Sr. Analyst, National Medicaid Business Compliance

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

The Corporate Medicaid Compliance team is looking for a Sr. Analyst to support the Medicaid Business Compliance Office (BCO) team, accountable for the oversight and implementation of Medicaid health plan contract amendments that impact the organization’s business.

The ideal candidate has experience in Medicaid managed care, as well as familiarity with Medicaid state contracts, laws, processes, systems, and workflows. In addition, the ideal candidate will have a successful background in supporting cross-functional projects. The Sr. Analyst will support compliance oversight of market-specific implementations that includes identification and processing of requirement changes, coordinating compliance activities across various health plan and business partners, researching contract program guidance, and tracking compliance-specific documentation within the project team. They will identify and escalate issues to help mitigate risk and resolve issues. They will support additional department goals, initiatives, and projects as needed.

In order to be successful in this role you must exhibit the following:

• Strong program management, interpersonal and communication skills, including the ability to interact and influence at various levels of the organization (Business Leadership, Field Management, Business Units within Corporate environment).
• Ability to work independently and to recognize and resolve issues.

If you are looking for an opportunity to work with Medicaid stakeholders and be part of the dynamic Medicaid Corporate Compliance team, we encourage you to apply.

Required Qualifications

• 3+ years of Medicaid Managed Care experience.

• 3+ years of Microsoft applications experience (Word, Excel, PowerPoint).

Preferred Qualifications

• Previous experience with legislation and/or regulatory research.

• Knowledge in state and federal health care laws and regulations.

• Familiarity with various Governance, Risk and Compliance tools.

• Ability to work collaboratively across an organization.

• Ability to multi-task as well as maintain the highest levels of integrity and confidentiality.

• Ability to understand complex problems, identify root causes, and remain goal-oriented within a dynamic environment.

Education

• Bachelor’s Degree required or equivalent years of related experience.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$46,988.00 - $112,200.00

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.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 10/31/2025

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