Senior Manager, Audit and Business Oversight Jobs

CVS Health

Location:
United States

Category:
Finance

Contract Type:
Employment contract

Salary:

67900.00 - 182549.00 USD / Year

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Job Description:

Plans, monitors and manages internal projects from initiation through completion. Secures required resources and uses formal processes and tools to manage resources, budgets, risks and changes. Manages projects to ensure on-time completion according to specifications and within budgeted costs.

Job Responsibility:

Acts as a top-level specialist on project management and develops a comprehensive plan that encompasses objectives, deliverables, and timelines for CMS and State regulatory audits and readiness reviews
Ensures alignment on key deliverables and timelines and reinforces organizational standards
Applies highly developed knowledge of external audit standards and expectations to guide operational partners through all aspects of an audit
Oversight of operational key performance indicators to measure progress and to analyze root cause and corrective action plans when goals are not achieved
Creates a continuous improvement environment, looking for ways to enhance delivery processes and outcomes
Effectively manages multiple audits and projects and responds to change with adaptability
Uses indirect management skills to ensure projects remain on track and escalates, as appropriate
Ensures implementation of new or revised regulatory requirements

Requirements:

Pharmacist
7-10 years work experience in healthcare
Medicare and/or Medicare-Medicaid Integrated Product Experience
Experience with Part D Coverage Determination, Appeals and Grievances and/or Formulary Administration regulatory requirements and audit management
Experience with Part C & D reporting requirements
3+ years serving as project lead
Adept at problem solving and decision making
Experience dealing with state or federal regulators
Excellent written and verbal communication skills and an ability to work with all levels of the organization
Bachelor's degree preferred but will accept relevant job experience

Nice to have:

Adept at collaboration and teamwork
Adept at growth mindset (agility and developing yourself and others) skills
Adept at execution and delivery (planning, delivering, and supporting) skills
Adept at business intelligence

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
No-cost wellness screenings
Tobacco cessation and weight management programs
Confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access

Additional Information:

Job Posted:
December 01, 2025

Expiration:
December 05, 2025

Employment Type:

Fulltime

Work Type:

Hybrid work

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Senior Manager, Audit and Business Oversight