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Senior Manager, SOX and SOC Controls Governance

United States Employment contract 67900.00 - 199144.00 USD / Year · Job Posted November 08, 2025

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Job Description

Fast-paced healthcare provider support role intended to foster a positive provider experience by supporting the end-to-end process of defining and supporting SOC and SOX controls through collaborating with cross-functional teams. This position will support network across all lines of business at CVS Health.

Job Responsibility

  • Understanding business operations to identify gaps and areas where new controls are required
  • Facilitation of business process and control documentation, including developing new controls and ensuring controls are designed appropriately to effectively manage risk
  • Identify and proactively notify all impacted areas of control changes that may require enhancements, process changes, or other updates
  • Partner with stakeholders to continuously evaluate and recommend opportunities to reduce risk, strengthen the internal control environment, and introduce operational efficiencies
  • Independently collect facts, utilize strong analytical capabilities to recommend appropriate actions on complex matters, and effectively communicate status and results
  • Accountable for all steps within the life cycle of control testing including conducting walkthroughs with Internal and External auditors, maintaining Information Provided by Entity (IPE) and providing documentation as needed when audit selections are made
  • Responsible for monthly and bi-annual controls review, including audits of Provider Tab and Rate Wizard transactions, Fee Schedule, and Rate Load Tracking Database audits
  • Support audits out of QNXT and PRMS systems to support Medicaid SOC and SOX controls
  • Coordinate with applicable reporting areas as needed to ensure reports are generated timely and are continuously reviewed for process efficiencies
  • Must be able to effectively prioritize and review the status of assigned work to track progress and manage towards business objectives and compliance due dates
  • May be asked to support other projects as needed based on business need

Requirements

  • 5+ years compliance and/or audit experience in SOC and SOX controls
  • 5+ years of project management experience
  • Health insurance industry experience
  • Strong communication, critical thinking, problem resolution and interpersonal skills with proven ability to influence and collaborate with providers and internal partners at all levels
  • Excellent analytical and problem-solving abilities
  • Ability to work independently and manage multiple priorities
  • Detail-oriented with a high level of integrity and professionalism
  • Bachelor's degree preferred / specialized training / relevant professional qualifications

Nice to have

  • Advance working knowledge of business systems, applications, and tools supporting network management, contracting, and provider data systems
  • Experience in related business environment with exposure to provider data, processes, etc.

What we offer

  • Affordable medical plan options
  • 401(k) plan with matching company contributions
  • Employee stock purchase plan
  • No-cost wellness screenings
  • Tobacco cessation and weight management programs
  • Confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access
  • CVS Health bonus, commission or short-term incentive program
  • Company equity award program

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