Sr Manager - Corporate Compliance

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

This role leads and manages the compliance program for Aetna's Maryland Medicaid health plan. The Compliance Officer ensures the health plan follows all state Medicaid regulations, contract requirements, and company policies. The position works closely with state agencies, internal business partners, and compliance team members to identify risks, manage audits, and promote ethical and compliant operations.

Key Responsibilities

• Serve as the Compliance Officer for Aetna's Maryland Medicaid health plan.
• Act as the primary contact with the Maryland Medicaid agency for compliance and contract-related matters.
• Track, monitor, and submit required regulatory reports and responses on time.
• Lead preparation and coordination for state audits, including corrective action plans and issue resolution.
• Manage all aspects of the Medicaid compliance program.
• Research regulatory requirements and provide recommendations to support compliant business practices.
• Draft and coordinate responses to inquiries and requests from state Medicaid agencies.
• Maintain expert knowledge of Medicaid regulations, contracts, and program requirements.
• Serve as a compliance resource for staff, providing guidance, education, and training.
• Maintain compliance tools, risk assessments, reporting systems, and tracking processes.
• Identify compliance risks, conduct monitoring activities, and recommend corrective actions.
• Support business teams in developing solutions to address compliance concerns.
• Utilize compliance management tools, including Microsoft Office and Archer.
• Build and maintain strong relationships with internal and external stakeholders.
• Provide guidance and coaching to less experienced team members.
• Perform other duties as assigned.

Required Qualifications

• 7+ years of compliance experience in healthcare, managed care, insurance, or a related field.
• Candidates with an advanced degree may qualify with 5+ years of relevant experience.
• Project management experience.

Preferred Qualifications

• Experience with Medicaid or Medicaid managed care programs.
• Experience supporting audits or regulatory reviews.
• Bachelor's degree in Public Policy, Government Affairs, Healthcare Administration, Public Administration, or a related field.
• Master's degree or Juris Doctor (JD).

Education

• Bachelor degree OR equivalent experience.

Pay Range

The typical pay range for this role is:

$82,940.00 - $182,549.00

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. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

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.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/21/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.