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Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

***This position follows a hybrid working model of three days onsite per week***

The Sr. Manager, Medicaid Compliance Monitoring will lead a team of compliance professionals to develop and execute a comprehensive audit and/or monitoring plan within our Medicaid line of business that enhances enterprise value and is executed in accordance with our Compliance Center of Excellence (COE) methodology. This role has team leadership responsibilities and develops and drives our Medicaid business compliance monitoring plan activities. Partnering with stakeholders to continuously evaluate and recommend opportunities to monitor and reduce compliance risk and introduce operational efficiencies is also part of this role.

In order to be successful in this role you must exhibit the following:

∙Proven experience communicating/presenting with senior leadership

∙Experience leading a small to medium-sized team to successfully meet department and enterprise objectives

∙Ability to create and sustain an environment where team members have the opportunity and autonomy to perform at their best

∙Ability to provide opportunities, guidance and feedback to develop team members and ensure a pipeline of talent for the future

Required Qualifications
7+ years of hands-on healthcare business compliance, quality assurance, or audit experience, including; planning, documenting, and communicating results across the enterprise.

Preferred Qualifications

• Strong analytical, deductive, problem solving, and critical thinking skills

• Practical knowledge of processes, risks, and internal controls

• Good teamwork and collaboration skills

• Solid meeting management and oral/written communication skills

• Government healthcare, including Medicaid and Medicare, or pharmacy benefit management experience is strongly preferred

Education

Bachelor’s Degree or equivalent years of experience

Pay Range

The typical pay range for this role is:

$75,400.00 - $165,954.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.  This position also includes an award target in the company’s equity award program. 
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. 
 
For more detailed information on available benefits, please visit Benefits | CVS Health

We anticipate the application window for this opening will close on: 12/31/2024

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.