Top 514 Regulatory compliance Jobs in Springfield, Il

Program Integrity Manager
CVS Health —Springfield, IL
- $54,300 - $145,860 a year
- Full-time
- Hybrid work
- 5 years
- Office
- Analysis skills
- Health insurance
- Dental insurance
12d
Risk and Compliance Manager
State of Illinois —Springfield, IL
- $8,334 - $10,834 a month
- Monday to Friday
- Bilingual
- 5 years
- System design
- Paid parental leave
- Paid holidays
10d
Manager, Medicaid Provider Compliance
CVS Health —Springfield, IL
- $54,300 - $159,120 a year
- Full-time
- Microsoft Excel
- Master's degree
- Analysis skills
- Health insurance
- Dental insurance
19h
Regulatory Compliance Coordinator
Springfield Clinic —Springfield, IL
- $69,076.80 - $103,646.40 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
Director of Utilization Management
Lincoln Prairie Behavioral Health Center —Springfield, IL
- $37.55 - $56.33 an hour
- Full-time
- Acute care
- LMFT
- Addiction Medicine
- Health savings account
- Health insurance
Quick Apply
4d
LCPC - Behavioral Health Manager
Signet Health Corporation —Springfield, IL
- Full-time
- Management
- Pass drug screening
- Licensed Clinical Social Worker
- Paid time off
1d
Compliance Coordinator
Midwest Insurance Company —Springfield, IL
- $48,000 - $55,000 a year
- Full-time
- Hybrid work
- Background check
- Research
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Board Certified Behavior Analyst (BCBA)
Individual Advocacy Group —Springfield, IL
- $85,000 a year
- Full-time
- CPR Certification
- Mid-level
- Master's degree
- Continuing education credits
- Mileage reimbursement
Quick Apply
Board Certified Behavioral Analyst
SpringHealth Behavioral Health and Integrated Care —Springfield, IL
- $75,000 - $85,000 a year
- Full-time
- Mid-level
- Ability to lift 50 pounds
- Children
- Travel reimbursement
- Paid holidays
LCSW - Behavioral Health Manager
Signet Health Corporation —Springfield, IL
- Full-time
- Management
- Pass drug screening
- Licensed Clinical Social Worker
- Paid time off
1d
Counselor III (Part-Time & Hybrid) - LCPC or LCSW
Gateway Foundation Inc —Springfield, IL
- $24.74 - $39.58 an hour
- Part-time
- Background check
- Licensed Clinical Social Worker
- Mid-level
- Wellness program
- Continuing education credits
Quick Apply
Electronic Drawing Technician
Memorial Health —Springfield, IL
- $25.72 - $39.86 an hour
- Full-time
- Mid-level
- Organizational skills
- Trade school
Substance Abuse Counselor II (Outpatient) - LPC or LSW
Gateway Foundation Inc —Springfield, IL
- $25.64 - $32.28 an hour
- Full-time
- Background check
- Addiction Medicine
- LPC
- Wellness program
- Continuing education credits
Quick Apply
Travel ICU RN
Fusion Medical Staffing —Springfield, IL
- $2,180 - $2,320 a week
- Full-time
- Nursing
- RN License
- Computer literacy
- Disability insurance
- Health insurance
1d
Travel ICU RN
Fusion Medical Staffing —Springfield, IL
- $2,180 - $2,320 a week
- Full-time
- Nursing
- RN License
- Computer literacy
- Disability insurance
- Health insurance
1d
Medical Lab Scientist I - IP Lab Tech
Memorial Health —Springfield, IL
- $29.44 - $45.64 an hour
- Full-time
- Hospital
- Inpatient
- Outpatient experience
Registered Nurse Case Manager
Randstad Healthcare —Springfield, IL
- $35 - $38 an hour
- Contract
- RN License
- Mid-level
- Office
- AD&D insurance
- Disability insurance
Quick Apply
12d
Radiologic Technologist OP
Memorial Health —Chatham, IL
- $25.72 - $39.86 an hour
- Part-time
- CPR Certification
- Computer literacy
- BLS Certification
Senior Mortgage Loan Officer-Home Lending Center relocation
PNC Financial Services Group —Springfield, IL
- $37,440 - $44,990 a year
- Full-time
- Customer service
- Data analysis skills
- No degree
- Wellness program
- Health savings account
Senior Mortgage Loan Officer-Home Lending Center ILC
PNC Financial Services Group —Springfield, IL
- $37,440 - $45,157 a year
- Full-time
- Customer service
- Data analysis skills
- No degree
- Wellness program
- Health savings account
10d

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Program Integrity Manager

CVS Health -
Springfield, IL

Apply Now

Job Details

Full-time
$54,300 - $145,860 a year
12 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Cross-functional collaboration
Cross-functional communication

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 Program Integrity Manager serves as a key leader supporting Medicaid Program Integrity, Payment Integrity, and Special Investigations Unit (SIU) activities. This role is responsible for ensuring compliance with state and federal requirements, supporting fraud, waste, and abuse (FWA) prevention efforts, overseeing regulatory and contractual obligations, coordinating reporting and audit activities, and partnering with internal and external stakeholders to promote operational effectiveness and program integrity. The position works closely with health plan leadership, compliance, SIU, payment integrity vendors, and operational teams to support initiatives that improve performance, strengthen oversight, and ensure compliance with applicable requirements.

Required Qualifications

5+ years experience in Program Integrity, Payment Integrity, Special Investigations, Healthcare Compliance, Fraud, Waste and Abuse (FWA), Claims Operations, Healthcare Operations, or a related field.
Knowledge of healthcare regulatory and compliance requirements.
Strong analytical, organizational, communication, and problem-solving skills.
Ability to manage multiple priorities and work effectively in a collaborative environment.
Experience building relationships and working with cross-functional teams and external stakeholders.

Preferred Qualifications

Experience supporting Medicaid managed care programs.
Experience with regulatory reporting, audits, compliance initiatives, or operational oversight activities.
Experience working with SIU investigations, fraud prevention programs, vendor management, or payment integrity operations.
Knowledge of healthcare claims, provider reimbursement, payment accuracy, and program integrity practices.

Education

Bachelor's degree or equivalent combination of education and experience.

**We support a hybrid work environment. If selected and you live near a suitable work location, you may be expected to comply with the hybrid work policy. Under the policy, all hires for in-scope populations should be placed into a hybrid or office-based location, working onsite three days a week.
Aetna Service Operations office/hub locations will be discussed with the selected candidate.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,300.00 - $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 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: 08/15/2026

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

Apply Now

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regulatory compliance jobs in springfield, il

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5+ years experience in Program Integrity, Payment Integrity, Special Investigations, Healthcare Compliance, Fraud, Waste and Abuse (FWA), Claims Operations, Healthcare Operations, or a related field.

Knowledge of healthcare regulatory and compliance requirements.

Strong analytical, organizational, communication, and problem-solving skills.

Ability to manage multiple priorities and work effectively in a collaborative environment.

Experience building relationships and working with cross-functional teams and external stakeholders.

Preferred Qualifications

Experience supporting Medicaid managed care programs.

Experience with regulatory reporting, audits, compliance initiatives, or operational oversight activities.

Experience working with SIU investigations, fraud prevention programs, vendor management, or payment integrity operations.

Knowledge of healthcare claims, provider reimbursement, payment accuracy, and program integrity practices.

Education

Bachelor's degree or equivalent combination of education and experience.