Manager, Corporate Compliance Pharmacy Benefit Manager (PBM) Market Conduct Exam Support

Corporate Compliance Manager

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

There are two positions associated with this posting and they are classified as hybrid to be filled in either Woonsocket, RI, Hartford, CT, Irving, TX, Northbrook, IL, Scottsdale, AZ, or Minneapolis, MN.

Position Summary

The Corporate Compliance PBM Business Compliance Office (BCO) is currently looking for a dynamic individual to join our team in a Manager role. This position will perform highly complex support work concerning market conduct exams directed at CVS Caremark. In this role, you will act as influential support member assisting the CVS Health Corporate Compliance Market Conduct Exam team with exam work and deliverables gathered from internal business partners that will be provided to external state regulatory agencies and their contracted auditing organizations.

As a Manager, PBM Market Conduct Exam Support within Corporate Compliance, you will:

• Support the internal CVS Health Corporate Compliance Market Conduct Exam team and other internal business partners (e.g., Legal, CVS Caremark business teams, etc.)
• Facilitate communication efforts between state regulators and CVS Caremark business owners.
• Assist in the identification, prioritization, and completion of exam/audit deliverables.
• Aid in the improvement of CVS Health's PBM Market Conduct Exam communications and process flow standards across the CVS Caremark organization.
• Support the development and delivery of any responses related to a CVS Caremark's examination report / audit findings (recommendations).
• Ensure strong and detailed record-keeping of all deliverables from business partners to examiners.
• Monitor the creation and delivery of any CVS Caremark corrective action plans due to exam findings.
• Perform other duties as assigned.

Required Qualifications

• 5-7 years of combined experience in a project manager/PBM role/Market conduct exam role.
• Excellent analytical, verbal, and writing communication skills.
• Strong prioritization and organizational skills to manage exam and corrective action plan deliverables.
• Able to communicate effectively with different levels within the organization.
• Work with other team colleagues to escalate potential high-risk issues to leadership.
• Proven ability to work independently and in collaboration with others.

Preferred Qualifications

• Prior experience in a relevant auditing or market conduct exam role in managed care, health care, or PBM.
• Prior experience in planning, developing, and coordinating business compliant audit project plans and corrective action plans.
• Prior project management experience.
• Prior experience in building relationships with state regulators / third-party auditors.

Education

• Bachelor's degree; OR equivalent experience

Anticipated Weekly Hours 40

Time Type Full time

Pay Range $60,300.00 - $132,600.00

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.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

We anticipate the application window for this opening will close on: June 27, 2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.