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Manager – Medicaid Provider Compliance
CVS HealthStrategic compliance leader driving Medicaid provider compliance and audit readiness for CVS Health. Partnering with executives to shape compliance strategy and manage enterprise risks.
Posted 7/31/2026full-timeHartford • Connecticut, Minnesota, Texas • 🇺🇸 United StatesSeniorLead💰 $54,300 - $159,120 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive expertise in Medicaid provider compliance, audit management, and regulatory oversight, with a strong focus on developing compliance strategies and managing audits. Proven ability to lead complex projects, drive results, and influence stakeholders across business areas.
Highest-signal resume keywords
Healthcare Compliance ExperienceAudit ManagementMedicaid Regulations KnowledgeAdvanced Excel ProficiencyAnalytical and Problem-Solving Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Compliance Strategy DevelopmentAudit ReadinessRisk AssessmentProcess RedesignData Analysis
Soft Skills
Excellent CommunicationStakeholder InfluenceRelationship BuildingProject Leadership
Industry Keywords
Regulatory OversightCompliance Monitoring FrameworksKey Performance IndicatorsContinuous ImprovementContractual Objectives
About the role
Key responsibilities & impact- Provides enterprise leadership for Medicaid provider compliance, audit management, and regulatory oversight activities
- Leads the development and execution of compliance strategies that support contractual, regulatory, and business objectives
- Serves as a recognized subject matter expert for provider compliance and audit readiness
- Partners across business areas to influence strategic decisions and manage emerging compliance risks
- Establishes and maintains compliance monitoring frameworks and key performance indicators
- Drives continuous improvement efforts through process redesign and automation opportunities
- Builds and maintains strong working relationships with regulators, auditors, and leadership
- Presents audit outcomes, compliance risks, trends, and recommendations to senior leadership
Requirements
What you’ll need- 7+ years of healthcare compliance, audit, or provider operations experience
- Proven ability to lead complex projects and compliance initiatives
- Experience managing audits, CAPs, and regulatory responses
- Strong analytical, risk assessment, and problem-solving skills
- Knowledge of Medicaid regulations and provider compliance requirements
- Excellent communication and stakeholder influence skills
- Ability to drive results across teams and manage competing priorities
- Advanced Excel and data analysis proficiency
Benefits
Comp & perks- medical, dental, and vision coverage
- paid time off
- retirement savings options
- wellness programs
- other resources, based on eligibility