Senior Manager, Medicare Business Compliance

About the Role We’re building a world of health around every individual—shaping a more connected, convenient, and compassionate health experience. At CVS Health®, you’ll work closely with passionate colleagues who innovate, prioritize safety, and drive operational excellence. Responsibilities Oversee the implementation and ongoing interpretation of Medicare laws, regulations, and regulatory guidance, ensuring timely and accurate execution across impacted business areas. Serve as a subject matter resource for inquiries and lead responses to audit and data requests from regulators, auditors, and internal oversight partners. Interpret regulatory guidance, assess compliance gaps, identify root causes, and design and implement sustainable corrective action plans. Routinely communicate project status, risks, and outcomes to senior leaders and executive stakeholders, translating complex regulatory requirements into clear, actionable business guidance. Oversee new and updated regulatory guidance implementation, lead Annual Enrollment Period (AEP) readiness activities across multiple business areas, proactively identify and mitigate operational risks, and coordinate audit and regulatory responses. Contribute to regulatory compliance, operational stability, and overall member satisfaction. Required Qualifications Project Management: 5+ years of experience leading complex initiatives from planning through execution and delivery. Systems Expertise: Hands‑on experience with QuickBase. Communication Skills: Demonstrated strong oral and written communication skills. Executive Communication: Proven ability to communicate effectively with leaders at all levels, including executive leadership. Problem Solving & Decision Making: Strong analytical skills with the ability to assess issues, evaluate options, and make sound decisions. Collaboration & Teamwork: Adept at working collaboratively across cross‑functional teams to achieve shared goals. Growth Mindset: Demonstrated agility and commitment to continuous learning, development, and coaching of others. Execution & Delivery: Strong capability in planning, delivering, and supporting initiatives to achieve intended outcomes. Regulatory Expertise: Strong knowledge of Medicare regulations and regulatory guidance. Preferred Qualifications 5+ years Medicare operational experience. Aetna systems experience. Regulatory compliance experience. Hybrid Work Environment 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. 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 Bachelor’s degree or equivalent work experience. Pay Range The typical pay range for this role is: $82,940.00 – $182,549.00. This 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. Benefits This full‑time position is eligible for a comprehensive benefits package supporting physical, emotional, and financial well‑being. Benefits include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. #J-18808-Ljbffr 4062 Aetna Resources, LLC