Medicare Compliance Leader — CMS & Audit Readiness
CVS Health
CVS Health in Denver is seeking a Senior Manager of Business Compliance to ensure Medicare Part C readiness and regulatory alignment. Lead responses to CMS inquiries, manage audit activities, and partner with Legal, Medicare Compliance, and Quality teams to keep processes auditable and compliant. The role requires strong Medicare knowledge, cross-functional leadership, and ability to drive continuous improvement in a fast-paced health care environment. #J-18808-Ljbffr CVS Health
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Medicare Compliance Leader — CMS & Audit Readiness in Denver, CO vacancy
- ...Programs Enrollment Manager to lead Medicare enrollment and eligibility... ...accurate processing while adhering to CMS regulations and contractual... ...builds, testing, and go-live readiness, plus provide coaching to enrollment staff and manage audits, reporting, and cross-...Cms
- ...Government Programs Enrollment Manager to lead Medicare enrollment and eligibility operations... ...will oversee daily processing, ensure CMS compliance, and drive continuous improvement... ...organization on employer group issues and support audits. #J-18808-Ljbffr Judi HealthCms
$113.4k - $144.38k
Air Methods is seeking a Compliance Manager to oversee defense and regulatory compliance initiatives in Englewood, Colorado. This role... ...CMMC, DFARS, and ITAR. The Compliance Manager will manage audit readiness, ensure supplier compliance, and lead incident reporting....Suggested- ...durable medical equipment, perform safety checks, calibrations, and documentation, and collaborate with CMS/SPD staff to ensure equipment readiness and regulatory compliance. The role requires five years of related experience, with CBET certification preferred, and involves...Cms
$83.99k - $119.97k
...pipelines, coding logic, and CMS methodology, into... ...leadership and payer partners. Compliance & Governance Ensures all program... ...compliance policies. Supports RADV audit readiness and health plan data... ...(7) years of experience in Medicare Advantage risk adjustment and...CmsRemote workHome office- ...President of Quality & Compliance About the Company... ...will be the enterprise leader responsible for clinical... ...calm and decisive during audits and surveys, and highly... ...comprehensive knowledge of CMS Conditions of Participation, PDGM, Medicare & Medicaid regulations,...Cms
- ...seeking a Behavioral Health Medical Coding & Compliance Specialist to join our Quality... ...role manages projects, conducts compliance audits, and assists with risk management across... ...a similar role, plus strong knowledge of CMS guidelines and state licensure. Flexible...CmsRemote workFlexible hours
- ...Analytics team, which is responsible for all CMS risk adjustment-related analytics. This... ...ensure all processes and reporting meet compliance requirements Partner with clinical,... ...submission systems, regulation, compliance, and audits related to risk adjustment Strong...Cms
Fox Point Recruitment LLC
Denver, CO2 days ago - Flying Food Group, LLC is seeking an FSQ Manager to ensure compliance with GMP, HACCP, and FSQ standards across the facility. You will collaborate with key personnel and oversee audit programs, training, and documentation. This full-time, day-shift role reports to the...Full timeDay shift
- ...manufacturing company seeking a Senior Indirect Tax Manager to lead a team of indirect tax professionals, overseeing compliance, research, planning, and audit management. You will own the indirect tax strategy, drive automation, and collaborate with Finance and IT to...
- ...to coordinate material data and ensure compliance across FAR/DFARS/TINA/CAS for high-dollar... ...pricing strategies and maintain records for audits and negotiations. The role requires 5+... ...and communication skills, and readiness to travel to customer sites. Hybrid work...
- ...professional to manage multistate income and franchise tax filings and ASC 740 provisions across multiple jurisdictions. You will lead audit responses and advance tax planning initiatives while mentoring staff. The role requires CPA certification, 6+ years in state/local...Local area
- ...that supports operational objectives. You will coordinate requests, ensure policy alignment, and maintain audit-ready records with an emphasis on security and compliance. Prescribed qualifications include TS/SCI clearance and DEGREE/EXPERIENCE thresholds; the role involves...
