Lead Director, PBM Corporate Compliance

CVS Health

CVS Health PBM compliance leader overseeing Caremark regulatory programs, investigations, controls, and governance. Leading teams and embedding evolving state and federal requirements across operations.

Posted 8/7/2026full-timeScottsdale • Arizona, Minnesota, Rhode Island • 🇺🇸 United StatesSenior💰 $100,000 - $231,540 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive expertise in regulatory compliance and risk management within the PBM sector, with a strong focus on leading compliance initiatives, mentoring teams, and ensuring operational excellence. Proven ability to navigate complex federal and state regulations while fostering collaboration across cross-functional teams.

Highest-signal resume keywords

Regulatory Compliance LeadershipPBM Regulatory ExpertiseProject ManagementStakeholder ManagementTeam Development and Mentoring

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Regulatory ComplianceRisk ManagementAuditProject ManagementPBM EconomicsManufacturer ContractingRebate AdministrationClient OnboardingContract ComplianceOperational Readiness

Soft Skills

Exceptional CommunicationExecutive-Level PresentationStakeholder ManagementMentoringPerformance Management

Certifications & Qualifications

Bachelor’s DegreeAdvanced Degree Preferred (JD, MBA, MPH)

Industry Keywords

PBMHealthcareManaged CareFiduciary RequirementsPharmacy Reimbursement ParityPricing TransparencyState-Level ReportingAudit ObligationsAny-Willing-Pharmacy StandardsERISA

About the role

Key responsibilities & impact

Lead regulatory compliance initiatives for Caremark’s PBM business, including assessing new federal and state requirements and driving implementation across operations, systems, and controls
Partner with Legal and cross-functional stakeholders to embed compliance across business operations, processes, systems, and governance frameworks
Drive regulatory requirements and compliance initiatives through completion, validating effectiveness through evidence of compliance and establishing sustainable operational controls
Oversee PBM-related compliance investigations, including issue assessments, root cause analysis, reporting, executive updates, and corrective actions
Represent Compliance on enterprise governance committees and key business initiatives
Provide strategic compliance leadership and guidance to business partners while fostering regulatory accountability and operational excellence
Lead, mentor, and develop compliance professionals and people leaders through coaching, performance management, succession planning, and talent development

Requirements

What you’ll need

10+ years of combined experience in Compliance, Regulatory Affairs, Risk Management, Audit, Project Management, or similar oversight disciplines
Strong background leading major projects and mentoring project leaders
Ability to travel up to 10%-15%, including by plane
Deep expertise in PBM regulatory and operational domains, including PBM economics, manufacturer contracting, rebate administration, and client onboarding
Knowledge of federal and state PBM regulatory requirements, including rebate pass-through, pricing transparency, pharmacy reimbursement parity, state-level reporting and audit obligations, and Any-Willing-Pharmacy standards
Knowledge of contract compliance, ERISA-related changes, fiduciary requirements, and pharmacy complaint, dispute, and appeal processes
Demonstrated success leading large-scale compliance and regulatory programs and operational readiness initiatives in PBM, healthcare, pharmacy, managed care, or other highly regulated industries
Exceptional communication, executive-level presentation, and stakeholder-management skills
Proven success leading and developing teams, including mentoring leaders and building organizational capability
Bachelor’s Degree; equivalent years of related professional work experience may substitute
Advanced degree preferred (JD, MBA, MPH, or related)

Benefits

Comp & perks

CVS Health bonus, commission or short-term incentive program in addition to base pay
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
Comprehensive benefits package for eligible full-time colleagues and their families