Pharmacy Network Regulatory Compliance Senior Advisor

Job description

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. Requisition Job Description Position Summary: The Pharmacy Network Regulatory Compliance Senior Advisor serves as the subject matter expert on applicable guidance and regulations and leads implementation and continuous improvement initiatives to ensure CVS/Caremark maintains compliance with current and emerging requirements affecting the Pharmacy Network division. This role partners with key functional leaders to translate regulatory requirements into operational processes and to initiate system enhancements needed to meet those requirements. The Senior Advisor proactively identifies, assesses, and escalates business risks and impacts to senior Pharmacy Network leadership, as appropriate. This position requires a strong understanding of local, state, and federal regulations and associated end-to-end processes. While the primary focus is on member and pharmacy network impacts, scope may expand to additional business areas as regulations and divisional responsibilities evolve. As part of regulatory issue resolution, the Senior Advisor serves as a key decision-maker for escalated client issues. Required Qualifications: Minimum of 7 years of professional experience, including experience in the health care industry. within a matrix reporting environment. Preferred Qualifications: Advanced actuarial skills within the health care industry. Advanced Microsoft Office skills; advanced knowledge of relational databases and data warehouses; and advanced proficiency with SQL, OLAP, and SAS. Demonstrated ability to apply strategic thinking, program management, and process reengineering in a cross-functional environment, including oversight of workstreams across Underwriting, Finance, Client Profitability, Implementation, and Data and Systems. Strong problem-solving, people management, and leadership skills. Ability to manage, mentor, and motivate a team of highly skilled technical professionals. Excellent written and verbal communication skills; able to work effectively both independently and in a multidisciplinary team environment. Proven track record of delivering efficiencies and solutions informed by end-user input that successfully meet business needs. Demonstrated experience managing complex work processes in a cross-departmental, team-based environment. Demonstrated success motivating others in a fast-paced, high-pressure environment. Experience working in a geographically diverse organization and Education: Bachelor’s degree in Finance, Business, Actuarial Science, Mathematics, or a related professional work experience required. Pay Range The typical pay range for this role is: $75,400.00 - $165,954.00 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. This position also includes an award target in the company’s equity award program. 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments . We anticipate the application window for this opening will close on: 10/30/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.