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. Position Summary Develops and implements complex monitoring systems and procedures to assess compliance with legal and regulatory requirements. Conducts routine audits, reviews, and assessments of various business activities and processes. Analyzes internal controls, policies, and procedures to identify weaknesses and recommend improvements. Develops and implements, under general supervision, compliance policies and procedures, and ensures they align with relevant laws and regulations. Configures compliance reports and documentation, highlighting findings, recommendations, and areas of concern. Examines procedures and reporting to ensure efficiency and appropriate risk mitigation. Communicates with legal and regulatory teams to ensure accurate and timely reporting to external authorities. Administers investigations into potential compliance violations or breaches. Gathers evidence, conducts interviews, and prepares reports on the findings. Liaises with regulatory bodies, auditors, and legal professionals to address compliance-related matters.

Requirements

  • 2+ years of prior relevant work experience.
  • Working knowledge of problem-solving and decision-making skills.

Nice To Haves

  • Experience working with Third Party Administrators and/or self-funded health plans

Responsibilities

  • Develops and implements complex monitoring systems and procedures to assess compliance with legal and regulatory requirements.
  • Conducts routine audits, reviews, and assessments of various business activities and processes.
  • Analyzes internal controls, policies, and procedures to identify weaknesses and recommend improvements.
  • Develops and implements, under general supervision, compliance policies and procedures, and ensures they align with relevant laws and regulations.
  • Configures compliance reports and documentation, highlighting findings, recommendations, and areas of concern.
  • Examines procedures and reporting to ensure efficiency and appropriate risk mitigation.
  • Communicates with legal and regulatory teams to ensure accurate and timely reporting to external authorities.
  • Administers investigations into potential compliance violations or breaches.
  • Gathers evidence, conducts interviews, and prepares reports on the findings.
  • Liaises with regulatory bodies, auditors, and legal professionals to address compliance-related matters.

Benefits

  • This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families.
  • The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
  • Additional details about available benefits are provided during the application process and on Benefits Moments.
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