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
- JobRx, Inc. is seeking a Manager of Specialty Pharmacy Operations in Yonkers, NY. This role involves strategic and operational leadership... ...ensure high-quality, patient-centered care while maintaining compliance with regulatory and accreditation requirements. The ideal...Senior
$67.9k - $199.14k
CVS Health is looking for a Senior Business Compliance Manager to enhance operational effectiveness across Meritain Health. The position involves managing a team, overseeing compliance activities, and coordinating information across functions to ensure regulatory success...SeniorRemote job- ...Director for Transmission Planning and Operations in Sacramento. The successful candidate will lead critical teams focusing on energy management systems and ensure adherence to regulatory standards. With a strong commitment to innovation, this role plays a key part in...Senior
- ...Solidigm in Rancho Cordova, California, is searching for a Senior Process Integration Engineer to lead technology development for high-capacity 3D NAND storage. In this role, you will coordinate engineering efforts and resolve semiconductor process challenges to enhance...Senior
$10k
...Senior Branch Manager - HVAC and Plumbing Supplies Lead the Operation. Build the Team. Drive Results. Our client is seeking a Branch Manager... ...support growth initiatives and customer retention Maintain compliance with company policies, procedures, and operational best practices...Senior- Certara is seeking a Senior Director for Clinical Operations in Sacramento, California. The individual will lead clinical operations activities and manage relationships with vendors to ensure compliance with regulatory standards and project goals. The ideal candidate will...Senior
- Golden 1 Credit Union in Sacramento is seeking a Senior Manager for Operations Analytics and Enablement. The ideal candidate will lead Data Solutions and Operational Transformation Teams, providing high-quality insights and analytics to improve member outcomes. This position...Senior
- ...Difference You Will Make: In the role of Senior Manager, Airbnb Platform, Revenue Operations,... ...of the organization with finance and compliance objectives. The position reports to the... ...articulate the financial impact(s) of business changes. Improve visibility for finance...SeniorCasual workLive inWork at officeRemote work
- Golden1 in Sacramento is seeking a Senior Manager for Operations Analytics and Enablement to lead Data Solutions teams. This role involves providing leadership and oversight for analytics deliverables, ensuring quality execution, and translating strategies into actionable...Senior
$18.7 - $22 per hour
...healthcare services provider is seeking a Senior Representative for Customer Service... ...with medical billing and reimbursement, managing inbound and outbound communication with healthcare professionals, and ensuring compliance and accuracy in order processing. Candidates...SeniorHourly payRemote work- Connected Cannabis Co. in Sacramento is hiring a Sr Manager, Compliance & Continuous Improvement to oversee regulatory, safety, and corporate compliance across California, Arizona, and Florida. You will manage the corporate compliance program and drive process improvements...Senior
- ...in growth mode and actively seeking a Materials and Operations Manager in Sacramento, CA. This full-time role entails overseeing... ...managing up to 10 direct reports, implementing MRP systems, and maintaining compliance with quality standards. #J-18808-Ljbffr AllientSeniorFull time
- Ledgent in Sacramento is seeking a Senior Accounts Payable Specialist to oversee the full-cycle AP process, ensuring accuracy, compliance, and timely invoice processing. This role requires strong analytical skills, attention to detail, and the ability to collaborate across...Senior
- ACC Senior Services in Sacramento is seeking a Business Office Specialist to oversee billing, accounts receivable, and support office functions. The role... ...or AA in Accounting and has at least two years of management experience in a clinical setting, along with strong...SeniorWork at office
- COMAGINE HEALTH is seeking a Senior Business Development Manager for a fully remote role. This position oversees the complete business development lifecycle, from opportunity identification to proposal submission, focusing on healthcare solutions. The successful candidate...SeniorRemote job
- ...excellence in card functions and mentor team members. You'll manage complex issues, ensure quality compliance, and collaborate across departments. The ideal candidate will have a Bachelor's degree in Business or Finance, 5+ years in credit/debit card operations, and strong...Senior
