Senior Manager, Medicare Business Compliance

CVS Health

Senior Manager leading Medicare compliance initiatives at CVS Health. Overseeing implementation of Medicare regulations and collaborating with cross-functional teams.

Posted 6/11/2026full-timeHartford • Connecticut, Pennsylvania • 🇺🇸 United StatesSenior💰 $82,940 - $182,549 per yearWebsite

About the role

Key responsibilities & impact

Oversee the implementation and ongoing interpretation of Medicare laws, regulations, and regulatory guidance, ensuring timely and accurate execution across impacted business areas.
Serve as a subject matter resource for inquiries and lead responses to audit and data requests from regulators, auditors, and internal oversight partners.
Interpret regulatory guidance, assess compliance gaps, identify root causes, and design and implement sustainable corrective action plans.
Routinely communicate project status, risks, and outcomes to senior leaders and executive stakeholders, translating complex regulatory requirements into clear, actionable business guidance.
Oversight of new and updated regulatory guidance implementation, leadership of Annual Enrollment Period (AEP) readiness activities across multiple business areas, proactive identification and mitigation of operational risks, and end-to-end coordination of audit and regulatory responses.
Contributes to regulatory compliance, operational stability, and overall member satisfaction.

Requirements

What you’ll need

Project Management: 5+ years of experience leading complex initiatives from planning through execution and delivery.
Systems Expertise: Hands-on experience with QuickBase.
Communication Skills: Demonstrated strong oral and written communication skills.
Executive Communication: Proven ability to communicate effectively with leaders at all levels, including executive leadership.
Problem Solving & Decision Making: Strong analytical skills with the ability to assess issues, evaluate options, and make sound decisions.
Collaboration & Teamwork: Adept at working collaboratively across cross-functional teams to achieve shared goals.
Growth Mindset: Demonstrated agility and commitment to continuous learning, development, and coaching of others.
Execution & Delivery: Strong capability in planning, delivering, and supporting initiatives to achieve intended outcomes.
Regulatory Expertise: Strong knowledge of Medicare regulations and regulatory guidance.
Preferred Qualifications: 5+ years Medicare operational experience, Aetna systems experience, Regulatory compliance experience.

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families

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

project managementregulatory complianceanalytical skillsproblem solvingdecision makingoperational risk mitigationcorrective action plansMedicare regulationsAEP readiness activitiescross-functional collaboration

Soft Skills

communication skillsexecutive communicationcollaborationteamworkgrowth mindsetagilitycontinuous learningcoachingplanningdelivery