Accreditation and Audit Manager (Individual Contributor)

Accreditation And Audit Manager

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 : As the Accreditation and Audit Manager for CVS Health, you'll be responsible for organizing, leading, and ensuring completion of activities related to internal and external audit requests. You are accountable for managing accreditation and audit timelines, identifying appropriate resources, and collaborating with subject matter experts in order to support audit and accreditation preparation and successful audit review and compliance. You will develop a deep understanding of the program objectives, policies and procedures, internal workflows, client workflows, client contractual obligations and accreditation requirements, and acts as a resource for the organization related to audit and accreditation topics. You'll complete preparation of gap analyses, document review, document preparation, clinical file review and other activities to ensure on-going accreditation compliance and completion of successful accreditation surveys. Additionally, you will create and monitor metrics related to audit activities to ensure that audit deliverables are met. You will provide feedback and recommendations regarding improvement opportunities and collaborates with relevant teams / departments in quality improvement activities.

Other duties include :

• Develop and maintain deep domain knowledge related to assigned products, CVSH policies and procedures, client contract requirements related to program delivery, accreditation standards, and other requirements.
• Support accreditation preparation through gap analyses, document review and preparation, clinical file review, presentation of clinical and licensing files and other activities to ensure successful accreditation.
• Prepare and ensure proper preparation and presentation of documents to support compliance with audit requests, following CVSH guidelines for document preparation and release.
• Work across teams, departments and CVSH to secure relevant subject matter expertise to meet audit and accreditation requirements.
• Collaborate with Sales, Account Management, and the Clinical Teams in preparation and / or presentation of audit documents.
• Provide relevant insight and guidance to the Clinical Teams and other departments regarding compliance gaps; identifies and makes recommendations regarding improvement opportunities and supports continuous quality improvement activities.
• Participate in committees and workgroups focused on healthcare quality and process improvement methodologies.
• Create and monitor metrics related to audit activities to ensure that audit and accreditation deliverables are met.

To be a candidate you will possess the following :

This is a remote role. Candidates can live anywhere in the US.

Required Qualifications :

Preferred Qualifications :

Education :

Anticipated Weekly Hours : 40

Time Type : Full time

Pay Range : The typical pay range for this role is : $54,300.00 - $145,860.00

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 :

We anticipate the application window for this opening will close on : 11 / 22 / 2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer.