Senior Manager, Medicaid Compliance & Contracts Oversight

9025 CVS Shared Services Resources LLC; Woonsocket (RI); On-site; USD 75,000 - 183,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Paid time off

Retirement plan

Wellness programs

Job summary

CVS Health is seeking a Senior Manager to oversee the Medicaid Contract Amendment program within the Corporate Medicaid Compliance Office. You will lead cross-functional teams, coordinate compliance activities, track requirements, and guide stakeholders through regulatory changes.

The role requires 7+ years in healthcare/health insurance, 5+ years Medicaid managed care, and strong leadership. You will drive governance, documentation, and readiness for audits, with a focus on risk mitigation and

Qualifications

• 7+ years healthcare/health insurance/industry experience.
• 5+ years Medicaid managed care experience.
• 5+ years of contractual and/or compliance related experience.
• 5+ years of project lead experience or similar work experience.
• 3+ years leadership experience, influencing change, and driving positive outcomes.
• 5+ years in Microsoft applications (Word, Excel, PowerPoint).

Responsibilities

• Lead and oversee compliance activities related to new and revised Medicaid contractual and regulatory requirements.
• Provide compliance oversight of amendment-related activities, including requirement tracking, stakeholder engagement, status monitoring, and evidence collection.
• Coordinate with Compliance, Health Plan, and business stakeholders through recurring and ad hoc touch points to provide guidance, monitor progress, and address barriers to compliance.
• Manage amendment intake, communications, and governance through centralized processes and tools.
• Review and oversee compliance portfolios, requirement trackers, and supporting documentation to ensure contractual obligations are appropriately tracked and supported by evidence.
• Maintain knowledge of Medicaid contract amendment processes and compliance oversight practices to effectively advise stakeholders and support compliance activities.
• Lead and organize team assignments, oversee day-to-day operations, and identify opportunities to improve compliance processes, controls, and reporting.
• Support enterprise Medicaid Compliance initiatives and regulatory readiness activities, including audits, examinations, and compliance reviews.

Skills

Medicaid managed care

Compliance oversight

Cross-functional coordination

Stakeholder engagement

Microsoft Office

SharePoint

Leadership

Tools

MS Word

MS Excel

MS PowerPoint

SharePoint

Microsoft Teams

Job description

CVS Health is seeking a Senior Manager to oversee the Medicaid Contract Amendment program within the Corporate Medicaid Compliance Office. You will lead cross-functional teams, coordinate compliance activities, track requirements, and guide stakeholders through regulatory changes.

The role requires 7+ years in healthcare/health insurance, 5+ years Medicaid managed care, and strong leadership. You will drive governance, documentation, and readiness for audits, with a focus on risk mitigation and