Manager, Business Compliance - Data Analytics (Provider Networks), Remote

CVS Health • Michigan, ND

64d • Remote

About The Position

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 SummaryThe Manager, Business Compliance - Data Analytics supports network adequacy filings for the Commercial business. This role ensures compliance with state regulatory standards while driving process improvements, data integrity, and cross-functional coordination. The Manager serves as a subject matter expert, interfacing with Market Compliance Consultants (MCCs) and enterprise partners to complete complex network adequacy filings.Job DescriptionThe Manager is responsible for completing network adequacy filings, which differ by state. This position requires Excel and analytical skills to complete required filings.

Requirements

• Minimum 1 year work experience preferably in compliance, regulatory filings, and/or analytics
• Proven experience in data analytics
• Adept at problem solving and decision making; collaboration and teamwork; growth mindset; execution and delivery (planning, delivering, supporting).
• Strong Excel skills, including ability to use formulas, pivot tables, and data validation for compliance and network adequacy reporting

Nice To Haves

• Healthcare industry experience and knowledge
• Provide Network Management knowledge and understanding

Responsibilities

• Complete network adequacy filings for assigned commercial states, including data calls, templates, affidavits/attestations, cover letters, and supporting documentation.
• Manage deficiency and objection cycles from initial notice through resolution, including coordinating responses with internal stakeholders, preparing supporting documentation, and ensuring timely, regulator‑ready communications to achieve approval.
• Ensure high-quality, accurate, and timely submissions.
• Leverage Excel (data modeling, complex formulas, pivot reporting, automation) to support large-scale regulatory filings.
• Leverage and/or learn advanced analytics and visualization tools such as Power BI and Dataiku to aggregate, analyze, and present complex network adequacy data.
• Collaborate with MCCs and leaders to address regulators requests.
• Support responses to regulatory inquiries, audits, and escalations as it pertains to network adequacy filings.
• Implement best practices to complete network adequacy filings.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 5,001-10,000 employees