Pharmacy Benefit Manager Regulatory Filing Specialist

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

We are seeking a Regulatory Filing Specialist to support Pharmacy Benefit Manager (PBM) licensing and regulatory reporting activities. In this role, you will help ensure compliance with state and regulatory requirements, manage licensing filings, conduct research, and support business partners across the organization.

The ideal candidate has hands-on experience with PBM licensing and reporting, strong organizational skills, and the ability to manage multiple deadlines in a fast-paced environment.

• Manage PBM licensing and regulatory reporting activities.
• Coordinate and submit regulatory filings through SERFF, NIPR, and state filing portals.
• Monitor compliance requirements and help ensure adherence to applicable regulations.
• Research regulatory and legal issues and provide recommendations to stakeholders.
• Maintain accurate records and documentation for licensing and compliance activities.
• Support audits, monitoring activities, and internal compliance initiatives.
• Communicate with regulators as needed regarding filings and compliance matters.
• Partner with cross-functional teams to provide timely compliance guidance.
• Manage multiple projects and regulatory deadlines simultaneously.

• 2+ years of PBM licensing, regulatory filing, and reporting experience.
• 2+ years of project management experience.
• Experience using SERFF, NIPR, and state filing portals.
• Proficiency with Microsoft Word, Excel, and Teams.
• Strong analytical, organizational, and problem-solving skills.
• Ability to work independently and manage competing priorities.
• Excellent written and verbal communication skills.
• Ability to travel up to 5%, including air travel.

• Paralegal Certificate or legal research experience.
• Ability to interpret legislation and conduct legal research.
• Knowledge of Pharmacy Benefit Manager (PBM) regulations and operations.

• Bachelor's degree preferred OR equivalent relevant work experience may be considered in place of a degree.

Anticipated Weekly Hours

Time Type

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. 
 

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.