• Conduct the review of and make changes to product-specific contracts and amendments between Health Plan and Material Subcontractors • Remain up to date on all state and federal health care laws, including laws applicable to managed care industry, and on all IN Medicaid contracts and amendments • Perform legal research and prepare memoranda regarding legislative or regulatory changes affecting the company’s vendor and/or health care provider contracts • Coordinate SIU waste and abuse efforts with the Corporate SIU Team • Complete all research on and file preparation for State Fair Hearings between Health Plan and State Regulatory Agency • Represent MHS at all State Fair Hearings • Track all outcomes and provide reports to Senior Leadership on outcomes • Collaborate with cross-functionally to remedy MHS process issues • Identifies issues with questionable billing providers and vendor contracts • Tracks trends for department use and Corporate Compliance • Escalates as required to senior management • Coordinates department preparation for State Fair Hearings and Questionable Provider Audits (building case files, universes, evidence of compliance and other documentation as needed) • Completes all required compliance training • Participate in implementation of regulatory changes that span multiple departments, as needed • Provide support and input into the development and maintenance of a consistent process for identification and escalation of issues and supporting tools; may participate in the implementation of a tool(s) for maintenance of mapping requirements/regulations to policies and procedures (P&Ps) and owners (i.e. CFR owners) • Participate in developing and maintaining consistent processes/methods for development, implementation, communication and training on new/updated policies and procedures • Participate with Business Units/departments with an end-to-end process orientation to ensure appropriate connectivity and handoffs are built into P&Ps that span multiple departments • Participates in and supports other programs such as privacy and security (including HIPAA program), Ethics & Privacy, Fraud Waste & Abuse, Code of Conduct, etc. • Performs other duties as assigned.