Medicaid Compliance & Audit Lead

CVS Health; Raleigh (NC); On-site; USD 47,000 - 112,000; Full time

Job summary

CVS Health is seeking a dynamic leader in Raleigh to drive Medicaid provider compliance, audit excellence, and regulatory integrity across the organization. You will lead strategic initiatives to ensure accurate, timely audit results, strengthen regulatory relationships, and implement proactive risk mitigation.

You will partner cross-functionally to optimize audit outcomes, standardize processes, and enable data integrity while mentoring teams to sustain compliant, high-quality operations in a

Qualifications

• 3+ years in audit, compliance, or healthcare operations.
• Ability to develop and execute detailed project plans with accountability and rigor.
• Strong analytical skills to interpret data and identify trends for compliance.
• Advanced proficiency in Excel for data analysis and reporting.
• Clear, concise communication across organizational levels to influence decisions.
• Ability to lead initiatives, mentor team members, and thrive in a fast-paced environment.

Responsibilities

• Direct collaboration with internal teams and external auditors to deliver quality results and maintain compliance.
• Interpret audit findings to recommend corrective actions and process improvements.
• Respond to inquiries from internal stakeholders and regulators with accuracy and timeliness.
• Serve as a technical and functional leader, managing multiple compliance-related projects.
• Oversee policy and procedural documentation and annual reviews.
• Build partnerships across organizational levels to achieve strategic goals.

Skills

Auditing

Compliance

Data analysis

Project management

Communication

Leadership

Education

Bachelor's degree

Tools

Microsoft Excel

Job description

CVS Health is seeking a dynamic leader in Raleigh to drive Medicaid provider compliance, audit excellence, and regulatory integrity across the organization. You will lead strategic initiatives to ensure accurate, timely audit results, strengthen regulatory relationships, and implement proactive risk mitigation.

You will partner cross-functionally to optimize audit outcomes, standardize processes, and enable data integrity while mentoring teams to sustain compliant, high-quality operations in a