Position Summary

Sr. Manager, Regulatory Affairs will be responsible for aligning the team with CVS Health imperatives and developing strategies to influence regulations which impact our Medicaid, Exchange, and Commercial products, employer group, health plan, coalition, TPA and Medicaid managed care clients. This Sr. Manager position is a crucial contributor to the Medicaid, Exchange, and Commercial regulatory and operations agenda for the broader PBM business. This position reports directly to the Director of Regulatory Affairs.

This position is responsible for demonstrating a deep understanding of our business and customers’ needs/expectations across the Medicaid, Exchange, and Commercial markets. This includes, but is not limited to:

Thinking strategically by identifying potential risks and mitigation strategies.
Keeping long-term strategic goals, short-term objectives, and budget initiatives in mind; and
Adjusting strategies to meet shifting priorities based on anticipated changes in the market
Development of client communications that reflect our operational steps related PBM delegated services.
Consultation with clients, consultants, and business partners regarding regulatory recommendations.

Required Qualifications

Minimum of 5 years of PBM or Health Plan experience required

Experience in strategic planning and time management and prioritization skills required, with the ability to communicate effectively with senior internal and external leadership
Proven skills in strategic thinking and analytical skills, with the ability to diagnose complex problems and recommend practical solutions
Requires the ability to think strategically about benefit plan design and administration and understand how benefit plan design can impact CVSH’s ability to meet State, Federal and CMS guidelines.
Ability to lead and influence others and to effect change across organizational boundaries, particularly with large employers, health plans (PBM clients), regulatory bodies, and trade associations.
Ability to develop relationships with key stakeholders and work cross-functionally to advance priorities, capitalize on new opportunities and drive solutions quickly to meet demanding time frames.
Ability to exercise professional judgment in analyzing and resolving client issues with little guidance
Proficient in Microsoft Office Suite with a focus on Excel, PowerPoint, Word, and Outlook
Excellent verbal and written communication skills (be comfortable articulating complex issues to all levels of management)

Preferred Qualifications

Experience with Medicaid, Exchange, or Commercial programs preferred

Education

Bachelor's Degree Required, Masters Preferred

Pay Range

The typical pay range for this role is:

$75,400.00 – $166,000.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through ColleagueRelations@CVSHealth.com If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.

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