Home
/
Comprehensive
/
Sr. Manager, Medicaid Auditing Compliance, Center of Excellence
Sr. Manager, Medicaid Auditing Compliance, Center of Excellence-April 2024
Richardson
Apr 2, 2026
ABOUT CVS HEALTH
CVS Health is a healthcare innovation company. Together, we are helping people on their path to better health.
10,000+ employees
Healthcare
VIEW COMPANY PROFILE >>
About Sr. Manager, Medicaid Auditing Compliance, Center of Excellence

  Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

  Position Summary

  *This role follows a hybrid model with three days onsite and two days from home

  The Sr. Manager, Medicaid Compliance Monitoring will lead a team of compliance professionals to develop and execute a comprehensive audit and/or monitoring plan within our Medicaid line of business that enhances enterprise value and is executed in accordance with our Compliance Center of Excellence (COE) methodology. This role has team leadership responsibilities and develops and drives our Medicaid business compliance monitoring plan activities. P artnering with stakeholders to continuously evaluate and recommend opportunities to monitor and reduce compliance risk and introduce operational efficiencies is also part of this role.

  In order to be successful in this role you must exhibit the following:

  ∙Proven experience communicating/presenting with senior leadership

  ∙Experience leading a small to medium-sized team to successfully meet department and enterprise objectives

  ∙ Ability to create and sustain an environment where team members have the opportunity and autonomy to perform at their best

  ∙ Ability to provide opportunities, guidance and feedback to develop team members and ensure a pipeline of talent for the future

  Required Qualifications ∙7+ years of hands-on healthcare business compliance, quality assurance, or audit experience, including; planning, documenting, and communicating results across the enterprise.

  Preferred Qualifications

  Strong analytical, deductive, problem solving, and critical thinking skills

  Practical knowledge of processes, risks, and internal controls

  Good teamwork and collaboration skills

  Solid meeting management and oral/written communication skills

  Government healthcare, including Medicaid and Medicare, or pharmacy benefit management experience is strongly preferred

  Education

  Bachelor’s Degree or equivalent years of experience

  Pay Range

  The typical pay range for this role is:

  $75,400.00 - $166,000.00

  This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

  CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

  You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

  CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through [email protected] If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.

Comments
Welcome to zdrecruit comments! Please keep conversations courteous and on-topic. To fosterproductive and respectful conversations, you may see comments from our Community Managers.
Sign up to post
Sort by
Show More Comments
SIMILAR JOBS
Origins - Guide - John Lewis - 37.5 Hours
Origins - Guide - John Lewis - 37.5 Hours Brand: Origins Description Position Summary: As one of our highly skilled make-up artists you will combine your creative and technical expertise and passion
Per Diem Pulmonary Rehabilitation Registered Respiratory Therapist
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satis
Associate Product Manager, Automatic Tank Gauge Portfolio
The primary purpose of this position is to provide tactical support for product definition, market understanding, and promotional activities for new and existing products. The output of these efforts
Professional Counselor (40 Hour)
Professional Counselor (40 Hour) Office/On-site Recruitment # 240122-6355FP-001 Location Bridgeport, CT Date Opened 1/23/2024 12:00:00 AM Salary $84,157* - $113,727/year (*New State Employees Start a
Food Service Worker
Join Cleveland Clinic's Lutheran Hospital as a Food Service Worker and experience being part of Ohio City, a vibrant and close-knit community, all while building an exceptional career. Become a part
Production Assembler
Production, Manufacturing & Forklift Operations All shifts are available! Assemblers Candidate would be assembling air conditions. Use of hand and power tools Work on assembly line. Forklift Driv
Intern - Attached Algae, R&D Undergrad Summer
What Your Job Will Be Like: We are seeking a Intern - Attached Algae, R&D Undergrad Summer Sandia National Laboratories’ Department of Bioresource and Environmental Security in California seeks t
Cashier/Sales Associate - All Shifts
Overview Join our dynamic team! We're not just a stop along the road; we're a community hub where customers find more than just snacks and fuel. They find smiling faces, helpful service, and a place
Social Worker
Enrich lives including your own as a nursing center Social Worker where you will provide services for our patients/residents, that render the highest practical level of physical, mental, and psychoso
Retail Maintenance
Req ID: 429548 Address: 28527 I-35 Encinal, TX, 78019 Welcome to Love’s! Where People are the Heart of Our Success Retail Maintenance Maintenance Techs help run our business by keeping a safe, clean
Copyright 2023-2026 - www.zdrecruit.com All Rights Reserved