CVS Health

Director of Regulatory Affairs, Medicaid

Virginia, Minnesota, United States

Not SpecifiedCompensation
Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, InsuranceIndustries

Requirements

Candidates must have at least 5 years of experience in public policy with a focus on state regulatory issues, especially Medicaid policy, or experience working directly with or within state regulatory agencies or state Medicaid programs. A demonstrated interest in improving healthcare outcomes, particularly for underserved populations or individuals on Medicaid, is required, along with experience in stakeholder engagement and coalition-building. The candidate must be based out of Virginia. Familiarity with state Medicaid programs and managed care regulations is preferred.

Responsibilities

The Director of Regulatory Affairs will support the development and implementation of Aetna Better Health of Virginia’s state regulatory affairs and account management strategy, focusing on engagement with the Virginia Medicaid Agency. This role involves identifying, developing, and managing strategic relationships with state and local agencies, community-based organizations, and stakeholder advocacy groups. Responsibilities include monitoring state regulatory activity, assisting in the implementation of key state priorities, responding to regulatory inquiries, coordinating with coalitions, and representing the organization in discussions with regulatory agency staff. The Director will also oversee the implementation of key state initiatives, process state-level inquiries and complaints, draft formal responses to proposed rules and policies, and ensure internal business owners meet filing requirements for state regulatory reports. Additionally, the role involves tracking the implementation of laws and regulations relevant to Medicaid managed care, building relationships with state regulatory agencies, collaborating on educational resources for regulatory advocacy, monitoring and summarizing public regulatory meetings, and maintaining knowledge of national and state-specific trends affecting managed care organizations.

Skills

Regulatory Affairs
Medicaid
State Regulatory Agencies
Account Management
Strategic Relationships
Stakeholder Engagement
Regulatory Monitoring
Response Drafting
File Management
Project Implementation

CVS Health

Comprehensive pharmacy and healthcare services

About CVS Health

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.

Woonsocket, Rhode IslandHeadquarters
1963Year Founded
DEBTCompany Stage
Healthcare, Consumer GoodsIndustries
10,001+Employees

Benefits

Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Disability Insurance
401(k) Retirement Plan
Company Equity
Wellness Program
Professional Development Budget
Paid Vacation
Paid Holidays

Risks

Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.
The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.
The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.

Differentiation

CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.
The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.
CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.

Upsides

Expansion of telehealth services allows CVS to reach more patients remotely.
Increased consumer interest in wellness boosts demand for CVS's health-related products.
The trend towards value-based care aligns with CVS's integrated healthcare approach.

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