Medicaid Compliance & Audit Leader

CVS Health; Bismarck (ND); On-site; USD 47,000 - 112,000; Full time

Job summary

CVS Health is seeking a dynamic leader to drive Medicaid provider compliance, audit excellence, and regulatory integrity across the organization. You will guide strategic initiatives to deliver accurate audit results, strengthen regulatory relationships, and mitigate risk through proactive measures.

In this role, you will partner cross-functionally to optimize workflows, standardize processes, and maintain data integrity while mentoring teammates in a fast-paced healthcare environment.

Qualifications

• Minimum 3+ years in audit, compliance, or healthcare operations.
• Strong analytical and data interpretation skills.
• Ability to lead cross-functional initiatives and communicate clearly.

Responsibilities

• Lead Medicaid provider audits and compliance initiatives across the organization.
• Collaborate with internal teams and regulators to ensure timely, accurate deliverables.
• Develop corrective actions and risk mitigation strategies.

Skills

Audit & Compliance

Regulatory knowledge

Analytical skills

Education

Bachelor's degree

Tools

Excel

Job description

CVS Health is seeking a dynamic leader to drive Medicaid provider compliance, audit excellence, and regulatory integrity across the organization. You will guide strategic initiatives to deliver accurate audit results, strengthen regulatory relationships, and mitigate risk through proactive measures.

In this role, you will partner cross-functionally to optimize workflows, standardize processes, and maintain data integrity while mentoring teammates in a fast-paced healthcare environment.