Senior Manager leading regulatory inquiry responses for CVS Health's Regulatory Resolution Team. Ensuring compliance, team management, and stakeholder engagement for member satisfaction.
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
Staff management experience (preferred)
Adept at execution and delivery skills (preferred)
Adept at business intelligence (preferred)
Adept at collaboration and teamwork (preferred)
Mastery of problem solving and decision making skills (preferred)
Mastery of growth mindset skills (preferred)
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
Compliance Analyst supporting the approval and licensing of alcoholic beverages globally. Involves regulatory tasks, compliance reviews, and organizational duties in a dynamic environment.
Engagement Specialist managing client interactions at the Opportunity Center. Providing assessments and directing clients to appropriate resources for support.
Join a cross - functional team executing compliance reviews and managing motor vehicle record orders. Provide exceptional customer service and ensure data accuracy for consumer records.
Regional Compliance Manager overseeing compliance and performance in wraparound childcare services. Mentoring managers and ensuring Ofsted compliance across sites in Buckinghamshire, Northamptonshire, and Oxfordshire.
Client Onboarding & Compliance Specialist resolving client issues within a Payment Solutions company. Supporting customer onboarding and compliance for iGaming, eSports, and eCommerce sectors.
Senior Specialist managing regional regulatory projects and supporting compliance systems for healthcare company. Implementing digital strategy initiatives and collaborating with stakeholders through process improvement.
Leitung des Vertrags - und Versicherungsmanagements bei Klinikum Bayreuth. Verantwortung für Compliance und Schadensmanagement in einer spezialisierten Einrichtung der Maximalversorgung.
Manager Datenschutz & Compliance for Stadtwerke Potsdam GmbH maintaining data protection standards and compliance processes. Ensure transparency and auditable systems in data management across services.
Chargé de conformité environnementale & RGPD pour une entreprise digitale avec une forte Human Touch. Assurer la mise en conformité environnementale et de protection des données dans l'entreprise.
Governance, Risk & Compliance Officer focusing on data protection in a renowned international trading company. Overseeing GRC structures and compliance with data protection regulations.