Job DescriptionResponsible for researching, analyzing and interpreting state regulatory requirements, developing and drafting state-specific benefit contract language, preparing and managing regulatory submissions and negotiating to approval, and various compliance activities all in support of development, implementation and ongoing support of CVS Health products, programs and initiatives.- Develop, draft, submit and negotiate timely approval of high-quality regulatory filings that comply with state and federal regulatory requirements, support business requirements, and meet business expectations and needs.- Proactively project manage each filing project, working with internal business partners, counsel, and regulators toensure accurate and compliant contract content that achieves business objectives:- Negotiate and resolve business or compliance conflicts and product/business changes.- Facilitate and expedite resolution of issues pertaining to product and legislative filings.- Proactively manage relationships with business partners and regulators.- Provide timely follow-up and response.- Negotiate regulatory objections.- Obtain regulatory approvals within aggressive timelines.- Effectively manage multiple complex filings, projects, and priorities (often simultaneously) to ensure that filings and projects reflect P&RA and business priorities and meet P&RA filing deadlines and metrics. Provide early alerts to management when deadlines are in jeopardy andstrategize with management on solutions.- Adhere to regulatory and internal filing requirements and procedures.- Build, maintain and promote positive and effective working relationships with state/federal regulators, internal business partners, and legal/compliance partners.- Work closely with counsel and compliance staff to promote and enforce compliance with state/federal laws and regulations and implementation of risk managementpolicies.- Effectively use P&RA filing and reporting systems and company resources (e.g., QuickBase, SharePoint).- Identify opportunities to streamline processes and improve efficiencies within P&RA and with key business partners.- Exhibit behaviors and values outlined in CVS Health's How We Work Behaviors and the P&RA Way, acting with professionalism and integrity.- Effectively communicate with multiple levels of the organization.- Serve as a regulatory subject matter expert for business, compliance, and legal partners.Required Qualifications3+ years of insurance industry, regulatory and/or legal experienceCOVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred Qualifications- Excellent analytical, problem solving, and critical thinking- Ability to navigate multiple software environments/technically savvy.- Strong project management skills, the ability to manage multiple prioritiessimultaneously, and proven ability to work both independently and on a team.- Excellent written and verbal communication skills, and the ability to interact effectively with different audiences.- The ability to "manage up" and communicate effectively with various levels of the organization.- Demonstrated ability to take on progressively more challenging projects.- Strong understanding of the healthcare industry and regulatory environment, including in-depth knowledge of Aetna products, services, business units and administrative procedures strongly preferred.- Experience with SERFF, QuickBase and SharePoint a plus.EducationBachelor's degree or equivalent experience Paralegal certificate beneficialBusiness OverviewBring your heart to CVS HealthEvery 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. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. 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.
Job Title
Product and Regulatory Approvals State Consultant