Medicaid Provider Compliance Lead — Audit & Risk Strategy

CVS Health Corporation; Hartford (CT); On-site; USD 54,000 - 159,000; Full time

Job summary

CVS Health Corporation is seeking a strategic Manager, Medicaid Provider Compliance to lead regulatory integrity and enterprise risk management across the organization. You will shape compliance strategy, guide complex cross-functional initiatives, and partner with senior leaders to strengthen performance and accountability.

This full‑time role requires 7+ years in healthcare compliance, audits, and provider operations, with strong analytical skills and advanced Excel.

Qualifications

• 7+ years of healthcare compliance, audit, or provider operations experience.
• Experience leading audits and complex compliance initiatives.
• Strong analytical, risk assessment, and problem-solving skills.

Responsibilities

• Drive enterprise provider compliance and risk management across the organization.
• Develop and execute compliance strategies, controls, and governance frameworks.
• Lead cross-functional initiatives and partner with senior leadership.
• Provide mentorship to analysts and compliance professionals.
• Present audit outcomes and trends to executives and regulators.
• Monitor regulatory requirements and KPIs to drive improvements.

Skills

Healthcare compliance

Project leadership

Audits & regulatory responses

Analytical thinking

Advanced Excel

Communication & stakeholder influence

Education

Bachelor's degree or equivalent

Job description

CVS Health Corporation is seeking a strategic Manager, Medicaid Provider Compliance to lead regulatory integrity and enterprise risk management across the organization. You will shape compliance strategy, guide complex cross-functional initiatives, and partner with senior leaders to strengthen performance and accountability.

This full‑time role requires 7+ years in healthcare compliance, audits, and provider operations, with strong analytical skills and advanced Excel.