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CVS Health

Manager, Client Audit - Anthem

Posted 6 Days Ago
Be an Early Applicant
In-Office
7 Locations
Mid level
In-Office
7 Locations
Mid level
Manage day-to-day audit activities for Anthem/Carelon Rx, coordinating with teams to ensure timely and effective completion of audits while identifying risk mitigation opportunities.
The summary above was generated by AI

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary
Would you like to be a part of a dynamic Client Audit team within our PBM group at Fortune 5 CVS Health?!! As a Manager Client Audit, you will assist primarily with day to day activities and responsibilities for Anthem/Carelon Rx audits and their downstream client audits. You will be in a client facing audit management role that is responsible for coordinating, managing and assisting with client initiated audits as assigned. You will work closely with various third party consultants and auditor, client account teams, legal and trade areas to ensure the completion of client requested audits with consistency and minimal disruption to the business. You will be responsible for the timely and satisfactory resolution of exceptions identified during the review and audit processes. You will also be expected to identify process enhancement opportunities to reduce or eliminate risk of future audit exceptions.
Required Qualifications
5 or more years of experience in project management, audit or PBM insurance/healthcare experience.
Preferred Qualifications
Compliance experience.

Risk management experience.

PBM experience.

Bachelors degree preferred.

CPA, CIA or MBA preferred.
Education
Bachelors degree or equivalent work experience.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$66,330.00 - $145,860.00

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. 
 

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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

  • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 06/24/2025

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

Top Skills

Audit
Compliance
Pbm
Project Management
Risk Management

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