Manager, Corporate Compliance - Medicaid

CVS Health; Woonsocket (RI); On-site; USD 66,000 - 146,000; Full time

Job summary

CVS Health is seeking a Senior Manager to join the Medicaid Compliance team in Rhode Island. The role leads external exams, audits, and regulatory inquiries, coordinating across Compliance, Legal and business partners to ensure timely, accurate responses and corrective action plans.

You will serve as the primary contact for state regulators and third-party auditors, guiding exam materials, documenting findings, and driving continuous improvement while upholding company standards.

Qualifications

• 5+ years in Compliance, Regulatory, Legal, or External Exam/Audit roles including experience with Health Care Benefits.
• Experience leading cross-functional teams and projects.
• Ability to influence decisions across all organizational levels.
• Skilled at escalating risks appropriately.
• Willingness to travel up to 10% (including by plane).

Responsibilities

• Coordinate market conduct exams across Compliance Officers, impacted business areas and with Legal.
• Serve as a main point of contact for state regulators and third-party auditors.
• Ensure accurate, timely collection and delivery of exam materials.
• Oversee responses to exam findings and corrective action plans.
• Maintain strong documentation of all exam-related work.

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary

We're seeking a Senior Manager to join the Medicaid Compliance team. The successful candidate will play a lead role in interacting with state regulators as part of external exams, audits, and regulatory inquiries, driving successful implementation of corrective action plans, and providing subject matter expertise on state regulatory environment to business areas, other compliance teams and legal areas. The position will provide support and guidance to ensure that all functions, operations, and activities are conducted in accordance with Company standards for conduct and integrity, and all applicable laws and regulations. This role requires advanced project management skills and high levels of collaborating and partnering with regulators, business partners, impacted stakeholders and various levels of management.

External Exam/Audit Management

• Coordinate market conduct exams across Compliance Officers, impacted business areas and with Legal.
• Serve as a main point of contact for state regulators and third-party auditors.
• Ensure accurate, timely collection and delivery of exam materials.
• Oversee responses to exam findings and corrective action plans.
• Maintain strong documentation of all exam-related work.

Required Qualifications

• 5+ years in Compliance, Regulatory, Legal, or External Exam/Audit roles including experience with Health Care Benefits.
• Experience leading cross-functional teams and projects.
• Ability to influence decisions across all organizational levels.
• Skilled at escalating risks appropriately.
• Willingness to travel up to 10% (including by plane).

Preferred Qualifications

• Experience in auditing or external exams within Medicaid managed care.
• Experience as a state auditor/examiner.
• Background in project management and developing audit or corrective action plans.
• Experience working directly with regulators or auditors.
• Strong analytical, verbal, and written communication skills.

Education

Bachelor's Degree; equivalent years of related professional work experience may substitute.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$66,330.00 - $145,860.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 09/10/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.