Medicaid Policy Administrator

CVS Health; United States; Remote; USD 43,000 - 103,000; Full time

Job summary

CVS Health is seeking a Medicaid Policy Administrator to help develop and manage Aetna Medicaid policies. This role involves collaborating with stakeholders, conducting training sessions, and ensuring compliance while maintaining project timelines. Candidates should possess an associate's degree and relevant experience in health care administration.

Benefits

Affordable medical plan options

401(k) plan with matching contributions

Employee stock purchase plan

Wellness screenings

Tuition assistance

Qualifications

• 2+ years of experience in health care administration or compliance.
• 2+ years of experience in proofreading and editing documents.
• Working knowledge of Microsoft Office products.

Responsibilities

• Support development and management of Medicaid policies.
• Conduct policy document reviews and training sessions.
• Implement process improvements and maintain compliant policies.

Skills

Health care administration

Compliance

Proofreading

Editing

Organizational skills

Communication skills

Problem-solving

Time management

Critical thinking

Education

Associate's degree

Tools

Microsoft Office

Job description

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary
The Medicaid Policy Administrator is responsible for supporting the development, implementation, and ongoing management of Aetna Medicaid policies and other projects. This person is responsible for facilitating the Aetna Medicaid Policy Committee (AMPC) process for multiple Medicaid markets. This includes:

• Conducting detailed policy document reviews, as well as editing and proofreading to ensure alignment with AMPC standards and processes.
• Collaboration with policy stakeholders to maintain compliant policies.
• Conducting individual and group training sessions.
• Developing reports, job aids, and researching issues.
• Meeting business goals by identifying trends and implementing action plans.
• Recommending, developing, and implementing processes improvements.
• Ensuring accuracy and timeliness of project deliverables.

Required Qualifications

• 2+ years of experience in health care administration or compliance.
• 2+ years of experience in proofreading and editing documents.
• Working knowledge of Microsoft Office products (Word, Excel, PowerPoint, Outlook).

Preferred Qualifications

• Ability to work both independently and with a team.
• Ability to learn systems, such as the CVS Policy & Procedure Portal, Asana, and SharePoint.
• Previous Medicaid experience.
• Strong organizational and adaptability skills.
• Strong oral and written communication skills.
• Strong time management and problem-solving skills.
• Ability to multi-task and prioritize.
• Ability to facilitate meetings and train stakeholders on policy processes.
• Strong business acumen and critical thinking skills.

Education

• Associate’s degree or equivalent experience (high school diploma + 2 years of relevant experience).

Anticipated Weekly Hours

40

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary
The Medicaid Policy Administrator is responsible for supporting the development, implementation, and ongoing management of Aetna Medicaid policies and other projects. This person is responsible for facilitating the Aetna Medicaid Policy Committee (AMPC) process for multiple Medicaid markets. This includes:

• Conducting detailed policy document reviews, as well as editing and proofreading to ensure alignment with AMPC standards and processes.
• Collaboration with policy stakeholders to maintain compliant policies.
• Conducting individual and group training sessions.
• Developing reports, job aids, and researching issues.
• Meeting business goals by identifying trends and implementing action plans.
• Recommending, developing, and implementing processes improvements.
• Ensuring accuracy and timeliness of project deliverables.

Required Qualifications

• 2+ years of experience in health care administration or compliance.
• 2+ years of experience in proofreading and editing documents.
• Working knowledge of Microsoft Office products (Word, Excel, PowerPoint, Outlook).

Preferred Qualifications

• Ability to work both independently and with a team.
• Ability to learn systems, such as the CVS Policy & Procedure Portal, Asana, and SharePoint.
• Previous Medicaid experience.
• Attention to detail.
• Strong organizational and adaptability skills.
• Strong oral and written communication skills.
• Strong time management and problem-solving skills.
• Ability to multi-task and prioritize.
• Ability to facilitate meetings and train stakeholders on policy processes.
• Strong business acumen and critical thinking skills.

Education

• Associate’s degree or equivalent experience (high school diploma + 2 years of relevant experience).

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$43,888.00 - $102,081.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 06/27/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

About the company

At CVS Health, we share a clear purpose: helping people on their path to better health. Through our health services, plans and community pharmacists, we’re pioneering a bold new approach to total health. Making quality care more affordable, accessible, simple and seamless, to not only help people get well, but help them stay well in body, mind and spirit.

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