Medicaid Provider Compliance & Audit Excellence Lead

CVS Health; Topeka (KS); In loco; USD 47.000 - 112.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical coverage

Dental coverage

Vision coverage

Retirement plan

Descrizione del lavoro

CVS Health is seeking a dynamic leader to drive Medicaid provider compliance, audits, and regulatory integrity across the organization. You will lead strategic initiatives to ensure accurate audit results, strengthen regulatory relationships, and implement proactive risk mitigation while partnering cross-functionally to optimize processes.

The ideal candidate will have strong analytical skills, excellent communication, and the ability to lead multiple projects in a fast-paced healthcare

Competenze

• 3+ years of progressive experience in audit, compliance, or related healthcare operations.
• Ability to develop and execute detailed project plans with accountability and rigor to deliver complex initiatives successfully.
• Strong analytical skills with demonstrated ability to interpret data, identify trends, and recommend actionable solutions for compliance-related challenges.
• Experience with Microsoft Excel with advanced proficiency for data analysis and reporting to strengthen internal controls and mitigate risk.
• Exceptional ability to convey complex information clearly and concisely, build relationships across organizational levels, and influence decision-making.
• Ability to lead initiatives, mentor team members, and thrive in a fast-paced, evolving environment while maintaining compliance and quality standards.

Mansioni

• Direct and foster best-in-class 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.

Formazione

Bachelor's degree

Strumenti

Microsoft Excel

Descrizione del lavoro

CVS Health is seeking a dynamic leader to drive Medicaid provider compliance, audits, and regulatory integrity across the organization. You will lead strategic initiatives to ensure accurate audit results, strengthen regulatory relationships, and implement proactive risk mitigation while partnering cross-functionally to optimize processes.

The ideal candidate will have strong analytical skills, excellent communication, and the ability to lead multiple projects in a fast-paced healthcare