Medicaid Provider Compliance Lead

CVS Health; Des Moines (IA); On-site; USD 47,000 - 112,000; Full time

Job summary

CVS Health in Des Moines seeks a capable leader to drive Medicaid provider compliance, audits, and regulatory integrity across the organization. You will lead strategic initiatives to ensure accurate, timely, and high-quality audit results while strengthening regulatory relationships.

You will partner cross-functionally to optimize processes, standardize workflows, and mitigate risk, influencing best practices that promote operational excellence and compliant outcomes.

Qualifications

• Minimum of 3 years of progressive audit/compliance experience.
• Experience with audit projects and regulatory compliance.
• Strong Excel data analysis and reporting skills.
• Ability to convey complex information clearly and influence stakeholders.
• Ability to lead initiatives and mentor team.

Responsibilities

• Direct collaboration with internal teams and external auditors to deliver quality results.
• Interpret audit findings and recommend corrective actions and process improvements.
• Support responses to inquiries from regulators with accuracy and completeness.
• Serve as a technical and functional leader managing multiple compliance-related projects.
• Oversee policy and procedural documentation development and annual reviews.
• Build partnerships across all organizational levels to achieve strategic goals.

Skills

Audit experience

Data analysis

Excel advanced

Communication

Leadership

Education

Bachelor's degree preferred

Tools

Excel

Job description

CVS Health in Des Moines seeks a capable leader to drive Medicaid provider compliance, audits, and regulatory integrity across the organization. You will lead strategic initiatives to ensure accurate, timely, and high-quality audit results while strengthening regulatory relationships.

You will partner cross-functionally to optimize processes, standardize workflows, and mitigate risk, influencing best practices that promote operational excellence and compliant outcomes.