Medicaid Provider Compliance Lead | Audit & Risk Strategy

CVS Health Corporation; Boston (MA); In loco; USD 54.000 - 159.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Bonus eligibility

Descrizione del lavoro

CVS Health Corporation seeks a strategic compliance leader to drive Medicaid provider compliance, audit readiness, regulatory integrity, and enterprise risk management across the organization.

The Manager, Medicaid Provider Compliance will shape strategy, lead cross-functional initiatives, influence business decisions, and advance sustainable solutions that strengthen regulatory performance and operational excellence.

Competenze

• 7+ years of healthcare compliance, audit, or provider operations experience.
• Experience leading 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.

Mansioni

• Drive enterprise priorities, manages risk, and translates regulatory requirements into business solutions.
• Lead development and execution of compliance strategies aligning with contractual and regulatory objectives.
• Serve as a subject matter expert for provider compliance and audit readiness.
• Use data to optimize processes, strengthen controls, and deliver sustainable results.
• Build partnerships with senior leaders and influence outcomes across functions.
• Lead enterprise-wide provider compliance, audit preparedness, and regulatory initiatives.

Conoscenze

Healthcare compliance

Audit leadership

Provider operations

Data analysis

Excel proficiency

Stakeholder influence

Risk management

Strategic thinking

Formazione

Bachelor's degree or equivalent

Master's degree preferred

Strumenti

Excel

Descrizione del lavoro

CVS Health Corporation seeks a strategic compliance leader to drive Medicaid provider compliance, audit readiness, regulatory integrity, and enterprise risk management across the organization.

The Manager, Medicaid Provider Compliance will shape strategy, lead cross-functional initiatives, influence business decisions, and advance sustainable solutions that strengthen regulatory performance and operational excellence.