Senior Manager Market Conduct Exams

CVS Health•Work At Home-Arizona, IN

9d•$67,900 - $182,549

About The Position

As a Market Conduct Exam Sr Manager, you will play a key role in planning, monitoring, and managing internal projects for Market Conduct Exams from initiation through completion. You will leverage your business expertise between various Market Conduct Exams to ensure that Aetna Pharmacy is meeting compliance standards relating to Market Conduct Exams and state regulations. This role will require securing required resources and using formal processes and tools to manage resources, budgets, risks, and changes. You will work closely with cross-functional teams to help prioritize responses to ensure on-time completion.

Requirements

Attention to detail
Analytical and problem-solving skills
Superior critical thinking skills
Effective time management, organizational and prioritization skills
Ability to quickly grasp business concepts, objectives, and strategies
Collaborate effectively and professionally with internal and external partners
Demonstrate excellent and effective verbal and written communication skills with the ability to convey information to internal and external clients in a clear, accurate, and concise manner.
Experience managing simultaneous projects with multiple deliverables.
7+ years project management experience in the healthcare and/or pharmacy industry
Adept at problem solving and decision-making skills
Adept at collaboration and teamwork
Adept at growth mindset (agility and developing yourself and others) skills
Adept at execution and delivery (planning, delivering, and supporting) skills
Adept at business intelligence

Nice To Haves

Knowledge of fully insured health plans
Understanding of legal requirements
Experience with compliance, audit, market conduct exams

Responsibilities

Act as a top-level specialist on completion of Market Conduct Exams by independently collecting facts and utilizing strong clinical analytical capabilities to provide guidance on Market Conduct Exams
Research and respond to complex compliance requests for information within area of responsibility
Monitor pharmacy compliance activities to identify and report trends to support and build out a streamlined process for Market Conduct Exams.
Collaborate with teams to identify and/or develop responses and identify potential changes to ensure compliance.
Assist the compliance regulatory team with gathering information and developing responses for Market Conduct Exams.
Help refine business needs analysis methods to establish requirements and specifications for processes improvement.
Create required project and program plans to ensure alignment with business objectives and reinforce organizational standards.
Coach and support junior-level project and program managers on coordination and completion of Market Conduct Exams using key performance indicators (KPIs) to measure progress and analyze project and program outcomes.
Facilitate knowledge sharing among project teams to highlight success stories and improve project and program management practices through insights.
Create a continuous improvement plan and design the change management protocol to enhance delivery processes and outcomes and effectively respond to obstacles that may arise during project and program lifecycles