Senior Pharmacy Network Regulatory Compliance Advisor

This is a fully remote position, open to applicants in Arizona.

📋 Description

• Act as the subject matter expert on relevant guidance and regulations.

• Drive the implementation and continuous improvement initiatives to ensure compliance within the Pharmacy Network division.

• Collaborate with functional leaders to convert regulatory requirements into operational processes.

• Initiate necessary system enhancements to comply with regulatory standards.

• Identify, evaluate, and escalate business risks and impacts to senior leadership within the Pharmacy Network.

• Utilize knowledge of local, state, and federal regulations alongside related end-to-end processes.

• Address impacts on members and the pharmacy network, with the potential to extend scope to additional business areas.

• Act as a primary decision-maker for escalated client issues during the resolution of regulatory matters.

⛳️ Requirements

• Minimum of 7 years of professional experience, including a background in the healthcare sector.

• Experience in a matrix reporting environment.

• A Bachelor’s degree in Finance, Business, Actuarial Science, Mathematics, or equivalent professional experience is required.

• Advanced actuarial skills within the healthcare industry.

• Proficient in Microsoft Office applications.

• In-depth knowledge of relational databases and data warehousing.

• Advanced skills in SQL, OLAP, and SAS.

• Experience in strategic thinking, program management, and process reengineering within a cross-functional setting.

• Proven experience overseeing workstreams across Underwriting, Finance, Client Profitability, Implementation, and Data and Systems.

• Strong problem-solving capabilities, along with effective people management and leadership skills.

• Ability to manage, mentor, and inspire a team of highly skilled technical professionals.

• Excellent written and verbal communication abilities.

• Capacity to work independently and collaborate in a multidisciplinary team environment.

• Proven record of delivering efficiencies and solutions driven by end-user feedback.

• Experience managing complex workflows in a cross-departmental, team-oriented environment.

• Success in motivating others within a fast-paced, high-pressure setting.

• Experience in a geographically diverse organization.

🏝️ Benefits

• CVS Health bonus, commission, or short-term incentive program.

• Target award in the company’s equity award program.

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources supporting physical, emotional, and financial well-being.