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Senior Manager, Project Management – Pharmacy Compliance
CVS HealthCVS Health senior manager leading pharmacy compliance and regulatory initiatives across Aetna health plan programs. Driving readiness, risk mitigation, cross-functional delivery, and project manager development.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in regulatory compliance and pharmacy benefit management, with a strong focus on leading cross-functional initiatives and ensuring operational effectiveness. Proven ability to mentor project managers and drive strategic compliance initiatives across healthcare functions.
Highest-signal resume keywords
Pharmacy Benefit ManagementRegulatory AffairsProject ManagementHealthcare Legislation InterpretationStakeholder Engagement
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Regulatory ComplianceOperational ProcessesImpact AssessmentsUtilization ManagementPrior AuthorizationProcess ImprovementAnalytical SkillsProblem-SolvingDecision-Making
Soft Skills
CommunicationCollaborationLeadershipMentoringInfluencing
Tools & Technologies
Microsoft Office SuiteExcelOutlookPowerPointSharePointTeams
Certifications & Qualifications
Project Management Professional
Industry Keywords
Healthcare CompliancePharmacy OperationsManaged HealthcareRegulatory RequirementsCompliance Governance
Tech Stack
Tools & technologiesPMP
About the role
Key responsibilities & impact- Lead strategic compliance initiatives and complex cross-functional projects impacting pharmacy programs and prescription drug products administered through the pharmacy and medical
- Serve as a subject matter expert on legislation, regulatory requirements, and compliance initiatives
- Provide regulatory interpretation, impact assessments, and implementation guidance
- Oversee compliance activities and operational processes, including prior authorization and utilization management requirements for prescription drug products processed through the medical benefit
- Partner with Pharmacy, Medical Pharmacy, PBM, Legal, Clinical, Operations, and business stakeholders to implement regulatory changes
- Mitigate compliance risks and ensure business readiness
- Support regulatory inquiries, audits, reporting, monitoring activities, and compliance governance efforts
- Drive regulatory readiness, process improvement, and operational effectiveness across compliance programs
- Mentor and develop project managers
- Help shape compliance strategy and execution across the organization
Requirements
What you’ll need- 7+ years of experience in pharmacy benefit management, pharmacy operations, managed healthcare, compliance, regulatory affairs, or related healthcare functions
- 5+ years of project management experience, including leadership of complex compliance or regulatory initiatives
- Strong knowledge of healthcare regulatory environments and legislative review processes
- Proven ability to lead cross-functional teams and manage multiple high-impact initiatives simultaneously
- Strong analytical, problem-solving, and decision-making skills
- Exceptional communication, collaboration, and stakeholder engagement skills
- Proficiency in Microsoft Office Suite, including Excel, Outlook, PowerPoint, SharePoint, and Teams
- Role can be located anywhere in the Mainland United States
- Experience interpreting and implementing healthcare legislation and regulatory requirements
- Knowledge of pharmacy benefit programs and prescription drug products administered through the medical benefit
- Experience supporting compliance programs, regulatory implementation activities, prior authorization, utilization management, or related operational processes
- Demonstrated ability to influence stakeholders and drive complex cross-functional initiatives in a highly matrixed environment
- Experience mentoring, coaching, or leading project managers and project teams
- Project Management Professional or other relevant project management certification is preferred
Benefits
Comp & perks- CVS Health bonus, commission or short-term incentive program
- Award target in the company’s equity award program
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being