Internal Auditor executing compliance and audit duties for security at International SOS. Collaborating with internal stakeholders to enhance information security practices.
About the role
- Manage the Regulatory Resolution Team at CVS Health responsible for member and provider regulatory complaints. Overseeing team performance, regulatory responses, and maintaining effective stakeholder relationships.
Responsibilities
- Manage and lead a group of colleagues responsible for pulling together responses to member and provider regulatory complaints
- Oversee the scheduling, drafting, timeliness and quality of regulatory responses
- Proactively monitor team case load, status of response letters and associated due dates
- Interface and negotiate with state and federal regulators, as needed
- Build, maintain and promote positive and effective working relationships with internal and external stakeholders
- Identify opportunities to streamline processes and improve efficiencies within the RRT and key business partners
- Encourage staff to embrace new processes and identify change management opportunities within the team
- Hold team accountable for meeting goals, due dates and expectations, identifying areas of individual performance concerns and coaching opportunities
Requirements
- 7+ years of experience in health care industry or regulatory environment
- 5+ years of experience in claim and payment policies and administration, operational, and clinical policies
- Bachelor's degree required or equivalent years of related experience
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
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Aquatic Resources Regulatory Specialist conducting aquatic resource delineations and assisting with permit applications for ICF. Collaborating with teams to support environmental compliance and restoration efforts.
Director Regulatory Affairs overseeing global regulatory activities and clinical submissions for Oncology products. Requires extensive experience in pharmaceutical regulations and leadership in project teams.
Product Safety Manager in Gap Inc.'s Product Safety & Trade Compliance team, ensuring safety and regulatory compliance for beauty and accessories. Collaborating across teams to implement safety strategies and manage risks.
Consultant/Project Manager for Technical GMP Compliance providing expertise to pharma and biotech industries. Involves mentoring and project management for compliance solutions in Switzerland.
Risk Management Consultant at Beneva focusing on governance, compliance and risk management in IT. Collaborating directly with teams to enhance practices and support stakeholders.
Privacy & Compliance Consultant role at TechSeed focusing on digital compliance and cybersecurity solutions with a strong emphasis on regulatory requirements.
Associate Director overseeing compliance and risk management at Clinica Sierra Vista. Leading strategic initiatives for regulatory compliance and risk reduction in healthcare deliveries.
Payments & Fraud Regulations Analyst coordinating between Payments, Fraud Operations, and Regulatory Compliance. Focus on monitoring payment activity, analyzing escalations, and internal reporting.
Senior Compliance Officer monitoring and analyzing adherence to federal and state compliance regulations. Leading efforts to ensure compliance with Collections laws within Navy Federal Credit Union operations.