Senior Manager Business Regulatory Affairs

Job DescriptionThe Regulatory Affairs Senior Manager position is a crucial contributor to the Medicaid, Exchange, and Commercial regulatory and operations agenda of the Government Services division and broader PBM business. This position reports directly to the Director of Regulatory Affairs.This is a client facing management position that is responsible for coordinating, managing and assisting with Anthem regulatory oversight. In this position you will work closely with Anthem (IngenioRx) regulatory team, the client account team, legal, and many other internal departments to ensure accurate regulatory interpretation of mandates.You will be responsible for managing delegation audits pertaining to regulatory and compliance items including the timely and satisfactory resolution of exceptions identified during the audit process. This position will also be expected to identify process enhancement opportunities to reduce or eliminate risk of future audit exceptions.Duties and Responsibilities:- Proven ability to manage multiple concurrent projects to successful completion, and to use effective judgment in prioritization and time allocation - Lead team of 3 - 4 Managers - Develop and maintain effective relationships with cross-functional teams - Be able to provide comprehensive market insights for key areas of priority for CVS Health's Medicaid, Exchange, and Commercial lines of business - Be able to read, interpret, and clearly explain complicated documents, including complex legislation and regulations- Support various business units and the strategic priorities of those business units as appropriatePay RangeThe typical pay range for this role is:Minimum: 75,400Maximum: 158,300Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.Required Qualifications- 5-7 years experience working in health plan or PBM compliance, audit or regulatory affairs;- 3 years experience supporting health plan audits, CMS audits, delegation vendor oversight audits. - Familiar with Medicare and Medicaid government program requirements.- 5 years of people leadership/team managementCOVID RequirementsCOVID-19 Vaccination RequirementCVS 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.Preferred Qualifications- 5 years PBM experience- 5 years health plan experience.EducationBachelors or 4 years equivalent work experienceBusiness OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Created: 2026-05-02