Medicaid Compliance Analyst: Regulatory & Audit Focus

CVS Health; Atlanta (GA); On-site; USD 44,000 - 102,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings

Job summary

CVS Health in Atlanta, GA is seeking a compliance professional to support the Medicaid managed care compliance program. The role works with the Compliance Officer to ensure effective processes, timely deliverables, and strong ethical standards.

Responsibilities include tracking regulatory submissions, developing compliant business operations, creating communications to Medicaid agencies, and supporting audits and risk management.

Qualifications

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

Responsibilities

• Maintain systems to track, monitor, review, and submit regulatory deliverables to state Medicaid agencies on time.
• Assist with research to develop compliant business operations and policies per state requirements.
• Develop compliance communications in response to Medicaid inquiries.
• Maintain knowledge of contracts, regulatory obligations, and program policies for decision making.

Skills

Regulatory compliance

Medicaid knowledge

Project management

Education

Bachelor’s Degree

Tools

Archer

Microsoft Office

Job description

CVS Health in Atlanta, GA is seeking a compliance professional to support the Medicaid managed care compliance program. The role works with the Compliance Officer to ensure effective processes, timely deliverables, and strong ethical standards.

Responsibilities include tracking regulatory submissions, developing compliant business operations, creating communications to Medicaid agencies, and supporting audits and risk management.