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Senior Analyst, Provider Compliance
CVS Health Careers. Lead Medicaid provider compliance, audit excellence, and regulatory integrity initiatives .
Posted 11/2/2026full-timeHartford • Connecticut • United StatesSenior💰 $46,988 - $112,200 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Medicaid provider compliance, audit excellence, and regulatory integrity, with a strong focus on data analysis, project management, and process improvement. Proven ability to build relationships and influence decision-making across organizational levels while maintaining high compliance and quality standards.
Highest-signal resume keywords
Medicaid Provider ComplianceAudit ExcellenceData AnalysisProject ManagementRegulatory Integrity
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
AuditComplianceHealthcare OperationsData InterpretationProcess ImprovementPolicy DevelopmentWorkflow OptimizationMicrosoft ExcelReportingCorrective Actions
Soft Skills
Analytical SkillsCommunicationRelationship BuildingMentoringInfluencing
Industry Keywords
Internal AuditsExternal AuditsStakeholder EngagementContinuous ImprovementEthical Outcomes
About the role
Key responsibilities & impact- Lead Medicaid provider compliance, audit excellence, and regulatory integrity initiatives
- Deliver high-quality internal and external Medicaid provider audit results
- Partner with internal teams and external auditors to maintain compliance and drive continuous improvement
- Interpret audit findings and recommend sustainable corrective actions and process improvements
- Respond accurately, completely, and promptly to complex inquiries from stakeholders and regulators
- Manage multiple compliance-related projects and deliverables
- Develop policy and procedural documentation and oversee required annual reviews
- Build productive partnerships across organizational levels and influence ethical, compliant outcomes
- Standardize processes, optimize workflows, and enable data integrity across the organization
Requirements
What you’ll need- Minimum of 3 years of progressive experience in audit, compliance, or related healthcare operations
- Ability to develop and execute detailed project plans with accountability and rigor
- Strong analytical skills, including interpreting data, identifying trends, and recommending actionable solutions
- Advanced proficiency with Microsoft Excel for data analysis and reporting
- Ability to convey complex information clearly and concisely
- Ability to build relationships across organizational levels and influence decision-making
- Ability to lead initiatives and mentor team members
- Ability to thrive in a fast-paced, evolving environment while maintaining compliance and quality standards
Benefits
Comp & perks- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being
- CVS Health bonus, commission or short-term incentive program in addition to base pay