Medicaid Provider Compliance Leader - Audit & Risk
CVS Health
CVS Health is seeking a dynamic leader to drive Medicaid provider compliance, audit excellence, and regulatory integrity across our organization. You will lead strategic initiatives to ensure accurate, timely audit results and strengthen regulatory relationships. You will partner cross-functionally to optimize audit outcomes, mitigate risk, and implement preventative measures while guiding best practices that enhance efficiency and compliance. #J-18808-Ljbffr CVS Health
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Medicaid Provider Compliance Leader - Audit & Risk in Trenton, NJ vacancy
- ...Program Manager- Risk EngineeringSolutions (RES) JobDescription CBRE is seeking a... ...tracking program plans andproject updates to provide weekly/monthly data-driven status updates... ...across natural hazards assessments,risk audits of existing facilities, and new...RiskHourly payWork at office
CBRE, Inc.
Trenton, NJ1 day ago $85k - $95k
...'s Quality Representative and Risk Single Point of Contact (SPOC)... ...QRC Leads, Global Quality and Compliance (GQC), and the CoE Lead . This... ...compliance tracking for the CoE, and provide periodic updates on... ...applicable jurisdictions. Support audit readiness by confirming CAPA...RiskDaily paidWork at officeLocal areaRemote work- ...SUMMARYThe Manager, Regulatory Risk Management, is... ...the implementation of compliance strategies and processes... ...compliance strategies.You will provide thought leadership and... ...in regulatory audits and investigations, ensuring... ...You have 3+ years team leader experience and strong...RiskTraineeshipLocal areaFlexible hours
Group Shiseido
Trenton, NJ3 days ago $126.3k - $173.7k
...Lead Product Manager, Compliance Operations, owns the operational... ...experience of providers, payers, third-party... ...dependencies, and operational risks. Coordinate with IT... ..., assessments, and audit-readiness activities.... ...with Medicare and Medicaid, families, individuals...RiskFull timeTemporary workWork at officeRemote workWork from homeHome officeHumana
Trenton, NJ1 day ago- ...is seeking a Senior Manager of Cybersecurity Compliance to lead regulatory compliance initiatives across... ...in the United States. You will guide teams in audits, controls, and reporting to ensure regulatory alignment and risk reduction. This role partners with Legal,...Risk
CVS Health
Trenton, NJ1 day ago - Eliassen Group is seeking a Sr IT Governance Analyst to provide counsel on IT controls, risk management, and audits. The role partners with the AI Center of Excellence to align internal AI development with governance standards and supports process improvement across the...RiskRemote jobContract work
- ...Being a Great Place to Work and providing a culture of caring is core to how we... ...for executing second line of defense compliance and operational risk oversight for a Front Line Unit, Control... ...to regulatory inquiries, other audits, and examinations Engages in activities...RiskWork at officeFlexible hoursShift workDay shift
Bank of America Corporation
Pennington, NJ16 days ago - ...complex lab environments. You will oversee BSL-1/BSL-2 programs with preference for BSL-3 oversight, build governance, deliver training, audits, and incident investigations while expanding client relationships and ERM capabilities. The role requires strong communication,...Risk
ERM
Ewing, NJ1 day ago $109.25k - $149.5k
...SUMMARYThe Lead Auditor, Quality Compliance will form part of the Corporate Audit team and will lead,... ...support and resources provided by the rest of the... ...Development, and business leaders as required or applicable... ...as well as informal high-risk CAPA reviews, mock inspection...RiskFull timeTemporary workWork experience placementIntegra LifeSciences
Plainsboro, NJ3 days ago- ...President, Finance & Administration will provide leadership across finance, accounting, risk management, labor administration,... ...union workforce administration, compliance initiatives, and key... ...reporting, contribution payments, audits, and USL&H claim administration.Operations...RiskContract workFor subcontractor
Robert Half
Trenton, NJ1 day ago $46.99k - $112.2k
...at a time. About the Role We are seeking a dynamic leader to drive Medicaid provider compliance, audit excellence, and regulatory integrity across our organization... ..., and implement proactive measures to mitigate risk. You’ll partner cross-functionally to optimize audit...RiskHourly payFull timeTemporary workLocal area$200k - $225k
...Benefits Counsel is responsible for providing practical advice on a broad... ...to provide strategic, risk-based advice to the vision business... ..., risk-based legal and compliance guidance on federal and state... ...governing Medicare Advantage and Medicaid Managed Care.Experience...RiskFull timeContract workTemporary workFor subcontractorWork at officeLocal areaRelocation package3 days per weekMetropolitan Life Insurance Company
Trenton, NJ1 day ago$50k - $125k
...Risk Management Associate Rue Insurance's Risk Management Associates are responsible for obtaining and retaining commercial property... ...Gather relevant business and underwriting information to provide proposals tailored to the specific needs of each client or prospect...RiskFull timeDenis Development
Trenton, NJ2 days ago$50k - $125k
...Rue Insurance's Risk Management Associates are responsible for obtaining and retaining commercial property and casualty clients with... ...presentations Gather relevant business and underwriting information to provide proposals tailored to the specific needs of each client or...RiskFull timeTemporary workWork at officeLocal areaDenis Development
Hamilton, NJ3 days ago$100k - $231.54k
...performance and incentive strategy, this leader will bring deep industry expertise and an... ...outcomes, and organizational results. Provide leadership teams with actionable insights... ...and business outcomes. Identify trends, risks, and opportunities through advanced...RiskHourly payFull timeTemporary work$30k
