Senior Medicaid Provider Compliance Leader

CVS Health Corporation; Richmond (VA); Presencial; USD 54.000 - 159.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical benefits

Dental and vision coverage

Paid time off

Retirement savings options

Wellness programs

Descripción de la vacante

CVS Health Corporation seeks a strategic Manager, Medicaid Provider Compliance to shape compliance strategy and lead cross-functional initiatives that strengthen regulatory performance and operational excellence.

You will drive enterprise compliance programs, oversee audit readiness, and collaborate with regulators, auditors, and senior leaders to deliver sustainable improvements across the organization.

Formación

• 7+ years in healthcare compliance, audits, or provider operations.
• Proven ability to lead complex projects and compliance initiatives.
• Experience managing audits, CAPs, and regulatory responses.
• Strong analytical, risk assessment, and problem-solving skills.
• Knowledge of Medicaid regulations and provider compliance requirements.

Responsabilidades

• Translate regulatory requirements into actionable business solutions.
• Lead enterprise-wide provider compliance and audit readiness programs.
• Develop and implement monitoring frameworks and KPIs.
• Partner with regulators, auditors, and leaders to shape strategy.
• Oversee audit responses, remediations, and process improvements.

Conocimientos

Healthcare compliance

Audit management

Provider operations

Data analysis

Excel proficiency

Stakeholder influence

Regulatory knowledge

Project leadership

Educación

Bachelor's degree or equivalent

Herramientas

Regulatory reporting tools

Descripción del empleo

CVS Health Corporation seeks a strategic Manager, Medicaid Provider Compliance to shape compliance strategy and lead cross-functional initiatives that strengthen regulatory performance and operational excellence.

You will drive enterprise compliance programs, oversee audit readiness, and collaborate with regulators, auditors, and senior leaders to deliver sustainable improvements across the organization.