Job Information
CVS Health Senior Manager, Business Compliance in Sacramento, California
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
Position Summary
*This is either a hybrid or virtual opportunity and qualified candidates will be able to work West Coast hours*
This role will support network filings for the two regulators in California: California Department of Managed Health Care (DMHC) and the California Department of Insurance (CDI).
The Senior Manager, Business Compliance is responsible for managing business projects and programs, including all aspects of reporting, analysis, and compliance related to network filings for these California regulators.
In this role, you will:
Support the compliance and network teams to execute on strategic advancement of local and national goals.
Oversee and manage all network-related filings in DMHC filings, including network adequacy, timely access, and new product filings. This includes material modifications and amendment filings.
Collaborate with cross-functional teams, including network, legal, operations, market leadership, and external vendors, to ensure alignment and adherence to regulatory requirements.
Manage large-scale projects through the project management lifecycle, including scoping, documentation, successful launch, and implementation, and monitoring key performance indicators to measure ongoing success.
Conduct regular progress reviews and provide transparent reporting on project performance, value realization, and return on investment (ROI).
Exercise sound judgment and critical thinking skills, demonstrate analytical and problem-solving skills.
Required Qualifications
Strong understanding of California compliance statutes and regulations related to network requirements.
Intermediate proficiency with data analysis and reporting tools including Microsoft Access, Microsoft Excel, Microsoft BI, SQL, and Tableau.
5-9 years’ experience in compliance, product management, or a related field in the healthcare industry.
Preferred Qualifications
Project Management Professional (PMP), Lean Six Sigma
Education
Bachelor's Degree or equivalent experience.
Pay Range
The typical pay range for this role is:
$82,940.00 - $182,549.40
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. This position also includes an award target in the company’s equity award program.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit Benefits | CVS Health (https://jobs.cvshealth.com/us/en/benefits)
We anticipate the application window for this opening will close on: 03/11/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.