The Senior Manager, Business Compliance will be primarily responsible for implementing and maintaining compliance with the legal and contractual obligations related to the California Healthcare Benefits Exchange (Covered California) contract and state regulatory agencies. The Senior Manager, Business Compliance role will provide compliance support and guidance to the business, including submitting required reports, tracking key performance indicators (KPI), performance guarantees, and identifying risks related to the Exchange program and state requirements.

• Assists with day-to-day operations of the Exchange compliance program
• Develop and oversee timely submissions of required reporting
• Track overall compliance Exchange contractual requirements, including performance standards
• Investigates and resolves compliance problems, questions or complaints received internally or from Covered California.
• Provides input on key compliance initiatives, including recommendations to internal processes to enhance contract performance.
• Experience with building, collecting, validating, and analyzing large sets of data.
• Assists with regulatory filings as applicable.

Required Qualifications

• 5-7 years of regulatory or compliance experience in healthcare.
• At least 2 years compliance experience in California.
• Familiarity with the Patient Protection and Affordable Care Act (PPACA), and state requirements related to the individual market.

Preferred Qualifications
Project Management Certification (PMP)

Education
Bachelor's Degree or equivalent combination of education and 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

We anticipate the application window for this opening will close on: 01/22/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.