Sr. Manager, Regulatory Resolution Team

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

The Regulatory Resolution Team is responsible for responding to highly sensitive and visible regulatory inquiries and complaints. This team is responsible for delivering thorough reviews, advocacy, risk analysis, and collaborative resolutions that uphold regulatory compliance and drive member satisfaction. These inquiries require elite execution, precision, and compliance with state and federal regulations, internal operations and company policies. The RRT's work is critical to protecting the organization's reputation and maintaining trust with members, regulatory bodies and stakeholders.

Responsibilities include:

• Manage and lead of group of colleagues responsible for pulling together responses to member and provider regulatory complaints.
• Oversee the scheduling, drafting, timeliness and quality of regulatory responses.
• Proactively monitor team case load, status of response letters and associated due dates.
• Interface and negotiate with state and federal regulators, as needed.
• Build, maintain and promote positive and effective working relationships with internal and external stakeholders.
• Identify opportunities to streamline processes and improve efficiencies within the RRT and key business partners. Encourage staff to embrace new processes and identify change management opportunities within the team.
• Hold team accountable for meeting goals, due dates and expectations, identifying areas of individual performance concerns and coaching opportunities.

In order to be successful in this role you must exhibit the following:

• Strong skills in interpreting state and federal requirements.
• Ability to prioritize work in a fast-paced environment.
• Expert technical and written communication skills.
• Excellent problem solving and decision-making skills, including taking initiative to resolve complex issues and discern relevant information.

Required Qualifications

• 7+ years of experience in health care industry or regulatory environment.
• 5+ years of experience in claim and