At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
The Aetna Pharmacy Health Plan Compliance team is seeking an experienced professional with Health Care compliance experience to join our team. Our mission is to assess the applicability of State and Federal regulations to our commercial Aetna pharmacy programs and benefit plans, to identify and track business and compliance risks and issues and to develop and implement action plans to become compliant. Our team collaborates with both the Aetna Health Plan business teams and with our CVS Caremark PBM colleagues to understand regulatory trends and to anticipate impacts. Our regulatory environment is ever-changing. Our team works with urgency to anticipate, understand and address new regulatory requirements which impact the Aetna Pharmacy Health Plan and to drive our organization to new levels of efficiency through continuous process improvement activities.
Successful candidates for this position will be able to:
Review and assess new state and Federal legislative requirements to determine applicability to the Aetna Pharmacy Health Plan.
Research impacts of new legislation to our existing systems, processes, policies and technology platforms.
Summarize and present new legislation and its applicability to the Aetna Pharmacy Health Plan to internal and external colleagues to make them aware of impacts to their business areas and to solicit their ideas and support for developing a solution to become compliant before the effective date of new mandates.
Collaborate closely with internal Health Plan and PBM business teams in a fast-paced environment.
Request reports and analyze data to understand the business impact of new legislation to fully insured Aetna commercial members and plan sponsors.
Participate in or lead work group discussions to understand and document the interdependencies of business areas to become compliant, present information and complex data in a clear and concise manner.
Develop project plans, document dependencies, engage resources and track project deliverables to completion.
Manage multiple compliance projects from end-to-end at the same time.
Adhere to team reporting metrics for mandate tracking.
Take ownership and accountability and demonstrate leadership in pursuit of compliance.
Join forces with team members to analyze and review incoming legislation.
Required Qualifications
A minimum of 5 years of experience in pharmacy benefit management, pharmacy operations or healthcare with regulatory experience.
A minimum of 3 years project management experience.
Strong organizational skills, problem solving skills and critical thinking capabilities.
Able to communicate to multiple levels of leadership.
Functions independently to meet deadlines while managing multiple competing priorities.
Proficient in MS Office Suite, including MS Excel, MS Outlook, MS PowerPoint, MS SharePoint and MS Teams.
Preferred Qualifications
General understanding of the legislative review process.
Capable of building the trust and respect of internal and external constituents.
Education
Bachelor's degree preferred or a combination of professional work experience and education.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$54,300.00 - $159,120.00This 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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 12/17/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Top Skills
What We Do
CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners.
Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.
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