Senior Manager, Market Conduct Exams

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🔥 10 minutes ago

🌵 Arizona, Idaho, +2 more states – Remote

🌵 Arizona – Remote 🥔 Idaho – Remote 🏈 Ohio – Remote 🤠 Texas – Remote

💵 $67.9k - $182.5k / year

⏰ Full Time

🟠 Senior

👔 Manager

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CVS Health

WebsiteLinkedInAll Job Openings

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

• Plan, monitor, and manage Market Conduct Exam projects from initiation through completion • Leverage business expertise across Market Conduct Exams to ensure Aetna Pharmacy meets compliance standards and state regulations • Secure resources and manage resources, budgets, risks, and changes using formal processes and tools • Work with cross-functional teams to prioritize responses and ensure on-time completion • Collect facts and use clinical analytical capabilities to provide guidance on Market Conduct Exams • Research and respond to complex compliance requests for information • Monitor pharmacy compliance activities, identify and report trends, and streamline Market Conduct Exam processes • Collaborate with teams to develop responses and identify potential compliance changes • Gather information and develop responses for Market Conduct Exams with the compliance regulatory team • Refine business needs analysis methods and establish process improvement requirements and specifications • Create project and program plans aligned with business objectives and organizational standards • Coach and support junior project and program managers using KPIs to measure progress and analyze outcomes • Facilitate knowledge sharing among project teams and improve project and program management practices • Create continuous improvement plans and design change management protocols to enhance delivery processes and outcomes

🎯 Requirements

• 7+ years of project management experience in the healthcare and/or pharmacy industry • Strong problem-solving and decision-making skills • Collaboration and teamwork skills • Growth mindset, agility, and developing-yourself-and-others skills • Execution and delivery skills, including planning, delivering, and supporting • Business intelligence skills • Attention to detail • Analytical and problem-solving skills • Superior critical thinking skills • Effective time management, organization, and prioritization skills • Ability to quickly grasp business concepts, objectives, and strategies • Ability to collaborate effectively and professionally with internal and external partners • Excellent verbal and written communication skills • Experience managing simultaneous projects with multiple deliverables • Knowledge of fully insured health plans • Understanding of legal requirements • Experience with compliance, audit, and market conduct exams • Bachelor's degree preferred or equivalent experience

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program • Award target in the company’s equity award program • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being