Senior Manager, Corporate Compliance Pharmacy Benefit Manager (PBM) Market Conduct Exam Support

Senior Manager, Pbm Market Conduct Exam Support

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.

The Corporate Compliance Market Conduct Exam Center of Excellence is currently looking for a dynamic individual to join our team in a Senior Manager role. This position performs highly complex support work concerning market conduct exams directed at CVS Caremark and Pharmacy Benefit Management (PBM) operations. In this role, you will support the Corporate Compliance Market Conduct Exam function by coordinating highly sensitive, complex exam work and deliverables gathered from internal PBM business partners for submission to state regulatory agencies and their contracted auditing organizations.

As a Senior Manager, PBM Market Conduct Exam Support, you will:

• Support the planning, administration, and execution of PBM market conduct exams and compliance activities in alignment with Corporate Compliance priorities, regulatory requirements, and industry best practices.
• Coordinate the execution of PBM compliance processes supporting risk assessments, business process reviews, exam responses, findings remediation, and corrective action plans.
• Manage complex PBM market conduct exam requests and deliverables by coordinating cross-functional business partners, tracking progress, maintaining defensible documentation, and ensuring timely submission of regulatory responses.
• Lead day-to-day execution of assigned market conduct exams, including prioritizing work, identifying risks, resolving issues, and escalating sensitive matters to the Lead Director, as appropriate.
• Support consistent exam governance by following established market conduct exam workflows, communication standards, and documentation requirements while identifying opportunities for process improvement.
• Provide coaching, guidance, and work direction to team members while supporting employee development and fostering collaboration across the Market Conduct Exam Center of Excellence.
• Contribute to the continuous improvement of PBM market conduct exam capabilities through process enhancements, reporting, tools, and automation initiatives designed to improve efficiency, transparency, and regulatory outcomes.

Required Qualifications:

• 7+ years of combined experience in Compliance, Regulatory, Legal, or Market Conduct Exam roles, including experience with PBM operations.
• Excellent analytical, verbal, and written communication skills.
• Demonstrated ability to manage complex, multi-state regulatory exams and competing priorities while meeting strict deadlines.
• Proven experience coordinating cross-functional teams and working effectively across multiple business areas.
• Ability to communicate effectively with all levels of management and escalate high-risk or sensitive issues appropriately.
• Proven ability to build collaborative relationships, influence outcomes, and drive execution across multiple stakeholders.
• Ability to travel up to 10% (including by plane)

Preferred Qualifications:

• Prior experience in relevant auditing or market conduct exam roles within PBM environments.
• Prior experience as a state or third-party market conduct examiner.
• Experience coordinating regulatory response development, exam support activities, and corrective action plans.
• Experience developing and interpreting management reporting and analytics, including an understanding of data structures, relational data concepts, and the use of reporting and visualization solutions to support regulatory oversight, exam management, and compliance decision-making.
• Project management experience supporting large, complex regulatory initiatives.
• Experience building and maintaining productive relationships with internal business partners, state regulators, and third-party auditors.

Education:

• Bachelor's Degree; equivalent years of related professional work experience may substitute
• Juris Doctor (JD) preferred

Pay Range

The typical pay range for this role is:

$82,940.00 - $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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full?time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well?being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.