Senior Manager, Corporate Compliance – Pharmacy Benefit Manager (PBM) Market Conduct Exam Support

CVS Health is seeking a Senior Manager, Corporate Compliance – Pharmacy Benefit Manager (PBM) Market Conduct Exam Support to coordinate complex market conduct exams and compliance activities for CVS Caremark and PBM operations. The role involves managing sensitive exam deliverables and supporting regulatory submissions.

Responsibilities:

• Support the planning, administration, and execution of PBM market conduct exams and compliance activities in alignment with Corporate Compliance priorities, regulatory requirements, and industry best practices
• Coordinate the execution of PBM compliance processes supporting risk assessments, business process reviews, exam responses, findings remediation, and corrective action plans
• Manage complex PBM market conduct exam requests and deliverables by coordinating cross-functional business partners, tracking progress, maintaining defensible documentation, and ensuring timely submission of regulatory responses
• Lead day-to-day execution of assigned market conduct exams, including prioritizing work, identifying risks, resolving issues, and escalating sensitive matters to the Lead Director, as appropriate
• Support consistent exam governance by following established market conduct exam workflows, communication standards, and documentation requirements while identifying opportunities for process improvement
• Provide coaching, guidance, and work direction to team members while supporting employee development and fostering collaboration across the Market Conduct Exam Center of Excellence
• Contribute to the continuous improvement of PBM market conduct exam capabilities through process enhancements, reporting, tools, and automation initiatives designed to improve efficiency, transparency, and regulatory outcomes

Requirements:

• 7+ years of combined experience in Compliance, Regulatory, Legal, or Market Conduct Exam roles, including experience with PBM operations
• Excellent analytical, verbal, and written communication skills
• Demonstrated ability to manage complex, multi-state regulatory exams and competing priorities while meeting strict deadlines
• Proven experience coordinating cross-functional teams and working effectively across multiple business areas
• Ability to communicate effectively with all levels of management and escalate high-risk or sensitive issues appropriately
• Proven ability to build collaborative relationships, influence outcomes, and drive execution across multiple stakeholders
• Ability to travel up to 10% (including by plane)
• Bachelor's Degree; equivalent years of related professional work experience may substitute
• Prior experience in relevant auditing or market conduct exam roles within PBM environments
• Prior experience as a state or third-party market conduct examiner
• Experience coordinating regulatory response development, exam support activities, and corrective action plans
• Experience developing and interpreting management reporting and analytics, including an understanding of data structures, relational data concepts, and the use of reporting and visualization solutions to support regulatory oversight, exam management, and compliance decision-making
• Project management experience supporting large, complex regulatory initiatives
• Experience building and maintaining productive relationships with internal business partners, state regulators, and third-party auditors