CVS Health

Manager, Network Audit, Government Oversight, Adherence

CVS Health

full-time

Posted on:

Origin:  • 🇺🇸 United States • Arizona

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Salary

💰 $60,300 - $132,600 per year

Job Level

Mid-LevelSenior

About the role

  • Lead and manage the daily processes, including timeline development and project management, as it relates to responding to regulatory agencies and their contracted auditing organizations.
  • Serve as intermediary between the BCO/auditors and the PBM Networks division business owners.
  • Assist in the identification, prioritization, and completion of exam/audit deliverables.
  • Improve CVS Health’s PBM Market Conduct Exam communications and process flow standards.
  • Prepare preliminary responses to examiner inquiries, criticisms, or findings.
  • Creating demonstratives and scenarios to assist auditor(s) with understanding compliance.
  • 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.
  • Work on multiple examinations to meet regulatory deadlines

Requirements

  • 5+ years professional work experience in Pharmacy Benefit Management Industry or healthcare industry
  • Minimum 3 + years’ experience in Network Services operations in key functional areas specific to regulator exam questions
  • Willing and able to travel to and work from the Scottsdale corporate office as required with minimal notice
  • Excellent analytical, verbal, and writing communication skills
  • Proven track record in meeting project milestones and deliverables
  • Experience with engaging, motivating, and managing cross-functionally across teams
  • Able to communicate effectively with all levels of management with timely escalation of any high-risk issues to senior management
  • Proven ability to work independently and in collaboration with solid organizational skills