At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

The Mental Health Parity Business Team is responsible for managing and responding to a variety of external Mental Health Parity requests across the Health Care Business. This could include any combination of state regulatory reporting, Department of Labor audits or proactive plan sponsor requests. As a member of this team, you will project manage the requests ensuring a quality, timely response to the requesting party. To be successful, you need to understand the resources you have available to you and know where and how to get responses to new or custom information. You will be a member of a team, but you must be able to act independently in a fast-moving environment. 

This role will be responsible for ensuring parity compliance with our financial and quantitative treatment limits (QTL) requirements and requires in-depth knowledge of product and benefit design. You will also be required to apply your knowledge of tools related to product, quoting, plan set-up and legislative analysis to research and understand and identify any impacts to mental health parity compliance.

• Focus on key functions related to state reporting, DOL audits and plan sponsor support to demonstrate parity compliance.

• Meet Aetna member and compliance commitments by providing MHP-related performance information to various regulatory entities and plan sponsors.  

• Best-in-Class parity thought leader and MHP carrier of choice

• Timely, accurate responses to state regulatory and federal compliance oversight requests

• Thoughtful and knowledgeable parity support and consultation for self-insured plan sponsors

• Use existing experience with setting up plans, coding benefits and interpreting benefits in systems to ensure compliance with mental health parity requirements

Required Qualifications

• 10 years of healthcare business/insurance industry experience

• 5-7+ years of successful project management experience

• Demonstrated analytical and organizational skills

• Superior critical thinking and decision-making skills

• Ability to quickly grasp business concepts, objectives, and strategies

• Ability to communicate effectively, both oral and written

• Strong attention to detail

• Well organized and able to manage multiple tasks while meeting deadlines within a fast-paced environment

Preferred Qualifications

• Experience with or understanding of Mental Health Parity

• Experience with commercial medical products, pharmacy and behavioral health benefits 

• Experience with interpretation and/or implementation of state and federal mandates and how they may impact medical and behavioral health benefits

• Experience setting up plans, coding benefits and interpreting benefits in systems e.g. CCI, BPLV, PIPP (Plan Installation Policy and Procedure), LAT (Legislative Analysis Tool)

• Experience reading and writing product and benefit rules and using tools to identify product standards e.g. AQC, CPQ, ePolicies, Product Guidance, Plan and member documents

• Ability to concisely summarize large amounts of information and data

• Experience communicating with customers, consultants, legal, and all levels of management

• Strong written and oral skills

• Collaboration and facilitation

• Experience with project management fundamental skills Strong MS Office skills

We support a hybrid work environment. If selected and you live near a suitable work location, you may be expected to comply with the hybrid work policy. Under the policy, all hires for in-scope populations should be placed into a hybrid or office-based location, working onsite three days a week.

Aetna Service Operations office/hub locations will be discussed with the selected candidate.

Education

• BS/BA or equivalent work experience

Pay Range

The typical pay range for this role is:

$67,900.00 - $182,549.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.  This position also includes an award target in the company’s equity award program. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an 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.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 09/18/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.