Senior Product Regulatory Approvals Consultant

Save
You need to sign in or
create an account to save a job.
Job Description
Responsible for researching, analyzing and interpreting
state regulatory requirements, developing and drafting
state-specific benefit contract language, preparing and
managing regulatory submissions and negotiating to
approval, and various compliance activities all in support of development, implementation and ongoing support of CVS Health products, programs and initiatives.

- Develop, draft, submit and negotiate timely approval of
high-quality regulatory filings that comply with state and
federal regulatory requirements, support business
requirements, and meet business expectations and needs.
- Proactively project manage each filing project, working
with internal business partners, counsel, and regulators to
ensure accurate and compliant contract content that
achieves business objectives:
- Negotiate and resolve business or compliance conflicts
and product/business changes.
- Facilitate and expedite resolution of issues pertaining to
product and legislative filings.
- Proactively manage relationships with business partners
and regulators.
- Provide timely follow-up and response.
- Negotiate regulatory objections.
- Obtain regulatory approvals within aggressive timelines.
- Effectively manage multiple complex filings, projects, and
priorities (often simultaneously) to ensure that filings and
projects reflect P&RA and business priorities and meet
P&RA filing deadlines and metrics. Provide early alerts to
management when deadlines are in jeopardy and
strategize with management on solutions.
- Adhere to regulatory and internal filing requirements and
procedures.
- Build, maintain and promote positive and effective
working relationships with state/federal regulators, internal
business partners, and legal/compliance partners.
- Work closely with counsel and compliance staff to
promote and enforce compliance with state/federal laws
and regulations and implementation of risk management
policies.
- Effectively use P&RA filing and reporting systems and
company resources (e.g., QuickBase, SharePoint).
- Identify opportunities to streamline processes and
improve efficiencies within P&RA and with key business
partners.
- Exhibit behaviors and values outlined in CVS Health's
How We Work Behaviors and the P&RA Way, acting with
professionalism and integrity.
- Effectively communicate with multiple levels of the
organization.
- Serve as a regulatory subject matter expert for business,
compliance, and legal partners.

Required Qualifications
3+ years of industry, regulatory or legal experience

COVID Requirements
CVS Health requires its Colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, or religious belief that prevents them from being vaccinated.

If you are vaccinated, you are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 10 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 45 days of your employment. In some states and roles, you may be required to provide proof of full vaccination before you can begin to actively work. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.

If you are unable to be fully vaccinated due to disability, medical condition, or religious belief, you will be required to apply for a reasonable accommodation within the first 10 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. In some states and roles, you may be required to have an approved reasonable accommodation before you can begin to actively work. If your request for an accommodation is not approved, then your employment may be terminated.

Preferred Qualifications
- Excellent analytical, problem solving, and critical thinking
skills. Demonstrated ability to think strategically.
- Ability to navigate multiple software
environments/technically savvy.
- Strong project management skills, the ability to manage
multiple priorities simultaneously, and proven ability to
work both independently and on a team.
- Excellent written and verbal communication skills, and
the ability to interact effectively with different audiences.
- The ability to "manage up" and communicate effectively
with various levels of the organization.
- Demonstrated ability to take on progressively more
challenging projects.
- Strong understanding of the healthcare industry and
regulatory environment, including in-depth knowledge of
Aetna products, services, business units and administrative procedures strongly preferred.
- Experience with SERFF, QuickBase and SharePoint a
plus

Education
HSD or GED required
Bachelor's degree preferred
Paralegal certificate beneficial

Business Overview
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.