Agency Compliance Manager

AHCCCS

Arizona Health Care Cost Containment System
Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Courage, Teamwork

The Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid agency, is driven by its mission to deliver comprehensive, cost-effective health care to Arizonans in need. AHCCCS 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. With career paths for seasoned professionals in a variety of fields, entry-level positions, and internship opportunities, AHCCCS offers meaningful career opportunities in a competitive industry.

Come join our dynamic and dedicated team.

Agency Compliance Manager

Office of the Director (OOD)

Job Location:

Address: 150 North 18th Avenue Phoenix, Arizona 85007

All AHCCCS Employees must reside within the state of Arizona.

Posting Details:

Salary: $108,000 - $119,000

Grade: 27

FLSA Status: Exempt

This position will remain open until filled.

Job Summary:

The Agency Compliance Manager provides operational leadership for the agency’s enterprise compliance program, including governance, policy management, investigations, monitoring, corrective action, training, reporting, audit coordination, and technology-enabled compliance processes. This position supervises assigned staff and serves as a key advisor to the Chief Compliance Officer by identifying emerging compliance risks, recommending program enhancements, and advancing a culture of integrity, accountability, and ethical decision-making across the agency.

Major duties and responsibilities include but are not limited to:
• 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; and 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; and elevate material risks, trade-offs, or barriers to the CCO.
• Policies, procedures, standards, and compliance controls. 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; and verify that written requirements remain aligned with actual operational practices.
• Effective reporting channels, compliance concerns, investigations, escalation, and corrective action. 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; provide timely, appropriate updates to the CCO and other authorized leaders or governance bodies; maintain complete, defensible case records; coordinate appropriate referrals; and promptly elevate high-risk, sensitive, legally significant, executive-level, or reputational matters to the CCO.
• Risk-based compliance monitoring, enterprise compliance risk, and audit coordination. Partner with business owners to identify, assess, and prioritize enterprise compliance risks; support the development of appropriate mitigation strategies; and monitor mitigation progress and effectiveness. Coordinate periodic compliance risk assessment inputs; develop and oversee risk-based monitoring and review activities; evaluate controls and remediation effectiveness; identify trends and systemic weaknesses; and elevate material compliance risks, ineffective mitigation, or unresolved ownership to the CCO for appropriate escalation. Support external audits and regulatory reviews as assigned; coordinate Compliance Office responses and evidence; maintain visibility into findings and recommendations; and track corrective actions through validated closure. The position coordinates compliance monitoring and audit follow-up but does not replace independent assurance functions or operational ownership of remediation.
• Compliance training, education, communication, and culture. Direct the annual compliance training and education plan; identify training and awareness gaps based on compliance risks, concerns, audits, monitoring, corrective action, and regulatory changes; and ensure training is appropriately targeted to identified risks and audiences. Oversee general, targets, role-based, on-boarding, and remedial training; coordinate agency communications and awareness initiatives; evaluate training completion and effectiveness; and support Compliance Committee and divisional compliance liaison engagement.
• Metrics, reporting, program evaluation, and GRC enablement. Establish program measures and service expectations; monitor trends, aging, timeliness, closure, training, policy, monitoring, and corrective-action data; prepare reports for the CCO, Compliance Committee, and executive leadership; conduct or coordinate periodic program-effectiveness assessments; recommend improvement actions; and serve as Compliance Office business owner for relevant ServiceNow/GRC workflows, requirements, data quality, dashboards, access controls, and adoption.

