Manager, Business Regulatory Affairs

Description

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Regulatory Affairs – Manager
Position Summary

As a Regulatory Affairs Manager, you will be a key contributor to the successful identification, review, communication, and implementation of state and federal mandates. The Regulatory Affairs Manager is essential to ensuring the operationalization and compliance of state and federal mandates which impact CVS Caremark or the clients we support.

The Regulatory Affairs Manager position is responsible for reviewing state and federal mandates and working within the Regulatory Affairs team to identify impacted business areas and business owners. The position is also responsible for working cross-functionally within the organization to guide business owners through the implementation of mandate-related requirements.

In addition to general regulatory responsibilities, the Regulatory Affairs Manager will serve as a Medicaid subject matter expert (SME), providing strategic guidance on Medicaid regulations and program operations. This role includes managing the review and analysis of Medicaid Managed Care Organization (MCO) contracts to assess business impact and ensure operational alignment with applicable state regulations. The manager will also oversee Medicaid-related federal and state projects, ensuring timely and compliant execution.

Key Responsibilities

Review and interpret state and federal mandates to assess business impact.

Collaborate with internal teams to ensure timely and accurate implementation of regulatory requirements.

Manage the review and analysis of Medicaid MCO contracts for compliance and operational alignment.

Serve as a Medicaid SME, advising on Medicaid requirements and regulatory strategy.

Lead and support Medicaid-related projects at both the federal and state levels.

Communicate regulatory impacts and implementation status to various stakeholders, including senior leadership.

Translate complex regulatory language into actionable guidance for diverse audiences.

Partner cross-functionally to ensure consistent understanding and execution of regulatory obligations.

Required Qualifications

2+ years of Medicaid regulatory experience, PBM experience or a combination of PBM and regulatory experience may be a substitute.

2+ years of experience working cross functionally to implement regulatory initiatives.

Demonstrated ability to interpret and apply regulatory requirements in a business context.

Preferred Qualifications

1+ years of Medicaid, Exchange, and Commercial regulations.

Strong analytical skills for comparing complex contract terms and identifying discrepancies.

Experience implementing contract requirements within organizational operations.

Excellent communication and documentation skills to convey contract implications and implementation plans.

Proficiency in Microsoft Excel, SharePoint, or other collaborative platforms.

Ability to influence cross-functional teams to drive regulatory compliance.

Education

Bachelor’s degree. An equivalent combination of education and experience may substitute.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:
$60,300.00 – $132,600.00

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.

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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be.

In addition to our competitive wages, our great benefits include:

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit:
https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 09/30/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply here