Product and Regulatory Approvals - State Consultant

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
The Product and Regulatory Approvals - State Consultant researches, analyzes, and interprets state regulatory requirements. Develops and drafts state-specific benefit contract language. Oversees compliance activities all in support of the development, implementation and ongoing support of the organization's products, programs, and initiatives.

Responsibilities & Duties:

• 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 insurance industry, regulatory and/or legal experience.
Preferred Qualifications

• Excellent analytical, problem solving, and critical thinking.

• 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. Paralegal certificate.

Education

Bachelor's degree required or equivalent years of relevant experience.

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

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. 
 

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

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