CVS Health
CVS Health
CVS Health yra Jungtinių Amerikos Valstijų sveikatos priežiūros įmonė, veikianti sveikatos priežiūros paslaugų, sveikatos draudimo, vaistų išmokų administravimo ir mažmeninės prekybos vaistais srityse. Per tokias veiklas kaip „Aetna“ ir „CVS Caremark“ įmonė padeda užtikrinti sveikatos draudimo apsaugą, receptinių vaistų prieinamumą, ligų valdymą, specializuotus vaistus ir vaistų užsakymo paštu paslaugas. Jos vietinės vaistinės ir platesnės priežiūros paslaugos skirtos tam, kad žmonės galėtų patogiau ir prieinamiau gauti būtiną sveikatos priežiūrą. CVS Health sujungia draudimo, vaistinių ir sveikatos priežiūros paslaugas, kad padėtų žmonėms ir bendruomenėms viso jų priežiūros kelio metu.

Medicaid Compliance Analyst

Support CVS Health’s managed care compliance program by tracking regulatory deliverables, audits, risk mitigation, and state Medicaid obligations.

Aprašymas

  • Track and submit regulatory and compliance deliverables to state Medicaid agencies using monitoring systems and tools.
  • Prepare routine regulatory reports for the Medicaid compliance team.
  • Research state Medicaid rules and recommend compliant business practices, processes, and policies.
  • Draft compliance communications in response to state Medicaid agency inquiries and requests.
  • Stay current on contractual, regulatory, and program policy obligations.
  • Advise health plan and growth partner staff to support education and business decisions.
  • Coordinate external audit support, including project management, deliverable tracking, responses, and corrective action plans through resolution.
  • Maintain contract libraries, reporting assignments, risk assessments and trackers, internal reporting systems, and department tools.
  • Use Microsoft applications, Archer, and other role-specific systems; maintain documentation, train users, and support system design, oversight, and maintenance.
  • Assist with compliance oversight and monitoring across the business.
  • Help develop and carry out mitigation and corrective action plans, escalating risks and issues through appropriate channels.
  • Build and maintain constructive relationships with internal and external stakeholders.
  • Carry out other duties as assigned.

Reikalavimai

  • At least two years of regulatory compliance experience in managed care, healthcare, or insurance, or a master’s degree.
  • Bachelor’s degree.
  • Medicaid or Medicaid managed care experience preferred.
  • Project management experience preferred.
  • Audit experience preferred.
  • Proficiency with Microsoft products and compliance tools such as Archer.
  • Ability to work with the contractual, regulatory, and program policy obligations of Medicaid managed care organizations.

Privalumai

  • Eligibility for a CVS Health bonus, commission, or short-term incentive program in addition to the base pay range.
  • Medical coverage.
  • Dental coverage.
  • Vision coverage.
  • Paid time off.
  • Retirement savings options.
  • Wellness programs.
  • Resources supporting physical, emotional, and financial well-being.

Susiję darbai

Medtronic

Medical Device Regulatory Affairs Manager

Medtronic

Lead regulatory strategy, submissions, and compliance for Medtronic medical devices, with a focus on U.S. and EU approvals. Guide the Stapling Regulatory Affairs team and work across product development and business functions.

Atidaryti
Medtronic

Regulatory Affairs Manager, Medical Devices — Medtronic (Hybrid, North Haven, CT)

Medtronic

Lead regulatory submissions, approvals, and compliance for Medtronic’s Surgical Operating Unit. Guide regulatory teams and cross-functional product strategies across the product lifecycle.

Atidaryti
Regeneron

CMC Regulatory Affairs Manager — Regeneron (Hybrid)

Regeneron

Manage CMC regulatory strategy for biologics at Regeneron, supporting development, submissions, and compliance. Coordinate global strategies and health authority interactions for medicines.

Atidaryti