Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
 
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

Designs enterprise-wide and/or cross-functional solutions to address business problems. This work results in initiatives that significantly impact organizational strategy, enabling the organization to be competitive in the marketplace and effectively serve its customers. Partners with business owners to optimize the achievement of strategic business objectives, to include profitable growth and improved organizational effectiveness.

What you will do

As part of the Revenue integrity organization and for the work we do with CMS submissions, we need a lead to review the SOX compliance and internal audit needs for our team. This team member will liaison with internal audit, external SOX teams, and also monitoring of internal controls for Medicare and ACA. The role will also support the reconciliation and review of our eligible MMP members status and recertification. ​

• Assists in managing the day-to-day complex business consultation services to support the organization's goals and objectives.
• Implements processes and assignments for research, collecting, analyzing, and compiling data and information for the business consulting department reports.
• Assesses files, reports, and financial records, and manages department record retention.
• Confers internally and externally with clients and senior management regarding the organization's goals and objectives.
• Coaches the internal and external department point of contact ensuring concise communication with employees, stakeholders, and members of the senior management.
• Delivers advice to the organization regarding current business trends and best practices by preparing analyses for senior management, stakeholders, and clients.
• Work with vendors on operations assigned to them for Medicare Medicaid reconciliation
• Work with internal partners on meeting controls and documentation needs.

 
Required Qualifications

• 8+ years work with Finance and controls
• 4+ years experience in Medicare and Reporting CMS Data
• Experience in working with vendor contracts
• Experience in working with internal and external auditors
• Ability to communicate, scope and be a liaison between our internal teams.
• Organized and detailed approach to various controls.
• Ability to liaison with our vendors for various contracts and invoicing

Preferred Qualifications

• Strong verbal and written communication and interpersonal skills
• Experience with SOX and internal audit
• Experience with contracts and invoice management.
• Experience in reviewing contracts for changes and monitoring vendor performance 

Pay Range

The typical pay range for this role is:

$60,300.00 - $132,600.00

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. 
 
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: 01/31/2025

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