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State Consultant – Product and Regulatory Approvals

CVS Health
$43,700- $107,200/ year
Posted Apr 17
Full Time
On SiteHartford, Connecticut
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Position Summary

Responsible for researching, analyzing and interpreting state regulatory requirements, developing and drafting state-specific benefit contract language, preparing and managing regulatory submissions and negotiating to approval, and various compliance activities all in support of development, implementation and ongoing support of CVS Health products, programs and initiatives.

 

Responsibilities:

  • Filings that comply with state and federal regulatory requirements, support business requirements, and meet business expectations and needs.

  • Proactively project manage each filing project, working with internal business partners, counsel, and regulators to ensure accurate and compliant contract content that achieves business objectives:

  • Negotiate and resolve business or compliance conflicts and product/business changes.

  • Facilitate and expedite resolution of issues pertaining to product and legislative filings.

  • Proactively manage relationships with business partners and regulators.

  • Provide timely follow-up and response.

  • Negotiate regulatory objections.

  • Obtain regulatory approvals within aggressive timelines.

  • Effectively manage multiple complex filings, projects, and priorities (often simultaneously) to ensure that filings and projects reflect P&RA and business priorities and meet P&RA filing deadlines and metrics. Provide early alerts to management when deadlines are in jeopardy and strategize with management on solutions.

  • Adhere to regulatory and internal filing requirements and procedures.

  • Build, maintain and promote positive and effective working relationships with state/federal regulators, internal business partners, and legal/compliance partners.

  • Work closely with counsel and compliance staff to promote and enforce compliance with state/federal laws and regulations and implementation of risk management policies.

  • Effectively use P&RA filing and reporting systems and company resources (e.g., QuickBase, SharePoint). 

  • Identify opportunities to streamline processes and improve efficiencies within P&RA and with key business partners.

  • Exhibit behaviors and values outlined in CVS Health’s How We Work Behaviors and the P&RA Way, acting with professionalism and integrity.

  • Effectively communicate with multiple levels of the organization.

  • Serve as a regulatory subject matter expert for business, compliance, and legal partners.

 

Required Qualifications

  • 3+ years of industry, regulatory or legal experience (with bachelors degree)

  • 5+ years of industry, regulatory or legal experience (without bachelors degree)

 

Preferred Qualifications

  • Develop, draft, submit and negotiate timely approval of high-quality regulatory

  • Excellent analytical, problem solving, and critical thinking skills. Demonstrated ability to think strategically.

  • Ability to navigate multiple software environments/technically savvy.

  • Strong project management skills, the ability to manage multiple priorities  simultaneously, and proven ability to work both independently and on a team.

  • Excellent written and verbal communication skills, and the ability to interact effectively with different audiences.

  • The ability to “manage up” and communicate effectively with various levels of the organization.

  • Demonstrated ability to take on progressively more challenging projects.

  • Strong understanding of the healthcare industry and regulatory environment, including in-depth knowledge of Aetna products, services,   business units and administrative procedures.

  • Experience with SERFF, QuickBase and SharePoint a plus.

 

Education

Bachelor's degree or equivalent experience. Paralegal certificate beneficial.

 

Pay Range

The typical pay range for this role is:

 

$43,700.00 – $107,200.00

 

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. 
 
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.