Medicaid Provider Compliance Lead & Audit Excellence

CVS Health; Concord (NH); On-site; USD 47,000 - 112,000; Full time

Benefits offered by this job

Comprehensive benefits

Bonus eligibility

Job summary

CVS Health is seeking a dynamic leader to drive Medicaid provider compliance, audit excellence, and regulatory integrity across the organization. You will lead strategic initiatives, optimize audit results, and mitigate risk with cross-functional collaboration, aiming for sustainable, compliant solutions.

The role emphasizes strategic planning, data-driven insights, and leadership to ensure timely, accurate audit deliverables and strong regulatory relationships across the enterprise.

Qualifications

• Experience in audit, compliance, or related healthcare operations.
• Ability to develop and execute detailed project plans with accountability and rigor.
• Strong analytical skills to interpret data and identify trends for compliance.
• Advanced proficiency in Excel for data analysis and reporting.
• Excellent communication to influence decisions across levels.
• Proven leadership to mentor teams in a fast-paced environment.

Responsibilities

• Direct collaboration with internal teams and external auditors to deliver quality results and maintain compliance.
• Interpret audit findings to 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 projects.
• Oversee policy and procedural documentation and annual reviews.
• Build partnerships across organizational levels to achieve strategic goals with ethical, compliant outcomes.

Skills

Audit & Compliance

Project Management

Analytical Thinking

Excel Proficiency

Communication & Influence

Leadership & Mentoring

Education

Bachelor's degree

Tools

Microsoft Excel

Job description

CVS Health is seeking a dynamic leader to drive Medicaid provider compliance, audit excellence, and regulatory integrity across the organization. You will lead strategic initiatives, optimize audit results, and mitigate risk with cross-functional collaboration, aiming for sustainable, compliant solutions.

The role emphasizes strategic planning, data-driven insights, and leadership to ensure timely, accurate audit deliverables and strong regulatory relationships across the enterprise.