Top 17 Director of compliance Jobs in Springfield Il

Lead Director - Corporate Compliance (IC)
CVS Health —Springfield, IL
- $100,000 - $231,540 a year
- Full-time
- System design
- Research
- Master's degree
- Health insurance
- Dental insurance
10d
Director Business Management & Data Products – Growth Analytics
CVS Health —Springfield, IL
- $144,200 - $288,400 a year
- Full-time
- Finance
- Bachelor's degree
- Continuous improvement
- Health insurance
- Dental insurance
National Accounts Lead Director, Clinical Program Consultant (CPC)
CVS Health —Springfield, IL
- $100,000 - $231,540 a year
- Full-time
- 7 years
- Licensed Clinical Social Worker
- Bachelor's degree
- Health insurance
- Dental insurance
8d
Director , Product Management - AI Claims Platform
CVS Health —Springfield, IL
- $144,200 - $288,400 a year
- Full-time
- Computer Science
- 3 years
- Bachelor's degree
- Health insurance
- Dental insurance
Meritain Director, Pharmacy Client Management
CVS Health —Springfield, IL
- $68,000 - $174,134 a year
- Full-time
- Analysis skills
- Bachelor's degree
- Travel
- Health insurance
- Dental insurance
Information Security Architect
Hospital Sisters Health System —Springfield, IL
- $61.43 - $92.15 an hour
- Full-time
- Remote
- Azure
- Computer Science
- System design
- Wellness program
- Disability insurance
9d
Program Director
The Outlet —Springfield, IL
- $60,000 - $70,000 a year
- Full-time
- Background check
- School experience
- Classroom
- Paid time off
- Professional development assistance
Quick Apply
4d
Director, Property & Casualty Business Area Compliance
Horace Mann —Springfield, IL
- $105,200 - $147,950 a year
- Remote
- 8 years
- High school diploma or GED
- Bachelor's degree
Quick Apply
Associate Director of Public Safety and Emergency Management SMS-3813
SIU Medicine —Springfield, IL
- Day shift
- 8 years
- Driver's License
- University
- Paid holidays
- Disability insurance
Program Director - Assistant/Associate Professor of Clinical Psychiatry - SMS-3714
SIU Medicine —Springfield, IL
- $232,500 - $262,500 a year
- Weekends as needed
- Medicine
- Psychiatry
- Internal Medicine
- Paid holidays
- Disability insurance
Program Director
LifeWise Academy Inc —Springfield, IL
- Part-time
- Mid-level
- Recruiting
- Retirement plan
Asst/Assoc Prof of Clinical Psych/Assoc Residency Program Director, Integrative Psychiatry-SMS-3779
SIU Medicine —Springfield, IL
- $222,500 - $244,750 a year
- Weekends as needed
- Medicine
- Psychiatry
- Inpatient
- Paid holidays
- Disability insurance
Nursing Program Director - Rio Grande Valley Texas
Confidential —United States
- Full-time
- Remote
- Background check
- School experience
- Spanish
- Health savings account
- Relocation assistance
Quick Apply
Family Medicine Medical Director Utilization Management
Amerihealth Caritas —United States
- Weekends as needed
- Hybrid work
- Medicine
- Physical & Rehabilitation Medicine
- 3 years
- Paid holidays
- Health insurance

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Director Business Management & Data Products – Growth Analytics
CVS Health —Springfield, IL
Influence and align cross-functional stakeholders, balancing competing priorities while driving execution in a fast-paced and evolving environment.
$144,200 - $288,400 a year
Director , Product Management - AI Claims Platform
CVS Health —Springfield, IL
Bachelor's degree required, preferably in a quantitative, analytical, or technical field (e.g., Data Science, Statistics, Computer Science, Health Informatics,…
$144,200 - $288,400 a year

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Lead Director - Corporate Compliance (IC)

