Pharmacy Benefit Manager Regulatory Filing Specialist

CVS Health•Work At Home-Oklahoma, IN
•$46,988 - $91,800

About The Position

CVS Health is seeking a Regulatory Filing Specialist to support Pharmacy Benefit Manager (PBM) licensing and regulatory reporting. The role helps ensure compliance with state and regulatory requirements by managing licensing filings, conducting research, and supporting business partners across the organization. The ideal candidate has hands-on PBM licensing and reporting experience, strong organizational skills, and the ability to manage multiple deadlines in a fast-paced environment.

Requirements

  • At least 2 years of PBM licensing, regulatory filing, and reporting experience.
  • At least 2 years of project management experience.
  • Experience using SERFF, NIPR, and state filing portals.
  • Proficiency with Microsoft Word, Excel, and Teams.
  • Strong analytical, organizational, and problem-solving skills.
  • Ability to work independently and manage competing priorities.
  • Excellent written and verbal communication skills.
  • Ability to travel up to 5%, including air travel.

Nice To Haves

  • Paralegal Certificate or legal research experience.
  • Ability to interpret legislation and conduct legal research.
  • Knowledge of Pharmacy Benefit Manager (PBM) regulations and operations.
  • Bachelor's degree preferred; equivalent relevant work experience may be considered in place of a degree.

Responsibilities

  • Manage PBM licensing and regulatory reporting activities.
  • Coordinate and submit regulatory filings through SERFF, NIPR, and state filing portals.
  • Monitor compliance requirements and help ensure adherence to applicable regulations.
  • Research regulatory and legal issues and provide recommendations to stakeholders.
  • Maintain accurate records and documentation for licensing and compliance activities.
  • Support audits, monitoring activities, and internal compliance initiatives.
  • Communicate with regulators as needed regarding filings and compliance matters.
  • Partner with cross-functional teams to provide timely compliance guidance.
  • Manage multiple projects and regulatory deadlines simultaneously.

Benefits

  • Medical coverage
  • Dental coverage
  • Vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs
  • Other resources, based on eligibility
  • Eligible for a CVS Health bonus, commission, or short-term incentive program
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