Regulatory Affairs Senior Manager

Job DescriptionDo you want to use your skills to make an impact on a team and be a health care innovator? As a Regulatory Affairs Senior Manager, you will be responsible for supporting the company's strategic regulatory efforts with a concentrated focus on our Commercial (Health Plan and Employer plan), Exchange and Medicaid lines of business. You will have a direct impact on our ability to deliver exceptional state and federal level regulatory support to clients and will have significant influence in driving clients' level of confidence in CVS Caremark's ability to administer their plans. As a regulatory subject matter expert, you will be expected to participate in client facing meetings and engagements including educational/informational webinars, and finalists and new client implementation meetings. The Senior Manager is responsible for understanding state and federal regulatory requirements for PBM related topics including but not limited to formulary management, utilization management, prior authorization/appeals, and networks. The position requires a deep understanding of state and federal legislative and regulatory bodies, agencies, and processes. You will collaborate with key business area partners on the analysis and interpretation of regulatory requirements impacting our Commercial, Exchange, and Medicaid clients, and you will work with impacted business owners as a regulatory subject matter expert resource to assist with the evaluation of compliance. This position will require you to work independently in a collaborative team environment. You will need to dive into details and assist with summarizing regulations and their impacts for presentation to a senior leadership audience. Excellent communication skills are required as the Senior Manager will engage with various internal business partners and senior leadership related to regulatory implementations. As part of the CVS Caremark Regulatory Affairs team, the Senior Manager will be focused on driving a high level of client and internal business owner satisfaction related to regulatory interpretation and guidance. Your regulatory work will also focus on guiding client decision making in the context of regulatory requirements. This is a work from home opportunity from any location within the continental United States.Pay RangeThe typical pay range for this role is:Minimum: 75,400Maximum: 162,700Please 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 7 years of experience in one of the following categories: Medicaid and/or commercial health plan regulatory experience, pharmacy practice, PBM operations, or a combination of PBM and regulatory experience 2+ years of experience working cross functionally with multiple internal stakeholdersPreferred Qualifications Proficiency using Microsoft Excel, SharePoint, Microsoft Teams, or other collaborative workspace programs. Proven ability to understand and translate technical business processes to determine complianceEducation Bachelor's Degree, Bachelor of Science Pharmacy, Doctor of Pharmacy, or Juris Doctor preferred Equivalent combination of education and experience may be consideredBusiness OverviewBring your heart to CVS Health Every 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. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

Created: 2025-11-01