Senior Manager, Medicare & Medicaid Compliance

CVS Health Corporation; Irving (TX); On-site; USD 83,000 - 183,000; Full time

Benefits offered by this job

Medical

Dental

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Other resources

Job summary

CVS Health Corporation is seeking a Senior Manager of Compliance to oversee Medicare and Medicaid programs, focusing on risk mitigation and regulatory alignment within SNPs.

The role involves leading compliance programs, coordinating with regulators, and driving ethical standards across a highly regulated environment. Travel up to 10% is required and a Bachelor's degree or equivalent experience is expected.

Qualifications

• 7+ years experience in Medicare or Medicare Advantage government healthcare program compliance or regulatory work.
• 2+ years of Project Management experience.
• Ability to travel up to 10%

Responsibilities

• Serve as market compliance officer for assigned SNPs and CMS/state requirements.
• Lead and implement an effective Compliance Program per CMS and Medicaid rules.
• Develop and manage compliance strategies to mitigate risks.
• Engage regulators and manage external audits and responses.

Skills

Medicare/Medicaid compliance

Regulatory interpretation

Project management

Regulatory auditing

Stakeholder communication

Cross-functional collaboration

Education

Bachelor's degree or equivalent experience

Tools

Archer Lead

Job description

CVS Health Corporation is seeking a Senior Manager of Compliance to oversee Medicare and Medicaid programs, focusing on risk mitigation and regulatory alignment within SNPs.

The role involves leading compliance programs, coordinating with regulators, and driving ethical standards across a highly regulated environment. Travel up to 10% is required and a Bachelor's degree or equivalent experience is expected.