Senior Manager - Regulatory Reporting Solutions

CVS Health • Scottsdale, AZ

19h

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 As the Senior Manager - Regulatory Reporting Solutions you will be a Subject Matter Expert (SME), and you'll be accountable for enterprise‑wide coordination, governance, and oversight of state and compliance reporting requirements. You will serve as the primary point of accountability for requirements intake, scope validation, client list governance, report template control, version management, and cross‑functional coordination across Compliance, Legal, and multiple reporting teams. You'll coordinate input from multiple reporting teams, merge and validate final output, and be accountable for submission of completed PBM, Medicaid, and Licensure regulatory and state reports.

Requirements

• 7+ years of work experience.
• Senior-level experience coordinating regulatory or compliance reporting across multiple teams or functions.
• Demonstrated experience governing intake processes, scope validation, and requirements management.
• Proven experience managing report templates, version control, and year‑over‑year change governance.
• Strong stakeholder management experience, including experience leading discussions with Compliance, Legal, and reporting teams.
• Experience operating in complex, matrixed environments with competing priorities and deadlines.

Nice To Haves

• Experience working with medical and/or pharmacy claims data.
• Familiarity with PBM, Medicaid, or state regulatory reporting environments.
• Experience partnering with data and analytics teams to validate methodologies and outputs.
• Experience supporting audit or compliance reviews related to regulatory reporting.

Responsibilities

• Lead engagement with Compliance and Legal to interpret state, PBM, Medicaid, and Licensure reporting requirements and validate scope.
• Own accountability for determining whether reporting requests are new, changed, or unchanged year over year.
• Ensure formal acknowledgment and documentation of scope decisions, including confirmation when no changes apply.
• Govern Salesforce intake for PBM, Medicaid, and Licensure reports to ensure cases are complete, accurate, and appropriately routed.
• Serve as the primary business partner to Compliance and Regulatory teams, ensuring requirements are clearly defined, complete, and actionable.
• Provide enterprise oversight and governance of client lists used for PBM, Medicaid, and Licensure regulatory reporting.
• Manage report templates, instructions, and year‑over‑year version control, collaborating with input‑providing teams to update templates, validate data accuracy, and work through requirement changes when templates are modified.
• Coordinate inputs from multiple reporting teams, merge outputs into final deliverables, and oversee quality and completeness prior to submission.
• Submit finalized PBM, Medicaid, and Licensure regulatory and state reports in accordance with defined timelines and requirements.
• Identify, assess, and escalate year‑over‑year inconsistencies that may pose compliance or audit risk.
• Establish and maintain centralized SharePoint repositories for state and regulatory reporting artifacts.
• Define, document, and enforce operating models, SOPs, and accountability frameworks.
• Build and sustain senior‑level relationships to resolve ownership disputes, enforce governance decisions, and reduce duplicated effort across teams.
• Maintain strong understanding of reporting data, methodologies, assumptions, and constraints.
• Interpret year‑over‑year results and understand the underlying data logic driving outcomes.
• Partner with analytical and reporting teams to validate measures, methodologies, and compliance interpretations.
• Apply analytical judgment when reviewing and validating consolidated report outputs.
• Support leadership efforts to reduce ad hoc reporting through standardized, repeatable reporting constructs.
• Contribute to definition and rationalization of reusable dimensions and metrics across PBM and Medicaid reporting where applicable.
• Participate in future‑state discussions related to automation and semantic layers, recognizing current capacity and delivery constraints.

Benefits

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

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Associate degree