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CVS Health

Runs pharmacies, health plans and clinics

Pharmacy Benefit Manager Regulatory Filing Specialist

Regulatory Compliance & EthicsUpdated on Nov 6
Full-time

About the Job

Requirements

  • At least 2 years of PBM licensing, regulatory filing, and reporting experience.
  • At least 2 years of project management experience.
  • Experience using SERFF, NIPR, and state filing portals.
  • Proficiency with Microsoft Word, Excel, and Teams.
  • Ability to work independently and manage competing priorities.
  • Ability to travel up to 5%, including air travel.

Responsibilities

  • Manage PBM licensing and regulatory reporting activities.
  • Coordinate and submit regulatory filings through SERFF, NIPR, and state filing portals.
  • Monitor compliance requirements and help ensure adherence to applicable regulations.
  • Research regulatory and legal issues and provide recommendations to stakeholders.
  • Maintain accurate records and documentation for licensing and compliance activities.
  • Support audits, monitoring activities, and internal compliance initiatives.
  • Communicate with regulators as needed regarding filings and compliance matters.
  • Partner with cross-functional teams to provide timely compliance guidance.
  • Manage multiple projects and regulatory deadlines simultaneously.

Desired Qualifications

  • A bachelor's degree is preferred, or equivalent relevant work experience may be considered in place of a degree.
  • Paralegal Certificate or legal research experience.
  • Ability to interpret legislation and conduct legal research.
  • Knowledge of Pharmacy Benefit Manager regulations and operations.

About the Company

CVS Health

Runs pharmacies, health plans and clinics

CVS Health runs pharmacies, health insurance plans and medical clinics for individuals, employers and government programs across the United States. Its businesses include CVS Pharmacy, the Aetna insurer and Caremark, which manages prescription coverage and negotiates drug prices for health plans. Patients fill prescriptions in stores or by mail and receive care through walk-in clinics, primary care centers and home visits. The company earns money from prescription sales, insurance premiums, plan administration fees and clinical services, combining coverage with places to obtain treatment. Its first store opened in 1963, and its headquarters are in Woonsocket, Rhode Island.

Company size
10,001+
Company stage
IPO
Headquarters
Woonsocket, Rhode Island
Founded
1963

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