Medicaid Compliance & Audit Strategy Lead

CVS Health; Pierre (SD); In loco; USD 47.000 - 112.000; Tempo pieno

Vantaggi offerti da questo lavoro

Bonus potential

Descrizione del lavoro

CVS Health in the United States is seeking a dynamic leader to drive Medicaid provider compliance, audit excellence, and regulatory integrity across our organization. You will lead strategic initiatives that ensure accurate, timely, and high-quality audit results and proactive measures to mitigate risk.

This role partners cross-functionally to optimize audit outcomes, standardize processes, enable data integrity, and strengthen relationships with regulators.

Competenze

• Minimum of 3 years of progressive experience in audit, compliance, or related healthcare operations.
• Proven ability to develop and execute detailed project plans with accountability and rigor.
• Advanced Excel skills for data analysis and reporting to strengthen internal controls and mitigate risk.
• Strong analytical skills to interpret data, identify trends, and recommend actionable solutions for compliance-related challenges.

Mansioni

• Direct 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

Analytical skills

Project management

Communication and influence

Leadership/mentoring

Fast-paced environment adaptability

Formazione

Bachelor's degree (preferred)

Strumenti

Microsoft Excel

Descrizione del lavoro

CVS Health in the United States is seeking a dynamic leader to drive Medicaid provider compliance, audit excellence, and regulatory integrity across our organization. You will lead strategic initiatives that ensure accurate, timely, and high-quality audit results and proactive measures to mitigate risk.

This role partners cross-functionally to optimize audit outcomes, standardize processes, enable data integrity, and strengthen relationships with regulators.