Manager, Medicare Compliance
CVS Health
full-time
Posted on:
Location Type: Remote
Location: Arizona • Connecticut • United States
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Salary
💰 $60,300 - $132,600 per year
About the role
- Lead and implement an effective Compliance Program as described in CMS Medicare Managed Care Manuals/regulations
- Develop and manage compliance strategies, programs, and processes
- Track, analyze, research, interpret and monitor applicable CMS
- Maintain in-depth working knowledge and expertise in Medicare regulations
- Build and maintain positive relationships at senior levels
- Monitor and audit as outlined in Medicare Compliance Work Plan
- Lead and support broader compliance initiatives and needs as assigned
Requirements
- Minimum of 5 years’ experience in Medicare Compliance or regulatory work
- Willingness to travel up to 10%
- Extensive knowledge of Medicare compliance programs and rules
- Experience in validation, auditing and monitoring, root cause analysis and corrective action oversight
- Outstanding time management and project management
- Proficient in utilization of information systems
- Mastery of problem solving and decision-making skills
- Adept at execution and delivery (planning, delivering, and supporting) skills
- Adept at collaboration and teamwork
- Bachelor’s Degree preferred; equivalent years of related professional work experience may substitute.
Benefits
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost wellness screenings
- Tobacco cessation and weight management programs
- Confidential counseling and financial coaching
- Paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Medicare complianceregulatory workauditingmonitoringroot cause analysiscorrective action oversightcompliance strategiescompliance programsproject managementinformation systems
Soft Skills
time managementproblem solvingdecision-makingexecutiondeliverycollaborationteamworkrelationship building