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:
As a Senior Manager in the Regulatory Affairs space, you will have the opportunity to help shape and drive regulatory-related projects and initiatives in support of our clients. You will be client-facing, and work with internal and external stakeholders to provide regulatory consultative services regarding new or updated Federal/state guidance, aid in discussions of known deficiencies, identify potential risks, and lead the drafting of regulatory communications for clients. You will support regulatory activities for Medicaid, Exchange, and Commercial lines of business to ensure compliance with state and federal mandates which impact CVS Caremark or the clients we support.
Key responsibilities will include:
- Providing dedicated Medicaid, Exchange, and Commercial regulatory guidance and implementation support to Carelon. Having discussions with the client to explain our assessment and solution of the requirements.
- Supporting regulatory activities for Medicaid, Exchange and Commercial lines of business, which includes review of model contracts.
- Collaborating with business teams to draft best-in-class client communications on regulatory implementations to help drive a more positive health plan customer experience.
- Identifying potential regulatory risks and working with business partners to solve issues with a broad Government Programs perspective to propose innovative solutions.
- Advocating for the Client to our internal partners, and for CVS Caremark to the Client.
- Interacting with internal Client Advisors and Sales Executives to address new and existing business solutions.
- Support Internal and External stakeholder meetings and inquiries, including hosting weekly client alignment discussions.
- Monitoring daily regulatory mandate analyses to ensure regular compliance; and
- Supporting the internal Regulatory Affairs activities and agenda.
Your success will be dependent on your ability to interpret and communicate our regulatory position in a professional, yet comprehensible manner, and to act consultatively regarding regulatory requirement implementation. This role requires a high degree of adaptability and flexibility, and a strong dedication to the overall team. You will need to be a strong self-starter, be proactive, and able to make logical leaps with limited direction from management.
To be a candidate for this role, you will possess the following:
- Comfort with a high level of ambiguity, the ability to work autonomously, and strong critical thinking skills.
- Exceptional written and verbal communication skills, attention to detail, and ability to juggle multiple priorities across a large number of clients and projects.
**This role is remote and can be located anywhere in the US.
Required Qualifications:
- At least 5 years of health plan, PBM, and/or regulatory experience.
- At least 2 years of experience working cross-functionally with multiple internal and external stakeholders, driving the understanding and implementation oversight of initiatives.
- At least 2 years of experience responding to inquiries and drafting communications to a variety of stakeholders.
Preferred Qualifications:
- Comfort with both internal and client-facing environments.
- High level of emotional intelligence.
Education:
- Bachelor's degree, or an equivalent combination of education and experience required.
Pay Range
The typical pay range for this role is:
$67,900.00 - $199,144.00
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.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Skills Required
- At least 5 years of health plan, PBM, and/or regulatory experience.
- At least 2 years of experience working cross-functionally with multiple internal and external stakeholders.
- At least 2 years of experience responding to inquiries and drafting communications.
CVS Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about CVS Health and has not been reviewed or approved by CVS Health.
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Healthcare Strength — Healthcare coverage is positioned as comprehensive for benefits-eligible colleagues, including medical, dental, and vision with free preventive care and access to virtual care and select no-cost MinuteClinic services. Mental health support is also highlighted with no-cost confidential counseling sessions per issue.
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Retirement Support — Retirement benefits include a 401(k) with a dollar-for-dollar match up to 5% after meeting service and hours requirements. Ownership programs are also offered through an employee stock purchase plan with a stated purchase discount.
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Pay Growth & Progression — A companywide minimum wage floor establishes a baseline that is framed as a positive starting point in some roles and markets. Unionized or high-cost areas are described as having clearer wage scales and step-ups that can materially lift pay over time.
CVS Health Insights
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.
