Compliance Manager

Compliance Manager

Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a range of opportunities across 60+ agencies. At the state, you'll find competitive compensation, a robust benefits package and a commitment to work-life balance. Most importantly, you'll have the chance to make a real and measurable impact on the lives of Hoosiers across Indiana.

About the Family and Social Services Administration :

The Office of Medicaid Policy and Planning (OMPP) is a division within the Family and Social Services Administration, which receives around 18 percent of the state's budget to ensure vital health care coverage to approximately 1 in 4 Hoosiers. OMPP strives to build programs and processes that enable Hoosiers to live in fully engaged communities and reach their greatest emotional, mental, and physical well-being. Our mission is to support individual and community well-being with effective and efficient programs, remarkable collaborations, measurable impact on individuals and communities, and an energized staff that is fully engaged with this mission.

Role Overview :

The Compliance Manager for Hoosier Healthwise and the Healthy Indiana Plan (HIP) is a key leadership role within the Office of Medicaid Policy and Planning (OMPP), overseeing the Compliance Team responsible for monitoring contractor performance and adherence to requirements for Indiana's Medicaid programs. This role conducts contract compliance audits to ensure consistency, standardization, and accountability across direct reports and Managed Care Entities (MCEs). Responsibilities include reviewing and updating standard operating procedures (SOPs), Statements of Work (SOWs), reports and other documentation as needed, while supporting internal OMPP departments with tracking, follow-up, and resolution of MCE-related inquiries and readiness efforts. The Compliance Manager also fosters a positive team culture that promotes cross-training, collaboration, open feedback, succession planning, and leadership development.

The ideal candidate will hold a bachelor's degree in a healthcare-related field or public administration with at least nine years of experience in healthcare or Medicaid, or a master's degree with a minimum of seven years of relevant experience. Supervisory experience is preferred, along with knowledge of federal and state regulations and healthcare compliance. Familiarity with Medicaid delivery systems and Indiana Health Coverage Programs (IHCP), particularly Hoosier Healthwise and HIP, is strongly preferred. Occasional travel, including overnight stays, may be required.

Salary Statement :

The salary for this position traditionally starts at $75,010.00 but may be commensurate with education or work experience.

A Day in the Life :

The essential functions of this role are as follows :

• Plan, organize, direct, monitor, and participate in ongoing comprehensive development and implementation of specialized programs and development within the agency.
• Determine, analyze, identify and implement long-range objectives and specifying the strategies, KPIs, and actions to achieve them.
• Analyze operations to evaluate performance of the specific program or its staff in meeting objectives or to determine areas of potential cost reduction, program improvement, or policy change.
• Interpret and explain in-depth and complex policies, rules, regulations, or laws to organizations, government or corporate officials, or individuals.
• Develop and implement corrective action plans to solve organizational or departmental problems.
• Prepare and present reports for approval, including those for funding or implementation of services to executive leadership.
• Develop and oversee program financial or budget activities to fund operations, maximize investments, or increase efficiency.
• Develop and monitor program requirements to ensure it meets federal and state policies and grants compliance.
• Develop and supervise training of employees and consultants on program requirements and usage.
• Develop, coordinator, and deliver communication plans and communications.
• Preside over, or serve on, boards of directors, management committees, or other governing boards.
• Recruit, select, onboard, and train employees to ensure role responsibilities and expectations are clearly understood while providing opportunities to continue professional development.
• Set expectations, measure progress, provide ongoing feedback, and evaluate the performance of employees. Ensure work adheres to quality standards, deadlines, and proper procedures.

The job profile is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Other duties, responsibilities, and activities may change or be assigned at any time with or without notice.

This position is exempt from overtime compensation for additional work hours which may be required to complete essential functions or other assigned work. Exempt employees may work more than 75 hours in a pay period without additional compensation and must report a minimum of 75 hours per pay period of work hours and / or paid leave taken to receive their base biweekly salary.

What You'll Need for Success :

The ideal candidate in this role should minimally have either :

You must meet the following requirements to be considered for employment :

Supervisory Responsibilities / Direct Reports :

This role may provide direct supervision for one or more staff members.

Benefits of Employment with the State of Indiana :

Equal Employment Opportunity :

The State of Indiana is an Equal Opportunity Employer and is committed to recruiting, selecting, developing, and promoting employees based on individual ability and job performance. Reasonable accommodations may be available to enable individuals with disabilities to complete the application and interview process as well as perform the essential functions of a role. If you require reasonable accommodations to complete this application, you can request assistance by contacting the Indiana State Personnel Department at jobs@spd.IN.gov.