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.
Senior Business Compliance Analyst, Pharmacy Benefits
Oversee pharmacy benefit manager licensing, regulatory filings, and compliance reporting at CVS Health. Support audits, research regulatory issues, and advise teams on compliance matters.
Description
- Oversee pharmacy benefit manager licensing and regulatory reporting.
- Prepare and submit regulatory filings using SERFF, NIPR, and state filing portals.
- Track compliance obligations and support adherence to applicable regulations.
- Research legal and regulatory questions and recommend actions to stakeholders.
- Keep licensing and compliance records accurate and current.
- Assist with audits, compliance monitoring, and internal initiatives.
- Liaise with regulators on filings and compliance issues when needed.
- Guide cross-functional partners on compliance matters in a timely way.
- Coordinate multiple projects and regulatory deadlines.
Requirements
- At least two years of experience with PBM licensing, regulatory filings, and reporting
- At least two years of project management experience
- Experience using SERFF, NIPR, and state filing portals
- Proficiency in Microsoft Word, Excel, and Teams
- Strong analytical, organizational, and problem-solving abilities
- Able to work independently and balance competing priorities
- Excellent written and spoken communication skills
- Willingness to travel up to 5%, including by air
- Able to interpret legislation and conduct legal research
- Knowledge of Pharmacy Benefit Manager (PBM) regulations and operations
- Bachelor’s degree preferred; equivalent relevant work experience may be considered instead
Benefits
- Eligibility for a CVS Health bonus, commission, or short-term incentive program in addition to base pay
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Resources supporting physical, emotional, and financial well-being