Manager, Regulatory Resolution Team

Job not on LinkedIn

November 18

🦌 Connecticut – Remote

Although this job is listed in Connecticut, this company may be open to hiring remote in other states.

🌽 Illinois – Remote

Although this job is listed in Illinois, this company may be open to hiring remote in other states.

+1 more states

🦌 Connecticut – Remote 🌽 Illinois – Remote ⚓ Rhode Island – Remote

💵 $60.3k - $145.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🚔 Compliance

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CVS Health

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Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

📋 Description

• Review and draft all responses to member and provider regulatory complaints • Work collaboratively across multiple internal stakeholders and experts to ensure accurate and complaint responses • Strategically manage complex complaints to resolution, escalating to leadership as appropriate • Ensure responses are consistent with internal policies, state and federal requirements • Ensure responses are concise, accurate and written with an eye towards the regulator recipient • Ensure responses are timely and complete, meeting all regulatory due dates

🎯 Requirements

• 5+ years of experience in health care industry or regulatory environment • 3+ years of experience in claim and payment policies and administration, operational, and clinical policies

🏖️ Benefits

• Affordable medical plan options • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility