Senior Analyst – Business Compliance, Pharmacy Benefit Manager

Job not on LinkedIn

🔥 13 hours ago

🌵 Arizona, Connecticut, +9 more states – Remote

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💵 $47k - $91.8k / year

⏰ Full Time

🟠 Senior

🧐 Business Analyst

👻 Ghost score 0%

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Logo of CVS Health

CVS Health

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

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.

📋 Description

• Manage PBM licensing and regulatory reporting activities • Coordinate and submit regulatory filings through SERFF, NIPR, and state filing portals • Monitor compliance requirements and help ensure adherence to applicable regulations • Research regulatory and legal issues and provide recommendations to stakeholders • Maintain accurate records and documentation for licensing and compliance activities • Support audits, monitoring activities, and internal compliance initiatives • Communicate with regulators as needed regarding filings and compliance matters • Partner with cross-functional teams to provide timely compliance guidance • Manage multiple projects and regulatory deadlines simultaneously

🎯 Requirements

• 2+ years of PBM licensing, regulatory filing, and reporting experience • 2+ years of project management experience • Experience using SERFF, NIPR, and state filing portals • Proficiency with Microsoft Word, Excel, and Teams • Strong analytical, organizational, and problem-solving skills • Ability to work independently and manage competing priorities • Excellent written and verbal communication skills • Ability to travel up to 5%, including air travel • Ability to interpret legislation and conduct legal research • Knowledge of Pharmacy Benefit Manager (PBM) regulations and operations • Bachelor's degree preferred OR equivalent relevant work experience may be considered in place of a degree

🏖️ Benefits

• 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 • Other resources supporting physical, emotional, and financial well-being

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