Medicaid Provider Compliance Lead - Audit & Risk

CVS Health; Annapolis (MD); In loco; USD 47.000 - 112.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical, dental & vision coverage

Paid time off

401(k) retirement options

Wellness programs

Descrizione del lavoro

CVS Health is seeking a dynamic leader to drive Medicaid provider compliance, audit excellence, and regulatory integrity across the organization. The role leads strategic initiatives to ensure accurate, timely, and high-quality audit results while mitigating risk and ensuring compliance across functions.

You will partner cross-functionally to optimize audit results, support data integrity, and implement preventative measures to sustain operational excellence.

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.
• Strong analytical skills to interpret data, identify trends, and recommend solutions.

Mansioni

• 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 complex inquiries from internal stakeholders and regulators with accuracy and timeliness.
• Serve as a technical and functional leader, managing multiple compliance-related projects to ensure timely execution.
• Oversee policy and procedural documentation and annual reviews.

Conoscenze

Audit experience

Project management

Advanced Excel

Stakeholder management

Regulatory compliance

People leadership

Formazione

Bachelor's degree

Strumenti

Microsoft Excel

Descrizione del lavoro

CVS Health is seeking a dynamic leader to drive Medicaid provider compliance, audit excellence, and regulatory integrity across the organization. The role leads strategic initiatives to ensure accurate, timely, and high-quality audit results while mitigating risk and ensuring compliance across functions.

You will partner cross-functionally to optimize audit results, support data integrity, and implement preventative measures to sustain operational excellence.