- Amplifier seeks a Manager, Loan Administration & Compliance in Sacramento, CA. The position involves overseeing the loan lifecycle for ECP’s portfolio, ensuring accurate, compliant administration, and supporting strategic initiatives. The ideal candidate will have a Bachelor...SeniorWork at office
- Crowe is seeking a Talent Business Advisor Senior Associate in the United States (Sacramento, CA area... ...the employee experience. You will manage onboarding, performance reviews, engagement... ...logistics while ensuring policy compliance and data integrity across Talent programs...SeniorRemote job
$85k - $90k
...states, has an immediate opening for a Senior Operations Coordinator in its Sacramento... ...Operations Coordinator supports the Office Managing Partner and Office Administrator in the... ...to the regional offices’ culture and business needs. Conduct exit interviews and compile...SeniorFull timeWork experience placementWork at officeLocal areaImmediate start- Golden 1 Credit Union is seeking an Item Processing Senior Specialist to lead the department and ensure accurate processing of financial transactions. You will guide daily tasks, review deposits and payments, and handle tier 2 escalations with strong problem-solving skills...Senior
$200.7k - $229.1k
...Overview Senior Business Analysis Manager, Capital One Shopping (Remote-Eligible) Summary: As a Senior Manager, Business Analysis at Capital... ...disability/vet) committed to non-discrimination in compliance with applicable federal, state, and local laws. Capital...SeniorFull timeTemporary workPart timeLocal areaRemote workShift work- Ricoh Colombia is looking for a Senior Site Manager in Sacramento, California. This role involves managing daily operations of a medium-large... ...development and customer satisfaction while ensuring compliance with contracts. The ideal candidate should have 5 years of...Senior
- Wollborg Michelson Recruiting is looking for an EPMO Senior Project Analyst to lead and deliver business process analysis and partner with project teams. This role entails supporting complex projects while focusing on business requirements, solution validation, and ensuring...Senior
- ...approval and commercialization. The Senior Director for clinical... ...Clinical Operations and Study Management activities. Leads CRO/vendor... ...of clients are conducted in compliance with SOPs, Agency regulations... ...and stakeholders in developing business requirements, business controls...SeniorLocal area
$159k
...Requisition ID # 172590 Job Category: Business Operations / Strategy Job Level: Senior Manager Business Unit: Strategy & Growth Work Type: Hybrid... ...Department Overview: The Electric Risk & Compliance organization provides governance, oversight, and...SeniorContract workWork experience placementWork at officeFlexible hours2 days per week3 days per week- EY is seeking a tax operations leader in Sacramento, CA to manage a team focused on tax information reporting across financial services. Candidates should possess at least 8 years of operational delivery experience, a relevant bachelor's degree, and CPA or attorney credentials...SeniorRemote job
$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- ...levels. The Operations Specialist Senior will report to the Claims... ...efficiency while ensuring compliance with state, federal, and local... ...may include practical project management knowledge. Hybrid This role... ...determine in-office time based on business need. #J-18808-Ljbffr Blue...SeniorWork at officeLocal area2 days per week
$24 - $26 per hour
Eskaton, a nonprofit leader in aging in Sacramento, is seeking a Training Manager to oversee operations in an independent living housing community. This role involves staffing, legal compliance, and maintaining quality resident services. The ideal candidate will have strong...SeniorHourly pay- ...provide clinical services, immunizations, and expert medication management on-site. You will counsel patients, ensure accurate dispensing, and support efficient workflow while upholding regulatory compliance. The role requires pharmacy licensure, immunizer certification,...Senior
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 Sacramento, CA
- business opportunity manager Sacramento, CA
- director business analysis Sacramento, CA
- director business planning Sacramento, CA
- director of business systems Sacramento, CA
- food business manager Sacramento, CA
- senior business manager Sacramento, CA
- customer business manager Sacramento, CA
- business manager Sacramento, CA
- senior manager business analytics Sacramento, CA

