Senior Manager, Medicaid Compliance – Provider Data Services

CVS Health

Senior Manager managing Medicaid compliance, audit readiness, and data integrity for CVS Health. Collaborating with cross-functional teams to enhance overall compliance performance across various markets.

Posted 6/3/2026full-timeRemote • Connecticut, Minnesota, Texas, Vermont • 🇺🇸 United StatesSenior💰 $67,900 - $199,144 per yearWebsite

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

data analysisaudit readinesscorrective action plansinternal control frameworks

Soft Skills

communication skillspartnership buildingleadershiporganizational skills

Industry Keywords

healthcare complianceMedicaid regulatory requirementsprovider datacompliance initiativesemerging risks

About the role

Key responsibilities & impact

Lead end-to-end audit readiness and execution for internal and external audits
Establish and maintain centralized tracking of audit activity
Drive development, tracking, and validation of corrective action plans
Serve as a subject matter expert on Medicaid regulatory requirements
Leverage data analysis to identify trends and emerging risks
Build partnerships across Compliance, Credentialing, Network, and Operations

Requirements

What you’ll need

7+ years of experience in provider data, healthcare compliance, or related operations
3+ years proven success leading audits and compliance initiatives with measurable outcomes
Strong knowledge of healthcare regulatory requirements, risks, and internal control frameworks
Exceptional communication skills
Demonstrated ability to operate effectively in a fast-paced, evolving environment while maintaining quality and compliance standards.

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
comprehensive benefits package