...Santander is a global leader and innovator in the financial... ...transactions. You provide exceptional customer... ...resolve concerns, minimize risk, defend against fraud,... ...procedures, including compliance and risk management protocols... ...with custodianship, audits, and other operational...RiskHourly payFull timeContract workWork experience placementWork at officeShift workAfternoon shiftSantander
Ewing, NJ9 hours ago$110k - $145k
...highly regulated industries, providing mission-critical compliance and monitoring solutions to... ...presentations Support audit-related requests and special... ...CFO Collaborate with leaders across the business to evaluate opportunities and risks Support executive decision...RiskFull timeContract workLocal areaImmediate startRemote workLHH
Hamilton, NJ26 days ago$60.3k - $145.86k
...strategy, oversight, and valuation of vendors serving Medicare and Medicaid risk adjustment programs. The position evaluates vendor... ...valuation findings, recommendations, and escalation items to senior leaders while promoting compliant, accountable, and analytically driven...RiskHourly payFull timeContract workTemporary work$38.25k
...Santander is a global leader and innovator in the financial... ...member growth. You oversee risk controls by ensuring compliance with policies, procedures,... ...as a trusted expert, providing clarity on policies, guidance... ...counts and maintain accurate audit logs. Support the...RiskHourly payFull timeContract workWork experience placementWork at officeShift workAfternoon shift$140k - $165k
...serve as a trusted advisor to the business, providing practical, timely and strategic advice... ...a range of corporate, commercial and compliance matters. This generalist role will partner... ...day-to-day operations, manage legal risks, and ensure compliance with applicable laws...RiskTemporary workWorldwideFlexible hoursUniversal Display
Trenton, NJ2 days ago- ...production costs and inventory levels. Assist in financial audits by providing necessary documentation and support. Contribute to... ...delivering solutions in Finance & Accounting, Internal Audit, Risk & Compliance and Tax. We put people to work in contract/consulting...RiskWeekly payPermanent employmentContract workTemporary work3 days per week
Manpower Group Inc.
Morrisville, PA2 days ago - ...Capital - a trusted global provider of specialty lines... ...client service, intelligent risk taking and superior... ...Quality Assurance and Compliance | North America Claims,... ...Quality Assurance and Audit, North America Claims to... ...Coordinate with claim leaders, specialty claim handlers...RiskFull timeWork at office
Axis Capital
Princeton, NJ1 day ago $104k - $143k
...identify and mitigate risks, and drive continuous... ...business and operational leaders regarding readiness... ...effectively, the self-provided internet service of Home... ...with Medicare and Medicaid, families, individuals... ...affirmative action, in compliance with Section 503 of the...RiskFull timeTemporary workWork at officeRemote workWork from homeHome officeHumana
Trenton, NJ1 day ago$51.29k - $75.46k
...MS-REMOTE NM-REMOTE KY-REMOTE AR-REMOTE Full time R-9638 The EFT Risk Team monitors exposure limits/Overdrafts for ACH and Wire... ...and its affiliates are committed to inclusion and diversity and provide employment opportunities to all employees and applicants for employment...RiskRemote jobFull timeLocal areaFlexible hours$95k - $102k
...HR Compliance Manager Req number: R8878 Employment type:... ...requirements, as well as emerging AI risks and regulations, into clear... ...to reduce risk and keep CAI audit‑ready. This is a unique opportunity... .../or other paid time off as provided by applicable law. #LI-JE1...RiskFull timeContract workApprenticeshipWork at officeLocal areaRemote workWorldwideCAI
Ewing, NJ4 days ago$106.61k - $284.28k
...The Senior Manager of Cybersecurity Compliance will lead and execute strategic initiatives... ...and business colleagues to educate on risk and provide actionable metrics that measure control... ...of process owners to support regulatory audits, including supporting audit requests...RiskHourly payFull timeTemporary workFixed term contractLocal areaCVS Health
Trenton, NJ1 day ago$260k - $315k
...OpportunityWe are looking for a Property Market Leader with a Mechanical or Electrical... ...mitigate technical, regulatory, and contractual risks; apply financial acumen to monitor... ...can grow together.Guided by our values, we provide an attractive total reward package that recognizes...RiskWork at officeLocal areaRemote workFlexible hoursArup
Trenton, NJ1 day ago- ...recruitment team will provide more details.Title: Director... ...expectations, risk objectives, and technology... ...AdvisoryPartner with senior business leaders to identify... ...for executive, board, audit, and regulatory audiences... ...a second-line risk or compliance role.Not focused on coding...RiskFull timeWork at officeLocal areaRemote work1 day per week
MUFG
Trenton, NJ3 days ago - ...CBRE seeks a detail-oriented Program Manager to lead planning, management, and execution for the Global Building Design Risk & Recovery (GBDR) organization, focused on RES program delivery in North America and Europe. This is a US-based role with a preference for Central...Risk
CBRE, Inc.
Trenton, NJ1 day ago - ...current and accurate information is used for demand forecasts. Provide input to the Supply Planning organization in developing... ...Identify areas of improvement while continuing to assist in risk assessment and mitigation activities Interact regularly with...RiskPermanent employmentSeasonal work
Dr. Reddy's
Princeton, NJ1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medicaid Provider Compliance Leader - Audit & Risk. Be the first to apply!
Related searches
- talent management leader Trenton, NJ
- leader Trenton, NJ
- remote team lead Trenton, NJ
- disability team leader Trenton, NJ
- operational excellence leader Trenton, NJ
- group manager Trenton, NJ
- team lead data science Trenton, NJ
- team leader production Trenton, NJ
- team supervisor Trenton, NJ
- recruitment team leader Trenton, NJ