Medicaid Compliance Analyst — Risk & Audit Support

CVS Health; United States; Remote; USD 44,000 - 94,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Retirement options

Paid time off

Job summary

CVS Health is seeking a compliance professional to support Medicaid managed care program activities. The role involves tracking regulatory deliverables, developing compliant processes, and communicating with state Medicaid agencies.

The position requires a bachelor’s degree with risk management preferred and 0-2 years in regulatory compliance, managed care, or related fields. Full-time with strong benefits and opportunities for growth are offered.

Qualifications

• Bachelor’s degree required.
• Risk Management degree strongly preferred.
• Related degrees such as Healthcare Administration, Public Health, Business Administration, Finance, Accounting, and Legal Studies may also be considered.

Responsibilities

• Maintain systems to track, monitor, review, and submit regulatory and compliance deliverables to state Medicaid agencies by due dates.
• Assist with research and recommendations to develop compliant business operations and policies.
• Develop compliance communications responding to Medicaid agency inquiries.
• Maintain knowledge of contractual, regulatory, and program policy obligations as a Medicaid managed care organization.
• Support external audit reviews with project management and tracking of deliverables and corrective actions.

Skills

Regulatory compliance

Health care regulations

Education

Bachelor’s Degree

Risk Management degree

Tools

Archer

Job description

CVS Health is seeking a compliance professional to support Medicaid managed care program activities. The role involves tracking regulatory deliverables, developing compliant processes, and communicating with state Medicaid agencies.

The position requires a bachelor’s degree with risk management preferred and 0-2 years in regulatory compliance, managed care, or related fields. Full-time with strong benefits and opportunities for growth are offered.