Top 68 Applications compliance manager Jobs in Chicago, Il

Sr Manager Corporate Compliance-Special Needs Plans (Clinical)
CVS Health —Northbrook, IL
- $82,940 - $182,549 a year
- Full-time
- Research
- Analysis skills
- Bachelor's degree
- Health insurance
- Dental insurance
11d
Business Integrity Trade Compliance Senior Manager
PRICE WATERHOUSE COOPERS —Chicago, IL
- $91,000 - $321,500 a year
- 6 years
- High school diploma or GED
- Fair chance
- Paid holidays
- Health insurance
13d
Compliance Manager
Mission Lane —Chicago, IL
- $129,000 - $140,000 a year
- Full-time
- Remote
- 6 years
- Travel
- Senior level
- Paid parental leave
- Disability insurance
Sr. Manager Corporate Compliance-Special Needs Plans
CVS Health —Northbrook, IL
- $82,940 - $182,549 a year
- Full-time
- Research
- Analysis skills
- Bachelor's degree
- Health insurance
- Dental insurance
11d
Customs Brokerage Manager
WR Logistics —Des Plaines, IL
- $95,000 - $120,000 a year
- Full-time
- 7 years
- Mentoring
- Senior level
- Health insurance
- Dental insurance
Quick Apply
12d
Compliance & Risk Manager
SERENITY HOME HEALTH CARE —Niles, IL
- $30 - $35 an hour
- Full-time
- 3 years
- Bachelor's degree
- Home Health
- Health insurance
- Dental insurance
Quick Apply
6d
Department Manager, Customs Brokerage
PASONA N A, INC. —Arlington Heights, IL
- $105,000 - $120,000 a year
- Full-time
- Hybrid work
- 5 years
- English
- Office
Manager, Revenue Cycle Managed Services Compliance
Huron Managed Services LLC —Chicago, IL
- $115,000 - $145,000 a year
- Full-time
- Microsoft Excel
- 5 years
- Analysis skills
- Dental insurance
Quick Apply
Compliance Manager
West Monroe —Chicago, IL
- $161,300 - $207,800 a year
- Email
- Computer Science
- System design
- 8 years
- Paid parental leave
- Paid holidays
Human Resources Compliance Manager
Hospital: Rush University Medical Center —Chicago, IL
- $94,827 - $154,315 a year
- 8 hour shift
- Hospital
- Writing skills
- 3 years
Associate Manager, Social Compliance
Crate and Barrel —Northbrook, IL
- $68,000 - $90,000 a year
- Email
- 5 years
- Mid-level
- Office
- Store discount
- Disability insurance
Compliance Manager, Americas
Amer Sports —Chicago, IL
- $105,000 - $140,000 a year
- Email
- Hybrid work
- Office
- Bachelor's degree
- Continuous improvement
- Paid parental leave
- Health insurance
9d
Privacy Manager
The Chamberlain Group LLC —Oak Brook, IL
- $102,600 - $193,425 a year
- Full-time
- Hybrid work
- HIPAA
- Mid-level
- 3 years
- 401(k)
Quick Apply
Specialist Manager, Risk and Compliance Services (Conflicts CoE)
Deloitte —Chicago, IL
- $93,000 - $171,300 a year
- Full-time
- CPA
- 5 years
- Research
Manager, Transactions Management
LivCor LLC —Chicago, IL
- $125,000 - $140,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- 5 years
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
Senior Risk Manager, Transportation, Risk & Compliance
Amazon.com Services LLC —Chicago, IL
- $109,000 - $185,000 a year
- Full-time
- 6 years
- Office
- Master's degree
- AD&D insurance
- Health insurance
6d
Neighborhood Code Compliance Manager
OAK PARK VILLAGE OF —Oak Park, IL
- $85,707 - $124,275 a year
- Weekends as needed
- Clean driving record
- Civil engineering
- Management
Senior Risk Manager, US Department of Transportation, TRC
Amazon.com Services LLC —Chicago, IL
- $109,000 - $185,000 a year
- Full-time
- 6 years
- Office
- Master's degree
- AD&D insurance
- Health insurance
Financial Compliance Project Manager
Skidmore, Owings & Merrill —Chicago, IL
- $130,000 - $160,000 a year
- Full-time
- CPA
- ERP systems
- Office
Mgr, Regulatory Labeling & Industry Engagement
Nutrien US LLC —Chicago, IL
- $91,200 - $169,300 a year
- Full-time
- Background check
- 5 years
- Office
- Paid holidays
- Disability insurance

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Sr Manager Corporate Compliance-Special Needs Plans (Clinical)

CVS Health -
Northbrook, IL

Apply Now

Job Details

Full-time
$82,940 - $182,549 a year
11 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Quality control corrective actions
Defect resolution root cause analysis
Medicare
CMS
Corrective and preventive actions (CAPA)
Clinical audit and monitoring
CMS regulatory compliance
Quality assurance audits
Documentation tools
Health insurance knowledge
Medicare regulations
Quality improvement
Project management experience in healthcare
Internal compliance assessments
Managing projects
Medicaid regulations
Medicaid
Root cause analysis
Cross-functional collaboration

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.

