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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
Meritain Health is ranked as one of the nation’s largest Third-Party Administrators. Meritain Health’s Manager of Business Compliance will be responsible for the following:
• Independently collecting facts and utilizing strong analytical capabilities to provide guidance on complex settlement matters and effectively communicates status and results in a concise and timely manner
• Researching and responding to inquiries from regulatory agencies
• Respond to Mental Health Parity intake requests
• Responding to complex requests for information within area of responsibility from internal and external partners
• Monitor compliance activities to identify and report trends
• Monthly KPI reporting
• Assume other duties/responsibilities as assigned
The ideal candidate should possess the following skills:
• Attention to detail
• Analytical and problem-solving skills
• Superior critical thinking skills
• Effective time management, organizational and prioritization skills
• Quickly grasp business concepts, objectives, and strategies
• Collaborate effectively and professionally with internal and external partners
Required Qualifications
3+ years of healthcare insurance industry experience
3+ years of compliance, quality and/or regulatory experience
Demonstrated excellent and effective verbal and written communication skills with the ability to convey information to internal and external clients in a clear, accurate, and concise manner.
Experience managing simultaneous projects with multiple deliverables.
Strong MS Office skills.
Preferred Qualifications
Knowledge of self-funded health plans and Third-Party Administrators.
Understanding of legal requirements.
Experience with or understanding of Mental Health Parity
Education
Bachelor’s degree or equivalent experience.
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$54,300.00 - $159,120.00
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: 04/30/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.