Senior Analyst, Medicare Compliance

CVS Health

Senior Analyst managing Medicare compliance programs and processes at CVS Health. Collaborating with internal teams to promote compliant and ethical behavior in Medicare operations.

Posted 6/16/2026full-timeArizona, Connecticut, Illinois • 🇺🇸 United StatesSenior💰 $46,988 - $102,000 per yearWebsite

About the role

Key responsibilities & impact

Lead and implement an effective Compliance Program as described in CMS Medicare Managed Care Manuals/regulations, including risk assessment, auditing and monitoring and corrective action oversight.
Develop and manage compliance strategies, programs, and processes that promote compliant and ethical behavior, meet regulatory obligations, and prevent, detect, and mitigate compliance risks.
Track, analyze, and work open issues in a timely manner
Maintain in-depth working knowledge and expertise in Medicare regulations
Build and maintain positive relationships at senior levels to drive decision-making and influence ethical and compliant outcomes
Monitor and audit as outlined in Medicare Compliance Work Plan and direct other projects as assigned to evaluate compliance, propose remediation where necessary and monitor implementation of corrective action
Support broader compliance initiatives and needs as assigned to ensure that effective compliance programs are achieved and maintained.

Requirements

What you’ll need

2+ years’ experience in Medicare Compliance or regulatory work
Willingness to travel up to 10% (including by plane)
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
Adept at execution and delivery (planning, delivering, and supporting) skills
Adept at collaboration and teamwork
Bachelor’s Degree; equivalent work experience may substitute

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

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Applicant Tracking System Keywords

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Hard Skills & Tools

Medicare compliancerisk assessmentauditingmonitoringcorrective action oversightvalidationroot cause analysisproject managementinformation systems utilization

Soft Skills

time managementcollaborationteamworkinfluencingdecision-making