CVS Health
CVS Health
CVS Health is an American healthcare company working across healthcare services, health insurance, pharmacy benefits management, and retail pharmacy. Through businesses including Aetna and CVS Caremark, it supports health coverage, prescription access, condition management, specialty medications, and mail-order pharmacy services. Its neighborhood pharmacies and broader care offerings are designed to help people access essential healthcare more conveniently and affordably. CVS Health brings together insurance, pharmacy, and health services to support individuals and communities throughout their care journeys.

CVS Health Business Compliance Manager, Requests for Information

Oversee regulatory information requests across CVS Health operations and jurisdictions. Lead analysts and coordinate compliant responses with Legal, Compliance, and Operations.

Description

  • Lead the team handling official information requests from regulators, state departments, law enforcement, and internal stakeholders.
  • Ensure sensitive data and documents are accurate, timely, and compliant across business lines and jurisdictions.
  • Manage requests from intake and triage through coordination, review, and delivery.
  • Meet response deadlines and maintain accountability for request-related work.
  • Lead Senior Reporting Analysts, including team members with remote notary credentials.
  • Work with Legal, Compliance, and Operations to keep responses transparent and consistent.

Requirements

  • At least three years managing regulatory responses, compliance deliverables, or administrative operations for regulatory departments.
  • Advanced knowledge of problem-solving and decision-making methods.
  • Seven to ten years of experience in managed care operations, compliance, regulatory affairs, or a related healthcare function.
  • Strong analytical and problem-solving abilities, including experience with data analysis and process management.
  • Detailed knowledge of regulatory standards, compliance requirements, and state-specific reporting obligations.
  • Excellent communication and leadership skills.
  • Experience testifying in court or formal legal proceedings, such as depositions and regulatory hearings.
  • Strong understanding of requirements for handling PHI and PII, including HIPAA, CMS, and applicable state guidelines.
  • Proficiency with Microsoft Excel, SharePoint, and case management systems.
  • Ability to work independently and collaboratively in a fast-paced setting.
  • Experience supporting training, quality, or process improvement initiatives.
  • A bachelor’s degree in Criminal Justice, Healthcare Administration, Business, or a related field is preferred. Equivalent professional experience and specialized training may be considered instead of a degree.

Benefits

  • Medical coverage
  • Dental coverage
  • Vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs
  • Resources supporting physical, emotional, and financial well-being
  • Eligibility for CVS Health bonus, commission, or short-term incentive programs

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