Manager, Behavioral Health Regulatory Compliance (IC)

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.

Position Summary

Mental Health and Well-being (MHWB) Strategy, Product and Market Enablement (SPME) drive the organization in the journey to improve the mental well-being of everyone we encounter, by scaling our services, harnessing innovative energy of the market and broader enterprise in a consultative manner, while introducing new solutions and evolving the way we develop and launch products .

We have an exciting opportunity for a highly motivated candidate to join the MHWB Product Operations team within SPME. Reporting to the Lead Director of MHWB Product Operations, you will play a pivotal role in delivering and managing compliant products and solutions aimed at enhancing mental health and well-being.

As a member of this team, you will lead and support MHWB’s compliance within the enterprise’s legislative implementation process. You will conduct the initial review of legislation for impact to all BH products, services, and functional areas and collaborate with internal constituents to confirm compliance and/or develop compliance action plans to ensure our products and programs comply with relevant regulations.

The Ideal Candidate Should Possess The Following Skills
• Knowledge of Behavioral Health products, benefits and offerings
• Understanding of Group Health Plans (i.e. network, claims, provider reimbursement, clinical, and/or product)
• Project/program management
• Strategic thinking
• Technical expertise
• Ability to act independently in a fast-paced environment
• Keen attention to detail; able to interpret complex requirements into actionable items
• Communicate effectively, both orally and in writing
• Demonstrated analytical and organizational skills
• Superior critical thinking and decision-making skills
• Quickly grasp business concepts, objectives, and strategies
• Well organized; able to manage simultaneous tasks while meeting deadlines within a fast-paced environment
• A passion for mental and behavioral health

What You Will Do
• Lead overall end-to-end project management of all MHWB legislative action plans and provide evidence of compliance
• Lead the analysis of legislative impact on all BH products and services
• MHWB’s Single Point of Contact for Market conduct exams, regulatory inquiries, and objections
• Support the development and implementation of BH legislation
• Gather and analyze feedback in support of performance analysis for solutions and continual improvement
• Develop deep understanding of the legislative process and MHWB business acumen
• Achieve desired results, determines what is important and urgent, clarifies next steps, and delegates effectively to meet deadlines and achieve desired results
• Collaborate and partners with cross-functional stakeholders to ensure all workflow processes and interdependencies are identified and addressed
• Effectively manages multiple competing projects with effective prioritization and eye for detail
• Anticipate resource needs, set priorities, establish accountabilities, define roles/responsibilities, and manages relationships
• Support Lead Director with general inquiries
• Ensure BH product compliance with all state and federal regulations

Required Qualifications
• 3+ years of successful project management experience
• 3+ years of healthcare business/insurance industry experience
• Demonstrated problem solving, decision making and process improvement skills
• Strong project management skills with a demonstrated ability to work on multiple projects simultaneously
• Solid analytical skills with the ability to collect, organize, analyze, and disseminate information with attention to detail
• Excellent communication skills both written and verbal and ability to communicate with all levels of management

Preferred Qualifications
• Experience with or understanding of Federal Mental Health Parity and state mental health regulations
• Knowledge of Behavioral Health products, benefits and offerings
• Understanding of Group Health Plans (i.e. network, claims, provider reimbursement, clinical, and/or product)
• Knowledge of enterprise legislative implementation process, including the Compliance Assessment Response Tracker (CART)
• Strong MS Office skills

Education

BS/BA or equivalent work experience

Additional Info

This role is remote and may sit anywhere in the U.S.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The Typical Pay Range For This Role Is

$54,300.00 - $145,860.00

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 listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great Benefits For Great People

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 07/30/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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