Medicaid Compliance & Audit Leader

CVS Health; Columbus (OH); In loco; USD 47.000 - 112.000; Tempo pieno

Descrizione del lavoro

CVS Health is seeking a strategic leader to drive Medicaid provider compliance, audit excellence, and regulatory integrity. You will guide cross-functional teams to deliver accurate audit results, strengthen relationships with regulators, and implement proactive risk mitigation measures.

The role emphasizes leadership, analytical thinking, and the ability to influence best practices in a dynamic healthcare environment. Strong data skills and Excel proficiency are essential.

Competenze

• 3+ years in audit or compliance in healthcare.
• Strong data interpretation and problem-solving.
• Advanced Excel for data analysis and reporting.
• Ability to communicate complex information clearly.
• Experience coordinating with cross-functional teams.

Mansioni

• Direct and foster best-in-class collaboration with internal teams and external auditors to deliver quality results, ensure continuous improvement, and maintain compliance.
• Interpret audit findings to recommend sustainable corrective actions and process improvements that mitigate risk.
• Support the response to complex inquiries from internal stakeholders and regulators with accuracy, timeliness, and completeness.
• Serve as a technical and functional leader, managing multiple compliance-related projects and deliverables to ensure timely execution and desired outcomes.
• Oversee policy and procedural documentation development and the timeliness of required annual reviews.
• Build and sustain productive partnerships across all organizational levels; exercise sound judgment, remove barriers, and influence ethical, compliant outcomes to achieve strategic goals.

Conoscenze

Audit & compliance

Data analysis

Excel advanced

Communication skills

Leadership

Project planning

Formazione

Bachelor's degree

Strumenti

Microsoft Excel

Descrizione del lavoro

CVS Health is seeking a strategic leader to drive Medicaid provider compliance, audit excellence, and regulatory integrity. You will guide cross-functional teams to deliver accurate audit results, strengthen relationships with regulators, and implement proactive risk mitigation measures.

The role emphasizes leadership, analytical thinking, and the ability to influence best practices in a dynamic healthcare environment. Strong data skills and Excel proficiency are essential.