Knowledge, Skills & Abilities (KSAs):

Knowledge of:
• Effective compliance program principles, including HHS OIG guidance and the operation of the seven elements of an effective compliance program
• Compliance concern intake, triage, fact-finding, investigation, evidence management, root-cause analysis, referrals, corrective action, and closure validation
• Risk-based compliance assessment, monitoring, auditing, control evaluation, external-audit coordination, and findings-management practices
• Enterprise compliance governance, compliance committees, federated compliance models, escalation protocols, and defensible decision documentation
• Medicaid, healthcare, managed-care, fee-for-service, federal award, public-sector, privacy, confidentiality, ethics, conflicts-of-interest, and program-integrity compliance concepts
• Federal and Arizona regulatory structures and methods for researching, interpreting, documenting, and operationalizing regulatory requirements
• Policy, procedure, standard-work, control, exception, acknowledgment, and records-management lifecycles
• Adult-learning principles, role-based training, communication planning, and training-effectiveness evaluation
• Compliance metrics, trend analysis, program-effectiveness assessment, dashboards, data integrity, and continuous improvement
• 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
• Communicating complex regulatory, compliance, and risk issues to executive leadership, governing bodies, and non-technical stakeholders in a clear and actionable manner
• Converting enterprise strategy and regulatory obligations into practical work plans, procedures, controls, training, monitoring, and measurable deliverables
• Managing sensitive concerns objectively, consistently, promptly, and with appropriate confidentiality
• Preparing concise executive briefings, findings, recommendations, dashboards, and decision memos
• Facilitating cross-divisional work and resolving operational barriers while preserving Compliance Office independence and escalation rights
• 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
• Lead through influence in a federated compliance environment
• Build effective partnerships across diverse stakeholder groups
• Coach and develop compliance professionals
• Ensure investigations, monitoring, and corrective actions are adequately documented and capable of withstanding audit or regulatory scrutiny
• Influence leaders and risk/control owners who do not report directly to the position
• Balance prevention, education, monitoring, investigation, remediation, and enforcement considerations in a complex public Medicaid environment
• Manage competing priorities in a complex regulatory environment
• Foster a culture of accountability, transparency, and continuous improvement
• Maintain trust, neutrality, discretion, accessibility, and professional independence
• Support compliance oversight activities involving contractors, vendors, delegated entities, and other third parties as assigned

Qualifications:

Minimum:
• Bachelor’s degree in compliance, business administration, public administration, health administration, law, accounting, auditing, or a closely related field and five years of progressively responsible experience in compliance, regulatory oversight, audit, investigations, internal controls, risk management, or a related function, including two years of supervisory or program-lead experience. Relevant professional experience may substitute for the education requirement on a year-for-year basis.

Preferred:

• 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.

Pre-Employment Requirements:

• Successfully pass fingerprint background check, prior employment verifications and reference checks; employment is contingent upon completion of the above-mentioned process and the agency’s ability to reasonably accommodate any restrictions.
• Travel may be required for State business. Employees who drive on state business must complete any required driver training (see Arizona Administrative Code R2-10-207.12.)

If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply: Driver’s License Requirements.

All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

Benefits:

Among the many benefits of a career with the State of Arizona, there are:

• 10 paid holidays per year

• Paid Vacation and Sick time off (13 and 12 days per year respectively) - start earning it your 1st day (prorated for part-time employees)
  • Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child. Learn more about the Paid Parental Leave pilot program here.
  • 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

By providing the option of a full-time or part-time remote work schedule, employees enjoy improved work/life balance, report higher job satisfaction, and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion.

Learn more about the Paid Parental Leave program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page

Retirement:

Lifetime Pension Benefit Program
• Administered through the Arizona State Retirement System (ASRS)
• Defined benefit plan that provides for life-long income upon retirement.
• Required participation for Long-Term Disability (LTD) and ASRS Retirement plan.
• Pre-taxed payroll contributions begin after a 27-week waiting period (prior contributions may waive the waiting period).

Deferred Retirement Compensation Program

• Voluntary participation.

• Program administered through Nationwide.
  • Tax-deferred retirement investments through payroll deductions.

Contact Us:

Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by emailing .

Requests should be made as early as possible to allow time to arrange the accommodation. The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer.

Salary: $108,000 - $119,000 | Pay Scale: 27

Originally posted on Himalayas