Pharmacy Regulatory Manager

Medica•Madison, WI

62d•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

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.