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Product and Regulatory Approvals - State Consultant

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CVS Health

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Location:
United States

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Category:

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Contract Type:
Not provided

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Salary:

46988.00 - 112200.00 USD / Year

Job Description:

The Product and Regulatory Approvals - State Consultant researches, analyzes, and interprets state regulatory requirements. Develops and drafts state-specific benefit contract language. Oversees compliance activities all in support of the development, implementation and ongoing support of the organization's products, programs, and initiatives.

Job Responsibility:

  • 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

Requirements:

  • 3+ years of insurance industry, regulatory and/or legal experience
  • Bachelor's degree required or equivalent years of relevant experience
  • 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

Nice to have:

  • Strong understanding of the healthcare industry and regulatory environment, including in-depth knowledge of Aetna products, services, business units and administrative procedures
  • Experience with SERFF, QuickBase and SharePoint
  • Paralegal certificate
What we offer:
  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

Additional Information:

Job Posted:
February 21, 2026

Expiration:
February 27, 2026

Employment Type:
Fulltime
Work Type:
Remote work
Job Link Share:

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