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Senior Manager, Regulatory Resolution Team jobs in United States
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CVS Health · 1 day ago

Senior Manager, Regulatory Resolution Team

CVS Health is dedicated to building a world of health around every individual, and they are seeking a Senior Manager for their Regulatory Resolution Team. This role involves managing a team responsible for addressing regulatory inquiries and complaints, ensuring compliance with state and federal regulations while maintaining member satisfaction.
Health CareMedicalPharmaceuticalRetailSales

Responsibilities

Manage and lead of group of colleagues responsible for pulling together responses to member and provider regulatory complaints
Oversee the scheduling, drafting, timeliness and quality of regulatory responses
Proactively monitor team case load, status of response letters and associated due dates
Interface and negotiate with state and federal regulators, as needed
Build, maintain and promote positive and effective working relationships with internal and external stakeholders
Identify opportunities to streamline processes and improve efficiencies within the RRT and key business partners. Encourage staff to embrace new processes and identify change management opportunities within the team
Hold team accountable for meeting goals, due dates and expectations, identifying areas of individual performance concerns and coaching opportunities

Qualification

Regulatory complianceHealth care industry experienceClaimsPayment policiesStaff managementTechnical communicationProblem solvingCollaborationDecision makingGrowth mindset

Required

7+ years of experience in health care industry or regulatory environment
5+ years of experience in claim and payment policies and administration, operational, and clinical policies
Strong skills in interpreting state and federal requirements
Ability to prioritize work in a fast-paced environment
Expert technical and written communication skills
Excellent problem solving and decision-making skills, including taking initiative to resolve complex issues and discern relevant information

Preferred

Staff management experience
Adept at execution and delivery (planning, delivering, and supporting) skills
Adept at business intelligence
Adept at collaboration and teamwork
Mastery of problem solving and decision making skills
Mastery of growth mindset (agility and developing yourself and others) skills

Benefits

Affordable medical plan options
401(k) plan (including matching company contributions)
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

Company

CVS Health

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CVS Health is a health solutions company that provides an integrated healthcare services to its members.

Funding

Current Stage
Public Company
Total Funding
$4B
Key Investors
Michigan Economic Development CorporationStarboard Value
2025-08-15Post Ipo Debt· $4B
2025-07-17Grant· $1.5M
2019-11-25Post Ipo Equity

Leadership Team

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David Joyner
President and Chief Executive Officer, CVS Health
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Chandra McMahon
SVP & CISO
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Company data provided by crunchbase