CVS Health
CVS Health
CVS Health ir Amerikas Savienoto Valstu veselības aprūpes uzņēmums, kas darbojas veselības aprūpes pakalpojumu, veselības apdrošināšanas, aptieku pabalstu pārvaldības un mazumtirdzniecības aptieku jomā. Ar tādiem uzņēmumiem kā Aetna un CVS Caremark tas atbalsta veselības apdrošināšanas segumu, recepšu medikamentu pieejamību, veselības stāvokļa pārvaldību, specializētus medikamentus un medikamentu pasūtīšanu pa pastu. Uzņēmuma apkārtnes aptiekas un plašāki aprūpes pakalpojumi ir veidoti, lai cilvēki varētu ērtāk un izdevīgāk saņemt būtiski nepieciešamo veselības aprūpi. CVS Health apvieno apdrošināšanu, aptieku un veselības aprūpes pakalpojumus, lai atbalstītu cilvēkus un kopienas visā viņu aprūpes ceļā.

Medicaid Compliance Analyst

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

Apraksts

  • 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.

Prasības

  • 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.

Priekšrocības

  • 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.

Saistītās vakances

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.

Atvērt
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.

Atvērt
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.

Atvērt
Xcel Energy

Regulatory Policy Specialist, Large Loads

Xcel Energy

Develop regulatory filings, testimony, and policy strategies for Xcel Energy’s large-load work. Partner with senior leaders, regulators, stakeholders, and legislative committees.

Atvērt