Agency Compliance Manager

Arizona Department of Administration•Phoenix, AZ

About The Position

The Agency Compliance Manager provides operational leadership for AHCCCS’s enterprise compliance program, including governance, policy management, investigations, monitoring, corrective action, training, reporting, audit coordination, and technology-enabled compliance processes. The position supervises assigned staff and advises the Chief Compliance Officer (CCO) by identifying emerging compliance risks, recommending program enhancements, and advancing integrity, accountability, and ethical decision-making across the agency. The manager maintains the Compliance Program Plan and annual work plan, translating CCO and Compliance Committee direction into priorities, assignments, deliverables, and measurable outcomes. The role oversees compliance policies and controls; the handling and investigation of compliance concerns; risk-based monitoring and audit follow-up; training and communications; program metrics and evaluations; and relevant ServiceNow/GRC workflows. It coordinates compliance monitoring and audit follow-up without replacing independent assurance functions or operational ownership of remediation. The position is in the Office of the Director in Phoenix, Arizona. All AHCCCS employees must reside in Arizona. Travel may be required for State business. Remote work may be available as a management option and is not an employee entitlement; remote work agreements may be ended at the agency’s discretion. The position remains open until filled.

Requirements

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 education year for year.
Knowledge of effective compliance program principles, including HHS OIG guidance and 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.
Knowledge of enterprise compliance governance, committees, federated compliance models, escalation protocols, and defensible decision documentation.
Knowledge of Medicaid, healthcare, managed-care, fee-for-service, federal award, public-sector, privacy, confidentiality, ethics, conflicts-of-interest, and program-integrity compliance concepts.
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.
Skill in leading professional compliance, policy, investigation, monitoring, and audit personnel through clear assignments, quality expectations, coaching, and accountability.
Skill in communicating complex regulatory, compliance, and risk issues clearly and actionably to executives, governing bodies, and non-technical stakeholders.
Skill in translating enterprise strategy and regulatory obligations into practical work plans, procedures, controls, training, monitoring, and measurable deliverables.
Skill in managing sensitive concerns objectively, consistently, promptly, and confidentially.
Skill in preparing executive briefings, findings, recommendations, dashboards, and decision memos.
Skill in facilitating cross-divisional work and resolving operational barriers while preserving Compliance Office independence and escalation rights.
Skill in using risk, trend, workload, and performance data to prioritize resources and improve program effectiveness.
Ability to exercise sound judgment within delegated authority and recognize matters requiring CCO, executive, cross-divisional, or regulator involvement.
Ability to lead through influence in a federated compliance environment, build stakeholder partnerships, coach compliance professionals, and influence leaders and risk/control owners who do not report to the position.
Ability to ensure investigations, monitoring, and corrective actions are documented sufficiently to withstand audit or regulatory scrutiny.
Ability to balance prevention, education, monitoring, investigation, remediation, and enforcement in a complex public Medicaid environment; manage competing priorities; and foster accountability, transparency, and continuous improvement.
Ability to maintain trust, neutrality, discretion, accessibility, and professional independence.
Successfully pass a fingerprint background check, prior employment verifications, and reference checks; employment is contingent on completion of these processes and the agency’s ability to reasonably accommodate any restrictions.
Complete required driver training if driving on State business.
Successfully complete the Electronic Employment Eligibility Verification Program (E-Verify), as required for all newly hired State employees.

Nice To Haves

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 certification such as 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.

Responsibilities

Lead enterprise compliance program planning and operations, maintaining the Compliance Program Plan and annual compliance work plan and translating leadership direction into priorities and measurable outcomes.
Supervise, coach, and evaluate assigned staff; manage workloads and quality, delegate appropriately, identify resource needs, and elevate material risks or barriers to the CCO.
Direct development, review, maintenance, publication, and implementation of the Code of Conduct, compliance policies, procedures, standard work, and related controls.
Coordinate regulatory research and interpretation with the Office of General Counsel, program leadership, and subject-matter experts; oversee policy documentation, approvals, acknowledgments, exceptions, implementation, and follow-up.
Oversee confidential reporting channels and the full compliance-concern lifecycle, including intake, triage, investigation or review, documentation, recommendations, corrective actions, follow-up, and closure.
Establish escalation, decision-routing, and status-reporting protocols; maintain defensible case records; coordinate referrals; and 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 their progress and effectiveness.
Develop and oversee risk-based monitoring and review activities; evaluate controls and remediation; identify trends and systemic weaknesses; and escalate material risks or unresolved ownership to the CCO.
Support external audits and regulatory reviews by coordinating Compliance Office responses and evidence, tracking findings and recommendations, and following corrective actions through validated closure.
Direct the annual compliance training and education plan; identify gaps, oversee general, targeted, role-based, onboarding, and remedial training, coordinate awareness communications, and evaluate training completion and effectiveness.
Support Compliance Committee and divisional compliance liaison engagement.
Establish program measures and service expectations; monitor compliance trends and data covering timeliness, closure, training, policies, monitoring, and corrective actions; and prepare reports for the CCO, Compliance Committee, and executive leadership.
Conduct or coordinate periodic program-effectiveness assessments, recommend improvements, and serve as the Compliance Office business owner for relevant ServiceNow/GRC workflows, requirements, data quality, dashboards, access controls, and adoption.
Coordinate compliance oversight activities involving contractors, vendors, delegated entities, and other third parties as assigned.
Travel for State business as required; complete required driver training if driving on State business.

Benefits

10 paid holidays per year.
Paid vacation and sick time: 13 vacation days and 12 sick days per year, earned beginning on the first day of employment and prorated for part-time employees.
Paid parental leave of up to 12 weeks per year for a newborn or newly placed foster or adopted child.
Bereavement, civic duty, and military leave.
A top-ranked retirement program with lifetime pension benefits through the Arizona State Retirement System (ASRS).
Affordable insurance including medical, dental, life, and disability insurance.
Eligibility to participate in the Public Service Loan Forgiveness Program, subject to qualifications.
RideShare and public transit subsidy.
Learning and career development opportunities.
Optional full-time or part-time remote work schedule, subject to management approval and discretion.
Voluntary Deferred Retirement Compensation Program administered through Nationwide, offering tax-deferred retirement investments through payroll deductions.