Medicaid Provider Compliance Lead

CVS Health Corporation; Columbus (OH); Presencial; USD 54 000 - 159 000; Tempo integral

Resumo da oferta

CVS Health is seeking a strategic Manager, Medicaid Provider Compliance to shape compliance strategy and lead enterprise-wide initiatives. You will guide audit readiness, strengthen internal controls, and drive regulatory performance across the organization.

The role requires deep Medicaid regulatory knowledge, cross-functional leadership, and the ability to influence senior leaders while delivering sustainable compliance solutions.

Qualificações

• 7+ years of healthcare compliance, audit, or provider operations experience.
• Proven ability to lead complex projects and compliance initiatives.
• Experience managing audits, CAPs, and regulatory responses.
• Strong analytical, risk assessment, and problem-solving skills.
• Knowledge of Medicaid regulations and provider compliance requirements.
• Excellent communication and stakeholder influence skills.

Responsabilidades

• Drive enterprise priorities, manages risk, and translates regulatory requirements into business solutions.
• Leads the development and execution of compliance strategies that support contractual, regulatory, and business objectives while promoting accountability and continuous improvement.
• Serves as a subject matter expert for provider compliance and audit readiness, driving data-driven improvements.
• Build trusted partnerships and influence outcomes across functions.

Conhecimentos

Healthcare compliance

Audit management

Regulatory knowledge

Data analysis

Excel

Stakeholder communication

Formação académica

Bachelor's degree

Ferramentas

Excel

Descrição da oferta de emprego

CVS Health is seeking a strategic Manager, Medicaid Provider Compliance to shape compliance strategy and lead enterprise-wide initiatives. You will guide audit readiness, strengthen internal controls, and drive regulatory performance across the organization.

The role requires deep Medicaid regulatory knowledge, cross-functional leadership, and the ability to influence senior leaders while delivering sustainable compliance solutions.