Compliance Specialist

2 weeks ago


Southfield, Michigan, United States CVS Health Full time
Job Summary

CVS Health is seeking a highly skilled and experienced Sr. Analyst Corporate Compliance to join our team. As a key member of our compliance program, you will be responsible for ensuring regulatory requirements are met, interpreting and advising on regulatory mandates, and identifying opportunities to support and monitor compliance business process reviews.

Key Responsibilities
  • Ensure regulatory requirements are met, including oversight and performance of auditing and monitoring, validation of regulatory guidance, and ongoing consultation and guidance with business.
  • Interpret and advise on regulatory mandates, guidance, and contracts.
  • Assist with establishing and implementing results-based programs and innovative initiatives for the Medicare compliance area, with a focus on Special Needs Plans.
  • Apply in-depth knowledge of Medicare and Medicaid compliance to offer feedback for decisions and innovation strategies that enhance organizational growth and visibility.
  • Complete, track, and maintain system data for internal and external report filings and follow-ups; support regulatory review and audit activities.
  • Identify opportunities to support and monitor moderately complex compliance business process reviews, implementation of mandates, and corrective actions.
  • Control regulatory interactions, including drafting regulatory correspondence and responding to routine regulatory inquiries.
  • Manage and ensure timely and accurate responses.
  • Able to remove barriers, drive decision-making, and communicate with constituents internally and externally to maintain a positive, productive relationship and effectively communicate and influence decision-making and ethical and compliant outcomes at various levels necessary to accomplish goals.
  • Appropriately escalate issues requiring resolution.
Requirements
  • 3+ years of related working experience.
  • 2+ years of experience working in compliance and risk management systems.
  • 2+ years of Microsoft Office experience.
  • Preferred qualifications include experience managing projects, experience with Quickbase, and experience with SharePoint.
  • Bachelor's degree required or equivalent years of experience.
What We Offer

CVS Health offers a competitive salary, comprehensive benefits package, and opportunities for professional growth and development. We are an equal opportunity employer and welcome applications from diverse candidates.



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