Medicaid Provider Compliance Leader — Audit & Risk

CVS Health; Little Rock (AR); On-site; USD 47,000 - 112,000; Full time

Benefits offered by this job

Bonus program

Comprehensive benefits

Paid time off

Wellness programs

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 that ensure accurate, timely audit results and strengthen regulatory relationships while mitigating risk.

The role requires 3+ years in audit/compliance, advanced Excel skills, and strong communication to influence decision-making across teams.

Qualifications

• Minimum of 3 years progressive experience in audit, compliance, or related healthcare operations.
• Strong analytical skills with ability to interpret data, identify trends, and recommend actionable solutions.
• Experience with Microsoft Excel with advanced proficiency for data analysis and reporting to strengthen internal controls.
• Exceptional ability to convey complex information clearly and concisely, build relationships across organizational levels, and influence decision-making.
• Ability to lead initiatives, mentor team members, and thrive in a fast-paced, evolving environment while maintaining compliance and quality standards.

Responsibilities

• Direct and foster collaboration with internal teams and external auditors to deliver quality results and maintain compliance.
• Interpret audit findings to recommend sustainable corrective actions and process improvements that mitigate risk.
• Support responses to complex inquiries from internal stakeholders and regulators with accuracy and timeliness.
• Serve as a technical and functional leader, managing multiple compliance-related projects and deliverables to ensure timely execution and outcomes.
• Oversee policy and procedural documentation development and timeliness of annual reviews.
• Build and sustain partnerships across organizational levels; influence ethical, compliant outcomes to achieve goals.

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 that ensure accurate, timely audit results and strengthen regulatory relationships while mitigating risk.

The role requires 3+ years in audit/compliance, advanced Excel skills, and strong communication to influence decision-making across teams.