Medicaid Compliance Specialist

CVS Health; Cheyenne (WY); On-site; USD 44,000 - 102,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision coverage

Paid time off

Retirement savings

Job summary

CVS Health is seeking a Career level compliance professional to support our Medicaid managed care compliance program. You will work under the Compliance Officer to develop and maintain systems assuring ethical and compliant operations across our Medicaid health plans.

You will track regulatory deliverables, assist with policy development, create communications for Medicaid inquiries, and support external audits.

Qualifications

• 2+ years of regulatory compliance experience in managed care, healthcare, or insurance.

Responsibilities

• Maintain systems to track, monitor, review, and submit regulatory deliverables to state Medicaid agencies on time.
• Assist with research and recommendations to develop compliant business operations in line with Medicaid requirements.
• Develop compliance communications responding to Medicaid agency inquiries or requests.
• Support audits by tracking deliverables and coordinating corrective action plans to closure.
• Maintain up-to-date resources, contract libraries, and regulatory reporting tools.

Skills

Regulatory compliance

Education

Bachelor's Degree

Tools

Archer

Job description

CVS Health is seeking a Career level compliance professional to support our Medicaid managed care compliance program. You will work under the Compliance Officer to develop and maintain systems assuring ethical and compliant operations across our Medicaid health plans.

You will track regulatory deliverables, assist with policy development, create communications for Medicaid inquiries, and support external audits.