State Consultant, Product and Regulatory Approvals

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 passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

The State Consultant, Product and Regulatory Approvals is responsible for researching, analyzing, and interpreting state regulatory requirements; developing and drafting state-specific benefit contract language; managing regulatory submissions through approval; negotiating with regulatory authorities; and performing compliance activities to support the development, implementation, and ongoing management of CVS Health products, programs, and initiatives.

Responsibilities and Duties:
- Develop, draft, submit and negotiate timely approval of high-quality regulatory filings that comply with state and federal regulatory requirements, support business requirements, and meet business expectations and needs.
- Proactively project manage each filing project, working with internal business partners, counsel, and regulators to ensure accurate and compliant contract content that achieves business objectives.
- Negotiate and resolve business or compliance conflicts and product/business changes.
- Facilitate and expedite resolution of issues pertaining to product and legislative filings.
- Proactively manage relationships with business partners and regulators.
- Provide timely follow-up and response.
- Negotiate regulatory objections.
- Obtain regulatory approvals within aggressive timelines.
- Effectively manage multiple complex filings, projects, and priorities (often simultaneously) to ensure that filings and projects reflect P&RA and business priorities and meet P&RA filing deadlines and metrics.
-Provide early alerts to management when deadlines are in jeopardy and strategize with management on solutions.
- Adhere to regulatory and internal filing requirements and procedures.
- Build, maintain and promote positive and effective working relationships with state/federal regulators, internal business partners, and legal/compliance partners.
- Work closely with counsel and compliance staff to promote and enforce compliance with state/federal laws and regulations and implementation of risk management policies.
- Effectively use P&RA filing and reporting systems and company resources (e.g., QuickBase, SharePoint).
- Identify opportunities to streamline processes and improve efficiencies within P&RA and with key business partners.
- Exhibit behaviors and values outlined in CVS Health's How We Work Behaviors and the P&RA Way, acting with professionalism and integrity.
- Effectively communicate with multiple levels of the organization.
- Serve as a regulatory subject matter expert for business, compliance, and legal partners.

Required Qualifications
3+ years of insurance industry, regulatory and/or legal experience.

Preferred Qualifications
- Excellent analytical, problem solving, and critical thinking
- Ability to navigate multiple software environments/technically savvy.
- Strong project management skills, the ability to manage multiple priorities simultaneously, and proven
ability to work both independently and on a team.
- Excellent written and verbal communication skills, and the ability to interact effectively with different
audiences.
- The ability to "manage up" and communicate effectively with various levels of the organization.
- Demonstrated ability to take on progressively more challenging projects.
- Strong understanding of the healthcare industry and regulatory environment, including in-depth
knowledge of Aetna products, services, business units and administrative procedures strongly preferred.
- Experience with SERFF, QuickBase and SharePoint a plus.

- Paralegal certificate.

Education

Bachelor's degree required or equivalent years of related experience.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$46,988.00 - $112,200.00

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 li