Top 23 Medical and Health Services Managers Jobs in Providence, RI

Manager, Medicaid Provider Compliance
CVS Health —Providence, RI
- $54,300 - $159,120 a year
- Full-time
- Microsoft Excel
- Master's degree
- Analysis skills
- Health insurance
- Dental insurance
9d
Whole Blood Contact Center Manager
Rhode Island Blood Center —Providence, RI
- $86,000 a year
- Weekends as needed
- Sales
- Marketing
- 5 years
Field Reimbursement Manager - Hartford, CT
Amgen —West Greenwich, RI
- $145,470.70 - $196,813.30 a year
- Hybrid work
- Clean driving record
- Doctoral degree
- Computer literacy
- Disability insurance
- Health insurance
7d
Centralized Billing Manager
Plum Dental Group —North Kingstown, RI
- Mid-level
- Supervising experience
- 2 years
Imaging IS Applications Manager
Brown University Health —Providence, RI
- $105,019.20 - $173,264.00 a year
- 8 hour shift
- Computer Science
- Hospital
- Bachelor's degree
Compliance Manager
CharterCARE of Rhode Island —Providence, RI
- Full-time
- Microsoft Excel
- Hospital
- 5 years
7d
Supervisor of TPC and CCBHC Revenue Cycle
Care New England Health System —Warwick, RI
- Full-time
- HIPAA
- High school diploma or GED
- Analysis skills
Manager, Health Information
The Providence Community Health Centers, Inc. —Warwick, RI
- Full-time
- HIPAA
- Mid-level
- Windows
Quick Apply
Manager of Client Safety
Bierman Autism Centers —Cranston, RI
- Full-time
- 5 years
- System design
- Analysis skills
- Disability insurance
- Health insurance
Quick Apply
Laboratory Billing Supervisor
Care New England Health System —Warwick, RI
- Part-time
- Mid-level
- 3 years
- Master's degree
12d
Project Manager of Integrity & Operations
The Arc of Bristol County dba proAbility —Attleboro, MA
- $75,000 - $82,500 a year
- Full-time
- 5 years
- Bachelor's degree
- Experience equivalent to degree accepted
Quick Apply
4d
Business Office Manager Assistant/Medical Records
Lincolnwood Rehabilitation & Healthcare Center —North Providence, RI
- $22.00 - $24.50 an hour
- Full-time
- Skilled nursing facility
- Customer service
- HIPAA
- Dental insurance
- Tuition reimbursement
Quick Apply
Business Office Manager
Greenville Center —Greenville, RI
- $25 - $27 an hour
- Full-time
- Office
- Finance
- High school diploma or GED
- Disability insurance
- Health insurance
Quick Apply
Senior Education & Adoption Manager
Siemens Healthineers —Walpole, MA
- $123,120 - $169,290 a year
- Full-time
- English
- 8 years
- Bachelor's degree
- Disability insurance
- Health insurance
5d
Team Lead Prescriber Administrative Assistant
Northeast Health Services —Attleboro, MA
- $25 - $27 an hour
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Business Office Manager
Grand Islander RI and V2U —Middletown, RI
- $70,000 - $80,000 a year
- Full-time
- Mid-level
- Office
- Finance
- Disability insurance
- Dental insurance
7d
Business Office Manager
Southeast Rehabilitation & Skilled Care Center —Easton, MA
- Up to $37 an hour
- Full-time
- Skilled nursing facility
- English
- Mid-level
- Paid holidays
- Dental insurance
Quick Apply
Business Office Manager
RegalCare at Taunton —Taunton, MA
- Full-time
- Mid-level
- 2 years
- Communication skills
Quick Apply
Senior Clinical Risk Manager | Springfield, Oregon
PeaceHealth —United States
- $105,851 - $158,766 a year
- Full-time
- Nursing
- RN License
- 5 years
- Health savings account
- Health insurance
Quick Apply

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Medical Records and Health Information Manager
Backpack Healthcare —Columbus, OH
Background in behavioral health, pediatrics, Medicaid, telehealth, CARF accreditation, or multi-state operations.
$75,000 - $80,000 a year
Quick Apply
Manager, Medicaid Provider Compliance
CVS Health —Columbus, OH
The successful candidate will partner with executive leadership, health plan stakeholders, compliance, legal, provider operations, and external auditors to…
$54,300 - $159,120 a year
9d

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Manager, Medicaid Provider Compliance

CVS Health -
Providence, RI

Apply Now

Job Details

Full-time
$54,300 - $159,120 a year
9 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Risk management compliance audits
Microsoft Excel
Large-scale organizational change management
Leading team collaboration initiatives
Internal compliance assessments
Managing projects
Medicaid regulations
Medicaid
Project leadership
Cross-functional team management
Risk management leadership (healthcare)
Project stakeholder communication
Cross-functional communication
Senior leadership
Excel data analysis

Full Job Description

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.

About the Role

We are seeking a strategic compliance leader to drive Medicaid provider compliance, audit readiness, regulatory integrity, and enterprise risk management across the organization. This role serves as a senior subject matter expert responsible for shaping compliance strategy, leading complex cross-functional initiatives, influencing business decisions, and advancing sustainable solutions that strengthen regulatory performance and operational excellence. The successful candidate will partner with executive leadership, health plan stakeholders, compliance, legal, provider operations, and external auditors to proactively identify compliance risks, develop enterprise-wide mitigation strategies, and establish best-in-class audit and compliance practices. This position requires an influential leader who can navigate complex regulatory environments, drive organizational change, and deliver measurable business outcomes.

Position Summary

Provides enterprise leadership for Medicaid provider compliance, audit management, and regulatory oversight activities. Leads the development and execution of compliance strategies that support contractual, regulatory, and business objectives while promoting a culture of accountability, continuous improvement, and risk awareness. Serves as a recognized subject matter expert for provider compliance and audit readiness, driving initiatives that improve data integrity, strengthen internal controls, standardize processes, and enhance organizational performance. Partners across business areas to influence strategic decisions, manage emerging compliance risks, and ensure successful execution of high-impact compliance initiatives. The ideal candidate combines deep regulatory expertise, exceptional analytical capabilities, executive-level communication skills, and proven success leading complex initiatives that drive sustainable compliance outcomes.

Key Responsibilities

Lead enterprise-wide provider compliance, audit preparedness, and regulatory initiatives that support organizational objectives and reduce compliance risk.
Serve as the primary subject matter expert for complex provider compliance matters, providing strategic guidance to leadership and business partners.
Develop and execute audit response and remediation strategies that address root causes, improve controls, and drive long-term compliance improvements.
Influence cross-functional stakeholders and senior leadership to align priorities, resolve challenges, and implement effective compliance solutions.
Assess emerging regulatory requirements, contractual obligations, and business risks; develop proactive strategies to ensure compliance and operational readiness.
Lead complex, high-visibility projects spanning multiple departments, ensuring effective governance, accountability, risk management, and successful execution.
Establish and maintain compliance monitoring frameworks, key performance indicators, and reporting mechanisms to measure compliance effectiveness and identify opportunities for improvement.
Drive continuous improvement efforts through process redesign, automation opportunities, control optimization, and best practice implementation.
Provide mentorship, guidance, and technical leadership to analysts and compliance professionals, fostering organizational capability and knowledge development.
Build and maintain strong working relationships with regulators, auditors, health plans, provider relations teams, legal, compliance, and operational leadership.
Present audit outcomes, compliance risks, trends, and recommendations to senior leadership and executive stakeholders.

Required Qualifications

7+ years of healthcare compliance, audit, or provider operations experience
Proven ability to lead complex projects and compliance initiatives
Experience managing audits, CAPs, and regulatory responses
Strong analytical, risk assessment, and problem-solving skills
Knowledge of Medicaid regulations and provider compliance requirements
Excellent communication and stakeholder influence skills
Ability to drive results across teams and manage competing priorities
Advanced Excel and data analysis proficiency

Preferred Qualifications

Experience with Medicaid provider compliance, provider data management, and healthcare network operations
Proven success leading audits, compliance programs, and process improvement initiatives
Experience developing compliance frameworks, controls, and governance programs
Strong partnership experience with regulators, auditors, and senior leadership
Knowledge of provider data systems, reporting tools, and compliance monitoring

Leadership Competencies

Strategic Leadership & Business Acumen – Drives enterprise priorities, manages risk, and translates regulatory requirements into business solutions.
Influence & Stakeholder Engagement – Builds trusted partnerships, communicates effectively with senior leaders, and influences outcomes across functions.
Operational Excellence & Continuous Improvement – Uses data and compliance expertise to optimize processes, strengthen controls, and deliver sustainable results.

Education

Bachelor's degree.
Master's degree in Healthcare Administration, Business Administration, Public Health, Compliance, or related field preferred.
Equivalent combination of education, specialized training, and relevant experience may be considered.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,300.00 - $159,120.00

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 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: 08/14/2026

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

Apply Now

Refine Your Search

Medical and Health Services Managers jobs in Providence, RI

Manager, Medicaid Provider Compliance

Whole Blood Contact Center Manager

Field Reimbursement Manager - Hartford, CT

Centralized Billing Manager

Imaging IS Applications Manager

Compliance Manager

Supervisor of TPC and CCBHC Revenue Cycle

Manager, Health Information

Manager of Client Safety

Laboratory Billing Supervisor

Project Manager of Integrity & Operations

Business Office Manager Assistant/Medical Records

Business Office Manager

Senior Education & Adoption Manager

Team Lead Prescriber Administrative Assistant

Business Office Manager

Business Office Manager

Business Office Manager

Senior Clinical Risk Manager | Springfield, Oregon

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