Position Summary

The Sr. Manager is an experienced/career level compliance position that applies compliance, regulatory, business, analytical and communication skills to support, manage and develop and execute Medicare and Medicaid compliance programs and processes that promote compliant and ethical behavior, meet regulatory obligations, and prevent, detect and mitigate compliance risks. The individual will work independently, as well as collaboratively, with internal senior level corporate compliance and business teams that operate Medicare Advantage in a highly complex regulatory environment and highly matrixed organization environment with a current focus on integrated and non-integrated special needs plans.

The Sr. Manager Compliance maintains productive relationships and open lines of communication with internal and key external stakeholders to effectively communicate and influence compliant outcomes and ensure that processes are enhanced or implemented to effectively address compliance requirements.

Responsibilities include, but are not limited to:

Serve as market compliance officer for assigned Special Needs Plans (SNPs)
Track, analyze, research, interpret, communicate and monitor applicable CMS and state regulations and government contract requirements to develop recommendations, direction, and escalation ensuring Aetna’s that implementation and integration of program requirements complies with federal and state specific program requirements and the CVS Code of Conduct
Lead and implement an effective Compliance Program as described in CMS Medicare Managed Care Manuals/regulations, applicable Medicaid rules and government contracts, including risk assessment, auditing and monitoring and corrective action oversight
Develop and manage compliance strategies, programs, and processes that promote compliant and ethical behavior, meet regulatory obligations, and prevent, detect, and mitigate compliance risks
Maintain in-depth working knowledge and expertise in Medicare, Medicaid and State requirements, regulations and contracts with a focus on supporting special needs plans
Support and/or facilitate multiple compliance and contract related communications, activities and interactions with regulators, including meeting with regulators on compliance with laws and regulations, developing or assisting in the development of appropriate and strategic written responses to compliance-related regulatory inquiries requiring an understanding of business processes and regulatory requirements and positive relationships with regulators
Leads and/or support numerous external regulatory review and audit activities, including the preparation for and management of external audits conducted by CMS and state Medicaid and related agencies or partners in conjunction with health plan leadership through final report and corrective action plan closure
Builds and maintains positive relationships with internal and external constituents at senior levels to drive decision-making and influence ethical and compliant outcomes
Monitor and audit as outlined in Medicare Compliance Work Plan and direct other projects as assigned to evaluate compliance, propose remediation where necessary and monitor implementation of corrective action
Utilize and maintain current information in systems unique to job functions, such as Microsoft products and compliance specific tools such as Archer
Lead and support broader compliance initiatives and needs as assigned to ensure that effective compliance programs are achieved and maintained
In order to be successful in this role you must exhibit the following: -
Extensive knowledge of Medicare and Medicaid compliance programs and rules, including rules applying to special needs plans and CMS, NCQA and state rules and standards governing SNP Models of Care, Care Management and Quality Improvement Programs
Experience in validation, auditing and monitoring, root cause analysis and corrective action oversight
Outstanding time management and project management
Proficient in utilization of information systems
Mastery in complex regulatory rule analysis and clear communication of requirements to support business stakeholders
Mastery of problem solving and decision making skills
dept at execution and delivery (planning, delivering, and supporting) skills
Adept at collaboration and teamwork in matrixed environments

Required Qualifications

7+ years experience in Medicare or Medicare Advantage government healthcare program compliance or regulatory work.
2+ years of Project Management experience.
Ability to travel up to 10%

Preferred Qualifications

Prior clinical or operational experience enabling interpretation of assessments, claims, and clinical documentation (RN, LPN, SW or similar role/ background preferred)
Experience administering or overseeing SNP MOC and external quality requirements and reviews

Education

Bachelor's Degree OR equivalent experience required.

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: 07/31/2026

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

applications compliance manager jobs in chicago, il

Sr Manager Corporate Compliance-Special Needs Plans (Clinical)

Business Integrity Trade Compliance Senior Manager

Compliance Manager

Sr. Manager Corporate Compliance-Special Needs Plans

Customs Brokerage Manager

Compliance & Risk Manager

Department Manager, Customs Brokerage

Manager, Revenue Cycle Managed Services Compliance

Compliance Manager

Human Resources Compliance Manager

Associate Manager, Social Compliance

Compliance Manager, Americas

Privacy Manager

Specialist Manager, Risk and Compliance Services (Conflicts CoE)

Manager, Transactions Management

Senior Risk Manager, Transportation, Risk & Compliance

Neighborhood Code Compliance Manager

Senior Risk Manager, US Department of Transportation, TRC

Financial Compliance Project Manager

Mgr, Regulatory Labeling & Industry Engagement

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