, Louisiana

Job Description
Business Overview:
The mission of Aetna Better Health of LA (ABHLA) is to build a healthier world through better health, better care, and lower costs. We have embraced the quintuple aim as our guiding framework that integrates population health, equity, cost reduction, patient experience, and care team wellbeing into everything we do. We are leading the change by challenging the status quo with new technologies, VPB models, innovation, and integration of behavioral and physical health; and attracting and inspiring our local team by unlocking the power of our people to transform health care.

Position Summary:
This is a full-time teleworker opportunity in LA. Aetna Better Health of Louisiana is seeking a Director, Regulatory Affairs for its state-wide managed Medicaid business. This role is critical to ensure performance management and oversight of all requirements of our Louisiana contracts. This role will assist the Plan CEO 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 matters. Must reside in Louisiana and in Region 1 or 2 (New Orleans or Baton Rouge vicinities). Travel is anticipated less than 25% of the time.

Fundamental Components:
• Provide regulatory expertise and guidance based on state contractual requirements.
• Provide performance management and adherence to state contract requirements.
• The ability to work collaboratively across many teams, prioritize demands from those teams, synthesize information received, and generate meaningful conclusions.
• Project manages implementation of state mandated MES IT initiative. Manage implementation of other state mandates.
• The individual must understand how compliance and quality programs (NCQA and HEDIS) affect the Plan.
• The ability to conceive innovative ideas or solutions to meet regulatory requirements.
• The individual must have excellent communication and relationship management skills and be able to express thoughts in an organized and articulate manner.
• The individual must be able to build a climate of trust and respect with regulators and our internal growth partners such as health services, service operations, and finance/actuarial personnel.
• The individual must have demonstrated leadership with meaningful initiatives such as: business process optimization, enterprise business project management/consulting, risk management.
• The individual must have recent and related managed health care experience.
• Knowledge of state of Louisiana regulatory processes.

Pay Range
The typical pay range for this role is:
Minimum: 100,000
Maximum: 221,000

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
• 10+ years’ work experience that reflects a proven track record and knowledge of state of Louisiana regulatory processes, government programs such as Medicaid, Medicare, or Dual Eligible including government affairs, legal, and an in-depth compliance background.
• Ability to travel is required; must have valid LA driver's license, and proof of vehicle insurance.
• Resides in New Orleans or Baton Rouge vicinities.
• Demonstrated proficiency with personal computer, keyboard navigation and MS Office Suite applications.

Preferred Qualifications
Masters' degree preferred

Bachelor's degree required.

Business Overview
Bring your heart to CVS Health
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day.
CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. See Job Description

, Louisiana

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