Medicaid Compliance Leader, Health Plan Ops

CVS Health Corporation; Oklahoma City (OK); Hybrid; USD 54.000 - 119.000; Vollzeit

Benefits dieser Stelle

Medical, dental, vision coverage

Paid time off and retirement options

Zusammenfassung

CVS Health is seeking an experienced compliance professional to support the Medicaid managed care compliance program for Oklahoma. The role works under the Compliance Officer to develop and maintain systems that demonstrate adherence to state Medicaid requirements and promote ethical business practices.

The position requires strong project management, policy coordination, and ability to coordinate external audits.

Qualifikationen

• Minimum of 5 years in regulatory compliance within managed care, health care, or insurance.
• Project management experience is required.
• Experience with Medicaid or Medicaid managed care and audit coordination is preferred.

Aufgaben

• Maintain systems to track, monitor, review, and submit regulatory deliverables to Oklahoma Medicaid by deadlines.
• Develop compliant business processes and policies in line with Medicaid requirements.
• Provide training and guidance on compliance issues to staff and partners.

Kenntnisse

Regulatory compliance

Project management

Audit coordination

Ausbildung

Bachelor's degree in Public Policy / Health Care Administration or related field

Tools

Archer

Microsoft Office

Jobbeschreibung

CVS Health is seeking an experienced compliance professional to support the Medicaid managed care compliance program for Oklahoma. The role works under the Compliance Officer to develop and maintain systems that demonstrate adherence to state Medicaid requirements and promote ethical business practices.

The position requires strong project management, policy coordination, and ability to coordinate external audits.