Business Compliance Lead

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 colleagues who care deeply, innovate with purpose, hold themselves accountable and prioritize safety and quality in everything they do.

Position Summary Contributes to top-level decision making and leadership on Business Compliance strategies. Develops a team with specialized expertise in compliance, health insurance business, analytical, and communication skills. Establishes policies and procedures to support and manage compliance strategies, implement requirements of new laws and regulations, promote compliant behavior, mitigate compliance risks, and meet regulatory obligations.

Major Responsibilities

• Be the compliance lead for assigned business segments in implementing solutions to comply with new laws and regulations.
• Partner with business areas to provide overall compliance support and direction.
• Direct the implementation of mitigation plans and monitor business segment compliance with external regulatory findings.
• Communicate strategically across the organization to drive decision-making and influence ethical and compliant outcomes.
• Contribute to planning and administration of company programs and initiatives that promote the Corporate Compliance area's agenda.
• Implement organizational policies, goals, and objectives based on best practices.
• Ensure processes are in place to track, monitor and validate corrective action plans.
• Support cross-functional areas in responding to regulatory requests.
• Advise on organizational standards for compliance controls to mitigate regulatory risks.
• Manage operational aspects of the team and implement workforce and succession plans.
• Support business initiatives and compliance-related inquiries.
• Manage the review of new mandates and coordinate with Legal and Regulatory partners.
• Establish working relationships with process owners to drive business practice enhancements.
• Actively participate in business working groups and committees.
• Act as a Business Compliance Office lead in Risk Assessments to identify regulatory risks and establish Compliance oversight.
• Partner with the Compliance Center of Excellence team to address and implement solutions for Global and High-Risk findings.
• Assist with investigations and remediation.
• Represent the Compliance Department at business leadership meetings.

Required Qualifications

• 10+ years of Business Compliance experience
• Strong knowledge of healthcare-related compliance risks
• Adept at execution and delivery, business intelligence, collaboration and teamwork
• Mastery of problem-solving and decision-making skills, and growth mindset

Preferred Qualifications

• 15+ years of experience in the health insurance business
• 10+ years of experience leading multiple teams
• Preference for candidates located in the northeast

Education Bachelor's degree preferred, specialized training or relevant professional qualification.

Pay Range $131,500.00 - $303,195.00

Benefits Comprehensive benefits package including medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources.