Senior Business Compliance Manager, Meritain (TPA)
$67.9k - $199.14kCVS Health
Position Summary The Senior Business Compliance Manager plays a key role in advancing operational effectiveness across Meritain Health by driving coordination, follow‑through, and execution across high‑priority work. This role partners across teams and stakeholders to lead operational planning, support leadership priorities, advance strategic initiatives, oversee corrective action efforts, and guide the development and review of policies and procedures. The position also provides senior‑level oversight of workflow, deliverables, and cross‑functional activities to help ensure priorities remain aligned and work moves forward effectively within a compliant environment. Responsibilities Manage a team of 10 – 12 individuals who monitor regulatory developments and potential impact of regulations impacting self‑funded health plans and the company as a TPA. Responsible for independently assessing a variety of complex compliance risk‑areas. Present and coordinate information cross‑functionally to ensure operational success with internal and external stakeholders related to implementation of regulatory requirements. Strategize with the Director of Compliance to identify potential areas of compliance vulnerability and risk; aid in the development/implementation of corrective action plans for resolution of problematic issues. Monitor compliance activities to identify trends. Responsible for other duties/responsibilities as assigned. Required Qualifications 7+ years’ regulatory experience in the health care compliance industry. Experience with compliance, legislation regulations, and guidelines. Experience leading and managing teams. Ability to manage projects and influence staff with minimal supervision. Strong operational leadership, project coordination, and follow‑through skills. Ability to manage multiple priorities and lead strategic and operational initiatives. Strong communication and collaboration skills across teams and stakeholders. Experience supporting executive priorities, deliverables, cross‑functional alignment, and operational governance processes. Proficiency in Excel and other standard business tools. Strong attention to detail and accuracy. Preferred Qualifications Knowledge of self‑funded health plans and Third‑Party Administrators. Education Bachelor's degree preferred/specialized training/relevant professional qualification. Pay Range The typical pay range for this role is: $67,900.00 - $199,144.00 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. This position also includes an award target in the company’s equity award program. Benefits This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Location Position may be remote or hybrid anywhere in the US depending on candidate location and commute to a hub location. Legal and Equal Opportunity Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran — committed to diversity in the workplace. #J-18808-Ljbffr CVS Health
- CVS Health is seeking a Senior Business Compliance Manager to enhance operational effectiveness across Meritain Health. This key position involves leading a team that monitors regulatory compliance risks and implements strategic initiatives. Candidates should possess extensive...SeniorRemote jobFull timeFlexible hours
- ...staffing agency is seeking a Commercial Auto Litigation Specialist to oversee TPA operations for complex litigated Commercial Auto claims. This role involves extensive responsibilities, including managing investigations, communications with counsel, and ensuring adherence to...SeniorRemote jobFlexible hours
- Webster Bank in Providence, Rhode Island, is seeking a Relationship Manager to cultivate and grow a portfolio of business clients. This role emphasizes client acquisition, retention, and developing new business opportunities. Ideal candidates will have at least 7 years...Senior
$125k - $157k
...Operations to oversee centralized bid support and proposal functions. You will ensure high-quality responses across all client requests and manage complex high-value opportunities, driving standardization and efficiency in account operations. The ideal candidate has over 10...Senior- ...accuracy and legality in all disbursements while overseeing tax compliance and year-end operations. The ideal candidate should possess a... ...certifications like CPP, and proven experience in payroll management. This position offers a challenging yet rewarding opportunity...Senior
$78.42k - $129.36k
Lifespan in Providence, Rhode Island, is seeking a supervisor for Power Plant Operations. The role includes managing engineers and operators, ensuring safety compliance, and overseeing the maintenance of boilers and turbine generators. Qualified candidates will hold a...SeniorFull time- ...with Central Product teams to outline opportunities and requirements for Product development, in line with the Product strategy and business objectives for the North American commercial unit Champion the creation of Product focused Marketing activities with Acquisition...Senior
- UNFI is seeking a Sr. Manager, Human Resources to partner with operational leadership and drive HR strategy across facilities. You will... ...with leaders, provide coaching, and execute HR programs aligned with business goals. #J-18808-Ljbffr United Natural Foods, Inc.SeniorRemote job
- EY is seeking a Tax Operations Lead to manage a team and oversee tax information reporting for financial services. The ideal candidate will have at least 8 years of experience, a Bachelor’s degree, and exceptional leadership and analytical skills. The position involves...Senior
- Lumen is seeking an Sr Operations Service Manager to serve as the principal post‑installation interface for elite enterprise customers, driving operational excellence and a distinguished customer experience across the post-deployment lifecycle. The role combines service...Senior
$59.68k - $68.57k
## SENIOR DLT BUSINESS OFFICERApplylocations: John O. Pastore Center General Complex #73time type: Full timeposted on: Posted Todaytime left... ...STATEMENT OF DUTIES:** To supervise and perform business management functions of an advanced nature; to maintain accounting records...SeniorFor contractorsZero hours contractWork at officeMonday to Friday- Eliassen Group is seeking a Business Systems Analyst Manager in Providence, RI, to lead a team of analysts in enhancing business processes through IT solutions. This role includes mentoring BAs, guiding requirements strategy, and serving as a key liaison between stakeholders...SeniorRemote jobFull time
- Travere Therapeutics is looking for an Associate Director, Technical Operations QC to manage Quality Control activities in compliance with GMP and regulatory standards. This role involves collaborating with Analytical, CMC, Quality and Regulatory teams. The ideal candidate...Senior
- Rhode Island Energy is seeking a Supervisor for Distribution Operations to oversee line crews in ensuring safe and efficient operations of electrical facilities. The role involves collaboration with engineers and stakeholders to maintain service quality and respond to emergencies...SeniorRemote work
- Bally in Providence, RI, is seeking a candidate with over 5 years of casino gaming experience to enhance product-focused marketing and optimize performance. Responsibilities include reviewing commercial inputs for revenue generation, defining content roadmaps, and collaborating...Senior
- Cardinal Health is seeking an experienced Collections Lead in Providence, RI to manage the accounts receivable process, develop payment plans with customers, and build trusted relationships with internal partners. The role requires 8-12 years of experience, a related bachelor...Senior
$155.3k - $177.2k
...Senior Manager, Strategic Business Development - Capital One Ad Solutions (Remote) Capital One Shopping is seeking a Senior Manager, Strategic Business... ...disability/vet) committed to non-discrimination in compliance with applicable federal, state, and local laws. Capital...SeniorFull timeContract workPart timeLocal areaRemote work- ...lead for their tax operations team in Providence, Rhode Island. The successful candidate will manage a team focused on US and global tax information reporting, ensuring compliance while driving efficiencies. With a minimum of 8 years of operational delivery experience and...Senior
- A leading engineering firm is seeking a Senior Operations Specialist in water treatment. This candidate will support water treatment projects, manage operations, and provide training for optimal performance of treatment plants. The role requires a minimum of 10 years of...SeniorFull time
- A leading consulting firm in the U.S. is seeking an experienced Business Process Consultant. The role requires at least 5 years in consulting and 4 years in Identity & Access Management. Candidates must have strong IT Security knowledge and be prepared for regular travel...Senior
$161.5k - $184.3k
Senior Principal Relationship and Business Development Manager (Remote-Eligible) We are currently looking for a Senior Principal Relationship and Business Development... ...by increasing acceptance and volume Risk & Compliance: Actively managing and evaluating risk and customer...SeniorRemote jobFull timeContract workPart timeLocal area- Daymark Health in the United States is seeking a highly capable operator to scale the care delivery model across markets and service lines, translating strategy into execution across clinical operations, product, and market teams. You will work with the VP of Clinical Operations...Senior
$82.94k - $182.55k
...more central role in healthcare accessibility and outcomes. As Senior Manager, Omnichannel Commercialization Strategy, you will support the... ...thinking and planning efforts aligned to the organization’s business priorities and future growth opportunities Develop...SeniorHourly payFull timeTemporary workLocal area$100k - $171k
...Senior Business Development ExecutiveRemote - United StatesJR013955 At Ensono, our Purpose is to be a relentless ally, disrupting the... ...reshape how our world runs. As an expert technology adviser and managed service provider with cross-platform certifications, Ensono...SeniorFull timeContract workTemporary workLocal areaRemote workWork from homeFlexible hours- ...principal administrative professional for the Office of General Counsel. This role entails providing senior-level support to the Senior Vice President and General Counsel, managing complex legal matters, and ensuring effective daily operations within a confidential...SeniorWork at office
- ...an Office of the Customer Quality & Operations Execution Lead to manage customer complaints and enhance service outcomes. This role requires strong analytical abilities and leadership to drive compliance and operational efficiency. The ideal candidate has over 5 years...SeniorWork at officeRemote work
- ...advance the state of clinical development. We are seeking a Senior Director, Business Development with extensive experience with Biometric... ...will bring a proven track record in initiating, growing and managing Large Pharma relationships, with the strategic insight and...Senior
- Join to apply for the Senior Operations Specialist (Water) role at... ...global companies. Our Water Business Group has over 2,000 employee... ...variety of treatment processes. Manage operations and maintenance... ...readiness for startup and compliance with design capacity after startup...SeniorFull timeFor contractorsFor subcontractorWork at officeLocal areaWeekend work
- Phoenix Property Management Inc. is seeking a Compliance Manager to ensure regulatory compliance across their affordable housing portfolio. The role is critical in overseeing federal, state, and local regulations and provides training and operational guidance to staff....SeniorLocal area
- ...Role We are seeking a motivated and experienced Director or Senior Director of Business Development to join our dynamic team with a primary focus... ..., and overall sales process execution and account management. You must have the ability to successfully use CRM to effectively...SeniorContract workTemporary workRemote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Business Compliance Manager, Meritain (TPA). Be the first to apply!
- director enterprise applications Providence, RI
- business opportunity manager Providence, RI
- director business analysis Providence, RI
- director business planning Providence, RI
- director of business systems Providence, RI
- senior business manager Providence, RI
- business manager Providence, RI
- new business executive Providence, RI
- director business analytics Providence, RI
- director of enterprise application services Providence, RI

