Pharmacy Regulatory Manager

Medica • Minnetonka, MN

10d • Hybrid

About The Position

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for. We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration — because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm, and every member feels valued. The Pharmacy Regulatory Manager oversees contractual and regulatory requirements necessary to service Medica’s contracts with the Department of Human Services. Includes communication of requirements with affected areas within Medica and vendors by monitoring their activities and through thorough documentation of implementation and compliance activities in accordance with the standards of the Compliance Operations department. Completes all DHS and CMS filings. Serves as Medica's first contact to DHS. Performs other duties assigned.

Requirements

• Bachelor's degree or equivalent experience in related field
• 5 years of applicable work experience beyond degree including compliance and regulatory experience
• 5+ years experience with compliance and regulatory environments
• This position is an Office role, which requires an employee to work onsite, on average, 3 days per week.
• We are open to candidates located near one of the following office locations: Minnetonka, MN or Madison, WI.
• Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.

Responsibilities

• oversees contractual and regulatory requirements necessary to service Medica’s contracts with the Department of Human Services
• communication of requirements with affected areas within Medica and vendors by monitoring their activities
• thorough documentation of implementation and compliance activities in accordance with the standards of the Compliance Operations department
• Completes all DHS and CMS filings
• Serves as Medica's first contact to DHS
• Performs other duties assigned

Benefits

• competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 1,001-5,000 employees