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Director of Business Compliance
CVS Health Corporation
Northbrook, IL, United States
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Position Summary
Join Fortune 7 CVS Health as Director of Business Compliance - PBM. In this role you will be leading a team that will monitor compliance programs related to Billing and Adjudication through the enterprise. You will also own the Compliance relationship for the pharmacy benefit management (PBM) business line.
As the Director of Business Compliance - PBM you will lead a team to track, analyze, and interpret compliance performance to support best in class results. This position will work independently as well as in collaboration with colleagues from across the organization. This position will be required to work with and influence decision makers within Compliance, Legal, and Operations in all business segments. In addition, the Director of Business Compliance will represent the Compliance Department at key business meetings and serve as a contributor, thought partner and facilitator. This individual will play a key role in working with business partners to develop and implement compliance strategies.
The Director of Regulatory Compliance will:
• lead a team to obtain all relevant Laws and regulations and assess their applicability to the Business.
• Prioritize projects and determine action needed for compliance.
• Identify Business owners for identified projects.
• Roll out requirements to the Business and act as single point of contact for Business regarding communications with Legal.
• Review and evaluate appropriateness of Business created solutions and work plans
• Maintain communication protocols to escalate issues and delays to Sr. Management
• Lead a team to track progress of initiatives to completion and validate effectiveness.
• Participate in team meetings with the Business to gain insight into upcoming initiatives. Vet those initiatives for Compliance Risks and advise the business accordingly.
• Perform Risk Assessments on Subject Matter areas to identify regulatory risks, business controls and establish Compliance oversight.
Education
Bachelors degree or higher
Business Overview
CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units – MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.
CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT
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CVS Health does not require nor expect that applicants disclose their compensation history during the application, interview, and hiring process.