Senior Manager, Regulatory Affairs

CVS HealthWork At Home-Arizona, MS
$67,900 - $199,144Remote

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. 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.

Requirements

  • 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.
  • 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.

Nice To Haves

  • Comfort with both internal and client-facing environments.
  • High level of emotional intelligence.

Responsibilities

  • 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.

Benefits

  • medical
  • dental
  • vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
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