Product and Regulatory Approvals - State Consultant

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

The Product and Regulatory Approvals – State Consultant researches, analyzes, and interprets state regulatory requirements. Develops and drafts state-specific benefit contract language. Oversees compliance activities all in support of the development, implementation and ongoing support of the organization’s 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 to ensure 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 and strategize 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 management policies.
• Effectively use P&RA filing and reporting systems and company resources (e.g., Quick Base, 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.

3+ years of insurance industry, regulatory and/or legal experience.

• Excellent analytical, problem solving, and critical thinking.
• Ability to navigate multiple software environments/technically savvy.
• Strong project management skills, the ability to manage multiple priorities simultaneously, 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 and regulatory environment, including in-depth knowledge of Aetna products, services, business units and administrative procedures strongly preferred.
• Experience with SERFF, Quick Base and SharePoint a plus. Paralegal certificate.

Bachelor’s degree required or equivalent years of relevant experience.

40

Full time

The typical pay range for this role is: $46,988.00 – $. 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…