Senior Compliance Analyst
2 weeks ago
Join CVS Health and make a difference in the world of healthcare.
At CVS Health, we are driven by a unified mission: to bring compassion to every aspect of health. This mission shapes our dedication to providing enhanced, human-centered healthcare in a dynamic environment.
Our Heart At Work BehaviorsTM reflect this mission. We strive to empower every team member to play a vital role in transforming our culture and enhancing our capacity to innovate, ensuring healthcare is more personal, accessible, and affordable.
Position Overview
This position operates on a hybrid schedule, requiring three days in the office and two days remote.
The Senior Compliance Analyst is a seasoned professional in compliance, utilizing extensive knowledge of regulatory frameworks, business practices, and analytical skills to support and develop compliance programs for Medicare and Medicaid. This role is crucial in fostering ethical practices, meeting regulatory standards, and mitigating compliance risks.
Key Responsibilities:
- Ensure adherence to regulatory requirements for an effective compliance program, including conducting audits and monitoring activities.
- Provide interpretation and guidance on regulatory mandates and contracts.
- Assist in creating and implementing performance-driven programs for Medicare compliance, focusing on Special Needs Plans.
- Leverage expertise in Medicare and Medicaid compliance to inform strategic decisions and enhance organizational visibility.
- Maintain accurate system data for internal and external reporting and support regulatory audits.
- Identify opportunities for compliance process reviews and implement corrective actions.
- Manage regulatory interactions, including drafting correspondence and responding to inquiries.
- Facilitate effective communication and decision-making with internal and external stakeholders to foster positive relationships.
- Escalate issues that require resolution as necessary.
- Other duties as assigned.
Qualifications:
- Minimum of 3 years of relevant experience.
- At least 2 years of experience in compliance and risk management systems.
- Proficient in Microsoft Office applications.
Preferred Qualifications:
- Project management experience.
- Familiarity with Quickbase and SharePoint.
Education:
Bachelor's degree or equivalent experience required.
Compensation:
The typical pay range for this role is between $43,000 and $107,200 annually. This range represents the base salary for all positions within this job grade.
In addition to competitive compensation, CVS Health offers a comprehensive benefits package, including medical, dental, and vision coverage, a 401(k) retirement plan, employee stock purchase options, and paid time off.
We are committed to fostering a diverse and inclusive workplace and welcome qualified applicants from all backgrounds.
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