Medicaid Compliance & Audit Leader

CVS Health; Springfield (IL); In loco; USD 47.000 - 112.000; Tempo pieno

Descrizione del lavoro

CVS Health in the United States seeks a dynamic leader to drive Medicaid provider compliance, audits, and regulatory integrity. You will lead strategic initiatives to ensure accurate, timely audit results and strengthen regulatory relationships across the organization.

This role partners cross-functionally to optimize processes, mitigate risk, and deliver high-quality compliance outcomes. A Bachelor's degree and at least 3 years in audit/compliance are required; experience with data analytics

Competenze

• Minimum 3 years of progressive experience in audit, compliance, or related healthcare operations.
• Strong analytical skills with demonstrated ability to interpret data, identify trends, and recommend actionable solutions for compliance-related challenges.
• Experience with Microsoft Excel advanced data analysis and reporting to strengthen internal controls.

Mansioni

• Lead internal and external Medicaid provider audit results and regulatory activities.
• Develop strategies to support regulatory obligations and drive risk mitigation.
• Collaborate cross-functionally to standardize processes and improve data integrity across the organization.
• Interpret audit findings and recommend corrective actions to sustain compliance.

Conoscenze

Audit & compliance

Healthcare operations

Data analytics

Regulatory knowledge

Formazione

Bachelor's degree

Descrizione del lavoro

CVS Health in the United States seeks a dynamic leader to drive Medicaid provider compliance, audits, and regulatory integrity. You will lead strategic initiatives to ensure accurate, timely audit results and strengthen regulatory relationships across the organization.

This role partners cross-functionally to optimize processes, mitigate risk, and deliver high-quality compliance outcomes. A Bachelor's degree and at least 3 years in audit/compliance are required; experience with data analytics