Senior Business Compliance Manager, Meritain (TPA)

CVS Health•Amherst, MA

11d•$67,900 - $199,144•Hybrid

About The Position

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 The Senior Business Compliance Manager plays a key role in advancing operational effectiveness across Meritain Health by driving coordination, follow-through, and execution across high-priority work. This role partners across teams and stakeholders to lead operational planning, support leadership priorities, advance strategic initiatives, oversee corrective action efforts, and guide the development and review of policies and procedures. The position also provides senior-level oversight of workflow, deliverables, and cross-functional activities to help ensure priorities remain aligned and work moves forward effectively within a compliant environment. Manage a team of 10 – 12 individuals who monitor regulatory developments and potential impact of regulations impacting self-funded health plans and the company as a TPA. Responsible for independently assessing a variety of complex compliance risk-areas. Present and coordinate information cross-functionally to ensure operational success with internal and external stakeholders related to implementation of regulatory requirements. Strategize with the Director of Compliance to identify potential areas of compliance vulnerability and risk; aid in the development/implementation of corrective action plans for resolution of problematic issues. Monitor compliance activities to identify trends. Responsible for other duties/responsibilities as assigned. The position may be remote or hybrid anywhere in the US depending on candidate location and commute to a hub location

Requirements

7+ years’ regulatory experience in the health care compliance industry.
Experience with compliance, legislation regulations, and guidelines.
Experience leading and managing teams
Ability to manage projects and influence staff with minimal supervision.
Strong operational leadership, project coordination, and follow-through skills
Ability to manage multiple priorities and lead strategic and operational initiatives
Strong communication and collaboration skills across teams and stakeholders
Experience supporting executive priorities, deliverables, cross-functional alignment, and operational governance processes
Proficiency in Excel and other standard business tools
Strong attention to detail and accuracy

Nice To Haves

Knowledge of self-funded health plans and Third-Party Administrators.
Bachelor's degree preferred/specialized training/relevant professional qualification

Responsibilities

Manage a team of 10 – 12 individuals who monitor regulatory developments and potential impact of regulations impacting self-funded health plans and the company as a TPA.
Independently assess a variety of complex compliance risk-areas.
Present and coordinate information cross-functionally to ensure operational success with internal and external stakeholders related to implementation of regulatory requirements.
Strategize with the Director of Compliance to identify potential areas of compliance vulnerability and risk.
Aid in the development/implementation of corrective action plans for resolution of problematic issues.
Monitor compliance activities to identify trends.
Responsible for other duties/responsibilities as assigned.