$28 per hour
...Healthcare facility in Englewood, CO. This role leads daily security operations, coordinates with clinical teams, and ensures compliance with EMTALA, CMS, and Joint Commission standards to maintain a safe, patient-centered environment. Position offers full-time hours,...CmsHourly payFull timeShift work- ...announcement will be used to fill 2 positions: Medicare Part C Director & Medicaid Director... ...Supervisory Auditor, GS-0511-15 for Office of Audit Services (OAS) include but not limited to... ...to a team of auditors in the OAS CMS Audit Division and technical direction to...CmsWork at office
Department of Health and Human Services
Denver, CO1 day ago - ...aligned with project scope and value.Conduct and oversee insurance audits, ensuring accurate premium computation and resolving... ...company cash flow and total cost of risk (TCOR).Ensure regulatory compliance for all alternative risk structures, including captive licensing...CmsFull timeContract workFor contractorsWork at office
SOLV Energy
Denver, CO3 days ago $99k - $124k
...Functions Translate RA performance data into clear financial insights (i.e. revenue impact, payment accuracy, ROI, forecasting). Analyze CMS data to identify areas of opportunity to increase operational efficiency. Interpret trends, model scenarios, and assess program and...CmsWork at officeRemote workWork from homeFlexible hours2 days per week- ...You will manage a team, coordinate daily plans, and interact with sales reps to support orders while ensuring compliance with regulations. METRC data entry, audits, labeling, and a safe, organized vault are essential components of the role. Experience in inventory or...
$248.54k - $276.16k
...is hiring a West Buildings Group - Transportation Market Sector Leader As the West Regional Market Leader, you will drive growth, major... ...Long‑range capital improvement programs across Western agencies Ready to make an impact at scale? If you’re ready to help shape the...CmsWork at officeRemote workFlexible hours- The Centers for Medicare & Medicaid Services (CMS)—within the Department of Health and Human Services—seeks a Social Science Research Analyst (GS-0101-13) in Denver, CO. You will develop and use surveys, market research, and statistical methodologies to conduct studies...Cms
- ...a Quality Manager to oversee in-country QMS governance and ISO compliance. You will coordinate governance across functions, maintain the... ...ensure regulatory and standards alignment. This role supports audits, corrective actions, and KPI reporting while driving continuous...
$121.41k - $127.8k
Ready to do the most impactful work of your career? AtCoinbase, we are uncompromising on... ...about working at Coinbase. As an Internal Audit Senior Associate on the Internal Audit... ...you’ll execute risk-based operational and compliance audits end-to-end, covering planning, fieldwork...Local area- ...senior Information Security professional to lead risk management initiatives, coordinating across IT, Corporate Security, Audit Services, and Compliance. You will plan, perform and report on risk-based work assignments under direction of the IT Risk Manager and...
Nelnet
Centennial, CO2 days ago - Haynie & Company is seeking an Audit Manager in Colorado to lead engagements from planning through completion, ensuring regulatory compliance and high-quality work. You’ll advise clients, identify risks, and deliver actionable insights while coaching a team of auditors...Remote jobWork from homeFlexible hours
$28 per hour
...supporting Clinical Teams, and maintaining compliance with client policies, Joint... ...Active Labor Act) EMTALA, Centers for Medicare & Medicaid Services (CMS) requirements, and Hospital-specific... ...access control and Visitor management audits on a daily basis Create and update...CmsWeekly payDaily paidFull timeImmediate start$168.75k - $281.25k
...applicable transfers of value is necessary to ensure GSK’s compliance to all federal and state US Transparency requirements. For more information, please visit the Centers for Medicare and Medicaid Services (CMS) website at SummaryLocation: USA - Arizona - Phoenix; USA...CmsFull timeLocal area$110.7k - $164.45k
...approvals Oversee quality control and safety compliance Reviews project activities with client... ..., goals and challenges. Are you ready to get started?WSP USA (and all of its U... ...submitted to hiring managers or other business leaders, will become the property of WSP and WSP...CmsFull timeContract workFor contractorsWork at officeLocal areaFlexible hours- Frontier Airlines, Inc. is seeking a qualified HR Compliance professional to oversee the Drug & Alcohol Program and PRD regulatory compliance. You will serve as a subject matter expert, manage audits, and coordinate background checks and SIDA badging for a growing workforce...
- ...LLC is seeking a QMS Manager to lead the Quality Management System, focusing on document control, training, audits, and data analysis to ensure regulatory compliance. You will manage internal audits for ISO 13485, MDSAP, EU MDR and human tissue requirements, oversee a...
- ...Responsibilities The Compliance Director for Pharmacy... ...pharmacy operations and Medicare Part D. This role provides... ..., including CMS Part D regulations, DEA... ...pharmacy operations. Audit & Monitoring Develop... ...mock audits, and internal readiness reviews. Identify compliance...CmsLocal areaNight shift
InnovAge
Denver, CO10 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medicare Compliance Leader — CMS & Audit Readiness. Be the first to apply!
Related searches
- team coordinator Denver, CO
- inventory team lead Denver, CO
- group project manager Denver, CO
- market leader Denver, CO
- recruitment team leader Denver, CO
- team lead data science Denver, CO
- underwriting team lead Denver, CO
- team leader training Denver, CO
- clinical team leader Denver, CO
- group operations manager Denver, CO