated compliance models, escalation protocols, and defensible decision documentation
- Knowledge of federal and Arizona regulatory structures and methods for researching, interpreting, documenting, and operationalizing regulatory requirements
- Knowledge of policy, procedure, standard-work, control, exception, acknowledgment, and records-management lifecycles
- Knowledge of adult-learning principles, role-based training, communication planning, and training-effectiveness evaluation
- Knowledge of compliance metrics, trend analysis, program-effectiveness assessment, dashboards, data integrity, and continuous improvement
- Knowledge of GRC concepts and ServiceNow-enabled policy, compliance, issue, investigation, audit, corrective-action, and reporting workflows
- Skilled in leading professional compliance, policy, investigation, monitoring, and audit personnel through clear assignments, quality expectations, coaching, and accountability
- Skilled in communicating complex regulatory, compliance, and risk issues to executive leadership, governing bodies, and non-technical stakeholders
- Skilled in converting enterprise strategy and regulatory obligations into practical work plans, procedures, controls, training, monitoring, and measurable deliverables
- Skilled in managing sensitive concerns objectively, consistently, promptly, and with appropriate confidentiality
- Skilled in preparing concise executive briefings, findings, recommendations, dashboards, and decision memos
- Skilled in facilitating cross-divisional work and resolving operational barriers while preserving Compliance Office independence and escalation rights
- Skilled in using risk, trend, workload, and performance data to prioritize resources and improve program effectiveness
- Ability to exercise sound judgment without exceeding delegated authority and recognize matters requiring CCO, executive, cross-divisional, or regulator involvement
- Ability to lead through influence in a federated compliance environment
- Ability to build effective partnerships across diverse stakeholder groups
- Ability to coach and develop compliance professionals
- Ability to ensure investigations, monitoring, and corrective actions are adequately documented and capable of withstanding audit or regulatory scrutiny
- Ability to influence leaders and risk/control owners who do not report directly to the position
- Ability to balance prevention, education, monitoring, investigation, remediation, and enforcement considerations in a complex public Medicaid environment
- Ability to manage competing priorities in a complex regulatory environment
- Ability to foster a culture of accountability, transparency, and continuous improvement
Nice to have
- Experience leading or contributing to an enterprise compliance program in healthcare, Medicaid, government, or another highly regulated environment
- Experience supervising or leading compliance professionals and partnering with senior or executive leadership
- Experience with compliance monitoring, investigations, corrective action, policy governance, or regulatory/audit coordination
- Relevant professional certifications including Certified in Healthcare Compliance (CHC), Certified Compliance and Ethics Professional (CCEP), Certified Internal Auditor (CIA), Certified Fraud Examiner (CFE), Certified in Healthcare Privacy Compliance (CHPC), or a comparable credential
Your team
Office of the Director (OOD)
Benefits
Paid Vacation and Sick time off (13 and 12 days per year respectively) - start earning it your 1st day (prorated for part-time employees)
- 10 paid holidays per year
- Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child
- Other Leaves - Bereavement, civic duty, and military
- A top-ranked retirement program with lifetime pension benefits
- A robust and affordable insurance plan, including medical, dental, life, and disability insurance
- Participation eligibility in the Public Service Loan Forgiveness Program (must meet qualifications)
- RideShare and Public Transit Subsidy
- A variety of learning and career development opportunities
- Option of a full-time or part-time remote work schedule
Apply
About Arizona Health Care Cost Containment System (AHCCCS)
AHCCCS, Arizona's Medicaid agency, is a nationally acclaimed model among Medicaid programs and a recipient of multiple awards for excellence in workplace effectiveness and flexibility. AHCCCS employees are passionate about their work, committed to high performance, and dedicated to serving the citizens of Arizona. Among government agencies, AHCCCS is recognized for high employee engagement and satisfaction, supportive leadership, and flexible work environments, including remote work opportunities.
Mission
To deliver comprehensive, cost-effective health care to Arizonans in need.
Key facts
- Phoenix, Arizona
- Government / Medicaid agency
- Arizona's Medicaid agency
- Nationally acclaimed model among Medicaid programs
- Recipient of multiple awards for excellence in workplace effectiveness and flexibility
- All AHCCCS Employees must reside within the state of Arizona
What they value
- Accountability
- Community
- Innovation
- Leadership
- Passion
- Quality
- Respect
- Courage