CVS Health -
Springfield, IL

Apply Now

Job Details

Full-time
$100,000 - $231,540 a year
10 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Managed care
Managed care organization experience
Team leadership
Research
Health insurance knowledge
Project delivery management
Medicaid regulations
Project leadership

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

Senior level compliance position that is responsible for the management, execution, and oversight of the compliance program activities and deliverables of a Medicaid managed care organization operating in a highly complex regulatory environment. Oversees the activities of other compliance team members assigned to the market. This position is responsible for developing and maintaining systems and processes that demonstrate the principles of an effective Compliance program and promote compliant and ethical behavior in the assigned Medicaid health plan. Responsibilities include, but are not limited to:

Serve as the designated Compliance Officer for Aetna’s IL Medicaid health plan

Acts as the primary liaison to the state Medicaid agency, facilitating compliance and contract-related communications and activities.

Facilitates the preparation for and management of external audits conducted by state Medicaid and related agencies or partners (including the completion of quality reviews prior to submission) in conjunction with health plan leadership through final report and corrective action plan closure.

Lead and execute all elements of the Medicaid compliance program for Aetna’s IL Medicaid health plan.

Conduct research and develop recommendations to help develop compliant business operations, processes and policies in accordance with state specific Medicaid program requirements.

Develop compelling, strategic, and appropriate compliance related communications on behalf of the health plan in response to state Medicaid agency inquiries or requests.

Maintain an in-depth working knowledge of the health plan’s contractual, regulatory, and program policy related obligations as a Medicaid managed care organization and serve as a resource to health plan and growth partner staff for education, training, and business decision making purposes.

Ensure that current resource tools and other internal deliverables such as current contract library, regulatory reporting assignments, risk assessments, risk tracking lists, internal reporting systems and summaries, and other department wide tools are current and accessible to business partners to ensure the appropriate monitoring and oversight of health plan compliance processes.

Utilize systems unique to job functions, including standard-issue software such as Microsoft products and compliance specific tools such as Archer; maintain system documentation, serve as subject matter expert, train users of system, contribute to system design, oversight or maintenance.

Lead and direct oversight and monitoring activities to evaluate levels of compliance with new and existing Medicaid managed care organization requirements across the business; support business partners in the development of mitigation and corrective action plans and effectively escalate risks, concerns and other issues through appropriate channels.

Maintain positive, productive relationships with internal and external senior level constituents to effectively communicate and influence ethical and compliant outcomes.

Oversee the submission of required regulatory reports (standard and ad hoc), including the completion of high level quality reviews prior to submission and the maintenance of tracking systems and tools to document ownership, reporting requirements, and monitor timely delivery and acceptance of reports.

Provide training and guidance to less experienced team members to accomplish goals.

Other duties as assigned.

Required Qualifications

10+ years of previous experience in Medicaid or Medicaid managed care.
5+ years of roles that required use of project management skills and responsibilities.
2+ years of previous management experience.

Preferred Qualifications

Audit experience.

Master’s degree in Public Policy, Health Care Administration, Public Administration or similar fields or a law degree.

Education

Bachelors degree required or equivalent years of related experience.

Pay Range

The typical pay range for this role is:

$100,000.00 - $231,540.00

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: 08/17/2026

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

director of compliance jobs in springfield il

Lead Director - Corporate Compliance (IC)

Director Business Management & Data Products – Growth Analytics

National Accounts Lead Director, Clinical Program Consultant (CPC)

Director , Product Management - AI Claims Platform

Meritain Director, Pharmacy Client Management

Information Security Architect

Program Director

Director, Property & Casualty Business Area Compliance

Associate Director of Public Safety and Emergency Management SMS-3813

Program Director - Assistant/Associate Professor of Clinical Psychiatry - SMS-3714

Program Director

Asst/Assoc Prof of Clinical Psych/Assoc Residency Program Director, Integrative Psychiatry-SMS-3779

Nursing Program Director - Rio Grande Valley Texas

Family Medicine Medical Director Utilization Management

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