Senior Business Compliance Manager, Meritain (TPA)

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 Senior Business Compliance Manager plays a key role in advancing operational effectiveness across Meritain Health by driving coordination, follow-through, and execution across high-priority work. This role partners across teams and stakeholders to lead operational planning, support leadership priorities, advance strategic initiatives, oversee corrective action efforts, and guide the development and review of policies and procedures. The position also provides senior-level oversight of workflow, deliverables, and cross-functional activities to help ensure priorities remain aligned and work moves forward effectively within a compliant environment.

• Manage a team of 10 – 12 individuals who monitor regulatory developments and potential impact of regulations impacting self-funded health plans and the company as a TPA.

• Responsible for independently assessing a variety of complex compliance risk-areas.

• Present and coordinate information cross-functionally to ensure operational success with internal and external stakeholders related to implementation of regulatory requirements.

• Strategize with the Director of Compliance to identify potential areas of compliance vulnerability and risk; aid in the development/implementation of corrective action plans for resolution of problematic issues.

• Monitor compliance activities to identify trends.

• Responsible for other duties/responsibilities as assigned.

The position may be remote or hybrid anywhere in the US depending on candidate location and commute to a hub location

Required Qualifications

• 7+ years’ regulatory experience in the health care compliance industry.

• Experience with compliance, legislation regulations, and guidelines.

• Experience leading and managing teams

• Ability to manage projects and influence staff with minimal supervision.

• Strong operational leadership, project coordination, and follow-through skills

• Ability to manage multiple priorities and lead strategic and operational initiatives

• Strong communication and collaboration skills across teams and stakeholders

• Experience supporting executive priorities, deliverables, cross-functional alignment, and operational governance processes

• Proficiency in Excel and other standard business tools

• Strong attention to detail and accuracy

Preferred Qualifications

• Knowledge of self-funded health plans and Third-Party Administrators.

Education

• Bachelor's degree preferred/specialized training/relevant professional qualification

Pay Range

The typical pay range for this role is:

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.  This position also includes an award target in the company’s equity award program. 
 

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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

Additional details about available benefits are provided during the application process and on Benefits Moments.

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