Strategic Medicaid Compliance & Audit Lead

CVS Health; Atlanta (GA); On-site; USD 47,000 - 112,000; Full time

Benefits offered by this job

Health benefits

Job summary

CVS Health is seeking a strategic leader to drive Medicaid provider compliance, audit excellence, and regulatory integrity across the organization. You will partner cross-functionally to optimize audit results, mitigate risk, and implement preventative measures for compliant operations.

The ideal candidate leads complex initiatives with analytical and communication skills, and can influence outcomes in a dynamic healthcare environment.

Qualifications

• 3+ years of progressive experience in audit, compliance, or related healthcare operations.
• Ability to develop and execute detailed project plans with accountability and rigor.
• Strong analytical skills to interpret data and identify trends for compliant solutions.
• Advanced proficiency with Microsoft Excel for data analysis and reporting.
• Excellent communication to present complex information and influence decisions.
• Proven leadership to mentor team members and drive initiatives in a fast-paced environment.

Responsibilities

• Direct collaboration with internal teams and external auditors to deliver quality results.
• Interpret audit findings and recommend corrective actions and improvements.
• Support responses to inquiries from stakeholders and regulators with accuracy.
• Serve as a leader across multiple compliance projects to ensure timely delivery.
• Oversee policy and procedural documentation and annual reviews.
• Build partnerships across organizational levels to achieve strategic goals.

Skills

Audit

Compliance

Healthcare operations

Data analysis

Excel proficiency

Communication

Leadership

Education

Bachelor's degree

Tools

Microsoft Excel

Job description

CVS Health is seeking a strategic leader to drive Medicaid provider compliance, audit excellence, and regulatory integrity across the organization. You will partner cross-functionally to optimize audit results, mitigate risk, and implement preventative measures for compliant operations.

The ideal candidate leads complex initiatives with analytical and communication skills, and can influence outcomes in a dynamic healthcare environment.