Medicaid Compliance Analyst: Health Plan Oversight & Risk

CVS Health; Salem (OR); On-site; USD 44,000 - 102,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is hiring for a career-level compliance position supporting the Medicaid managed care program. You will work under the Compliance Officer to develop systems and processes ensuring an effective compliance program and ethical behavior.

The role involves tracking regulatory deliverables, supporting policy development, and assisting audits. Strong knowledge of Medicaid requirements and project management is preferred. This is a full-time opportunity with benefits.

Qualifications

• 2+ years of regulatory compliance experience in managed care, healthcare, or insurance.
• Preferred experience with Medicaid or Medicaid managed care.
• Project management experience.
• Audit experience.

Responsibilities

• Maintain systems and tools to track, monitor, review, and submit regulatory deliverables to state Medicaid agencies on time.
• Assist with research and recommendations to develop compliant business operations and policies.
• Develop compliance communications in response to Medicaid inquiries.
• Maintain knowledge of contractual and program obligations as a Medicaid managed care org.

Skills

Regulatory compliance

Project management

Audit

Microsoft Office

Education

Bachelor’s Degree

Tools

Archer

Microsoft Office

Job description

CVS Health is hiring for a career-level compliance position supporting the Medicaid managed care program. You will work under the Compliance Officer to develop systems and processes ensuring an effective compliance program and ethical behavior.

The role involves tracking regulatory deliverables, supporting policy development, and assisting audits. Strong knowledge of Medicaid requirements and project management is preferred. This is a full-time opportunity with benefits.