Manager, Corporate Compliance - Medicaid
About The Position
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. We’re seeking a Senior Manager to join the Medicaid Compliance team. The successful candidate will play a lead role in interacting with state regulators as part of external exams, audits, and regulatory inquiries, driving successful implementation of corrective action plans, and providing subject matter expertise on state regulatory environment to business areas, other compliance teams and legal areas. The position will provide support and guidance to ensure that all functions, operations, and activities are conducted in accordance with Company standards for conduct and integrity, and all applicable laws and regulations. This role requires advanced project management skills and high levels of collaborating and partnering with regulators, business partners, impacted stakeholders and various levels of management.
Requirements
- 5+ years in Compliance, Regulatory, Legal, or External Exam/Audit roles including experience with Health Care Benefits.
- Experience leading cross-functional teams and projects.
- Ability to influence decisions across all organizational levels.
- Skilled at escalating risks appropriately.
- Willingness to travel up to 10% (including by plane).
Nice To Haves
- Experience in auditing or external exams within Medicaid managed care.
- Experience as a state auditor/examiner.
- Background in project management and developing audit or corrective action plans.
- Experience working directly with regulators or auditors.
- Strong analytical, verbal, and written communication skills.
Responsibilities
- Coordinate market conduct exams across Compliance Officers, impacted business areas and with Legal.
- Serve as a main point of contact for state regulators and third-party auditors.
- Ensure accurate, timely collection and delivery of exam materials.
- Oversee responses to exam findings and corrective action plans.
- Maintain strong documentation of all exam-related work.
Benefits
- medical
- dental
- vision coverage
- paid time off
- retirement savings options
- wellness programs
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What This Job Offers
Job Type
Full-time
Career Level
Senior
