Apply

Ready to go for it?

AI Apply speeds things up—apply directly if you prefer.

FREE ACCESS
5,000–10,000 jobs/day
JobTailor Logo

See all jobs on JobTailor

Search thousands of fresh jobs every day.

Discover
  • Fresh listings
  • Fast filters
  • No subscription required
Create a free account and start exploring right away.
CVS Health

Manager, Medicare Business Compliance

CVS Health

Medicare Compliance Manager at CVS Health responsible for compliance program and staff management. Leading risk assessments, audit readiness, and regulatory obligations to ensure adherence to CMS guidelines.

Posted 4/24/2026full-timeRemote • Arizona, Ohio, Oklahoma, Texas • 🇺🇸 United StatesMid-LevelSenior💰 $60,300 - $132,600 per yearWebsite

About the role

Key responsibilities & impact
  • Lead and manage Medicare Compliance staff, including workload prioritization, performance management, and development.
  • Oversee the Medicare Compliance Program for MA‑PD and D‑SNP in accordance with CMS Part C & D requirements.
  • Monitor, interpret, and communicate CMS regulatory guidance; serve as a compliance subject matter expert to internal teams.
  • Maintain Medicare Compliance policies, procedures, and governance processes.
  • Lead Medicare compliance risk assessments, monitoring, and auditing activities; oversee CAP development and validation.
  • Coordinate and support CMS Program Audits, internal audits, and external reviews.
  • Oversee compliance training, communications, and required regulatory reporting.

Requirements

What you’ll need
  • Proven people‑management experience, including leading compliance staff or analysts.
  • Strong knowledge of CMS audit protocols, compliance program requirements, and regulatory reporting.
  • Strong planning, execution, problem‑solving, and decision‑making skills.
  • Ability to collaborate effectively with cross‑functional partners, senior leadership, and external regulators.
  • Bachelor’s degree in healthcare administration, business, compliance, or a related field and/or a minimum of 5–7 years of progressive Medicare compliance experience in lieu of a degree.

Benefits

Comp & perks
  • medical, dental, and vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
  • other resources, based on eligibility

ATS Keywords

✓ Tailor your resume
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
Medicare ComplianceCMS Part C requirementsCMS Part D requirementscompliance risk assessmentsauditing activitiesregulatory reportingCAP developmentperformance managementworkload prioritizationcompliance training
Soft Skills
people managementplanningexecutionproblem-solvingdecision-makingcollaborationcommunication