Medicaid Compliance Analyst — Impact & Audit Excellence

CVS Health; Jackson (MS); Sur place; USD 44 000 - 102 000; Plein temps

Avantages offerts par ce poste

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Résumé du poste

CVS Health is seeking a career-level compliance professional to support the compliance program activities for Medicaid managed care. In partnership with the Compliance Officer, you will help develop systems and processes that demonstrate effective compliance and promote ethical behavior across Medicaid plans.

Responsibilities include tracking and reporting deliverables, researching regulatory requirements, creating compliant communications, and supporting audits.

Qualifications

• 2+ years regulatory compliance experience in managed care, healthcare, or insurance.
• Bachelor's degree required.
• Medicaid experience preferred.

Responsabilités

• Maintain systems and tools to track, monitor, review, and submit regulatory deliverables to state Medicaid agencies.
• Assist with research to develop compliant business operations and policies.
• Develop compliance communications in response to Medicaid inquiries.
• Maintain knowledge of contractual/regulatory obligations for Medicaid managed care.
• Support external audit reviews and action plan development.
• Maintain internal tools and resources to monitor compliance processes.

Connaissances

Regulatory compliance

Project management

Audit experience

Medicaid experience

Formation

Bachelor's Degree

Description du poste

CVS Health is seeking a career-level compliance professional to support the compliance program activities for Medicaid managed care. In partnership with the Compliance Officer, you will help develop systems and processes that demonstrate effective compliance and promote ethical behavior across Medicaid plans.

Responsibilities include tracking and reporting deliverables, researching regulatory requirements, creating compliant communications, and supporting audits.