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Position Summary:

***This position follows a hybrid working schedule of three days onsite and two days remote per week***

The Corporate Compliance PBM Business Compliance Office (BCO) is currently looking for a dynamic individual to join our team in a Lead Director role.  This position will perform highly complex support work concerning market conduct exams directed at CVS Caremark.  In this role, you will act as influential member assisting the CVS Health Corporate Compliance Market Conduct Exam team with exam work and deliverables gathered from internal business partners that will be provided to external state regulatory agencies and their contracted auditing organizations. 

As a Lead Director, PBM Market Conduct Exam Support within Corporate Compliance, you will:

• Contributes to planning and administration of company programs and initiatives that promote the Corporate Compliance area's agenda.
• Implements organizational policies, goals, and objectives based on best practices in the field.
• Controls all systems for compliance business process reviews and corrective actions.
• Communicates strategically across the organization to drive decision-making and influence ethical and compliant outcomes throughout all organizational levels.
• Counsels with cross-functional areas to respond to regulatory requests.
• Advises on organizational standards for compliance controls to help mitigate regulatory risks.
• Designs risk assessments, auditing, and monitoring to maintain effective compliance processes.
• Manages operational aspects of the team (e.g., budget, performance, and compliance), and implements workforce and succession plans to meet business needs.
• Partner with the PBM business and other internal teams including Legal to coordinate PBM market conduct exams.
• Directly interact with state regulators and / or third-party auditors / examiners as needed.
• Serve as intermediary between the state regulators/auditors and the PBM business owners.
• Lead the communication efforts between state regulators and CVS Caremark.
• Design a robust and efficient PBM market conduct exam process in coordination with the business and Legal partners.
• Direct a PBM market conduct exam team to:
  • Assist in the identification, prioritization, and completion of exam/audit deliverables.
  • Improve CVS Health’s PBM Market Conduct Exam communications and process flow standards across the CVS Caremark organization.
  • Support the development and delivery of any responses related to a CVS Caremark’s examination report / audit findings (recommendations).
  • Ensure strong and detailed record-keeping of all deliverables from business partners to examiners.
  • Monitor the creation and delivery of any CVS Caremark corrective action plans due to exam findings.
• Perform other duties as assigned.

In order to be successful in this role you must exhibit the following:

• Excellent analytical, verbal, and writing communication skills.
• Proven track record in meeting project milestones and deliverables.
• Experience with engaging, motivating, and managing multi-level teams across enterprise boundaries.
• Able to communicate effectively with all levels of management with timely escalation of any high-risk issues to senior management.
• Proven ability to influence decision making at all organizational levels.

Required Qualifications:

• 10+ years of combined experience in a PBM role/Market conduct exam role.
• Ability to travel up to 20%

Preferred Qualifications: 

• Prior experience in a relevant auditing or market conduct exam role in managed care, health care, or PBM.
• Prior experience as a state market conduct examiner.
• Prior experience in strategizing, planning, and developing business compliant audit project plans and corrective action plans.
• Prior project management experience.
• Prior experience in building relationships with state regulators / third-party auditors.
• JD.

Education:

• Bachelor’s degree required or equivalent years of related experience.

Pay Range

The typical pay range for this role is:

$100,000.00 - $231,540.00

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. 
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. 
 
For more detailed information on available benefits, please visit Benefits | CVS Health

We anticipate the application window for this opening will close on: 11/29/2024

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