Senior Analyst, Healthcare Compliance

CVS Health; Rhode Island; Hybrid; USD 90,000 - 110,000; Full time

Job summary

An established industry player is seeking a Healthcare Compliance Senior Analyst to join their dynamic team. In this role, you will ensure that CVS pharmacies maintain compliance with contractual and regulatory requirements related to third-party programs. As a subject matter expert, you will foster relationships with health plans and governmental agencies while facilitating the maintenance of pharmacy systems. This hybrid opportunity allows you to work closely with a collaborative team, making a significant impact in the healthcare sector. If you are passionate about compliance and eager to contribute to innovative solutions, this position is perfect for you.

Qualifications

• Expertise in healthcare compliance and regulatory frameworks.
• Strong analytical skills to assess third-party program compliance.

Responsibilities

• Ensure compliance with contracts and regulations for third-party programs.
• Act as a liaison between internal departments and external contacts.
• Travel to the office 3 days per week in Rhode Island, Massachusetts, and Connecticut.

Skills

Data Analysis

Strategic Planning

Collaboration

Leadership

Healthcare Compliance

Job description

Direct message the job poster from CVS Health

Business Partner - Talent Acquisition - Leadership - Innovation - Collaboration - Diversity - Strategic Planning - Data Analyst

Come join a dynamic team where you can foster relationships and serve as the subject matter expert for internal and external clients. As a Healthcare Compliance Senior Analyst, you will ensure contractual and regulatory compliance as it relates to third party programs. You will act as a liaison between internal departments and external contacts such as health plans, processors, pharmacy benefit managers (PBM), and governmental agencies. Additionally, you will facilitate the initiation and on-going maintenance of pharmacy system to ensure that CVS pharmacies are able to service and bill prescriptions for patients of third-party programs, where CVS is contracted and/or enrolled.

This is a hybrid opportunity seeking talent in the Rhode Island, Massachusetts, and Connecticut area that can travel into the office 3 days per week (Tuesdays, Wednesdays, Thursdays).

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• Information Technology, Quality Assurance, and Product Management
• Industries: Hospitals and Health Care, Retail Pharmacies, and Retail Health and Personal Care Products