Senior Manager - Regulatory Reporting Solutions

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 As the Senior Manager - Regulatory Reporting Solutions you will be a Subject Matter Expert (SME), and you'll be accountable for enterprise‑wide coordination, governance, and oversight of state and compliance reporting requirements. You will serve as the primary point of accountability for requirements intake, scope validation, client list governance, report template control, version management, and cross‑functional coordination across Compliance, Legal, and multiple reporting teams. You'll coordinate input from multiple reporting teams, merge and validate final output, and be accountable for submission of completed PBM, Medicaid, and Licensure regulatory and state reports.

Key Responsibilities

Lead engagement with Compliance and Legal to interpret state, PBM, Medicaid, and Licensure reporting requirements and validate scope. Own accountability for determining whether reporting requests are new, changed, or unchanged year over year. Ensure formal acknowledgment and documentation of scope decisions, including confirmation when no changes apply. Govern Salesforce intake for PBM, Medicaid, and Licensure reports to ensure cases are complete, accurate, and appropriately routed. Serve as the primary business partner to Compliance and Regulatory teams, ensuring requirements are clearly defined, complete, and actionable. Provide enterprise oversight and governance of client lists used for PBM, Medicaid, and Licensure regulatory reporting. Manage report templates, instructions, and year‑over‑year version control, collaborating with input‑providing teams to update templates, validate data accuracy, and work through requirement changes when templates are modified. Coordinate inputs from multiple reporting teams, merge outputs into final deliverables, and oversee quality and completeness prior to submission. Submit finalized PBM, Medicaid, and Licensure regulatory and state reports in accordance with defined timelines and requirements. Identify, assess, and escalate year‑over‑year inconsistencies that may pose compliance or audit risk. Establish and maintain centralized SharePoint repositories for state and regulatory reporting artifacts. Define, document, and enforce operating models, SOPs, and accountability frameworks. Build and sustain senior‑level relationships to resolve ownership disputes, enforce governance decisions, and reduce duplicated effort across teams. Data and Analytical Expectations Maintain strong understanding of reporting data, methodologies, assumptions, and constraints. Interpret year‑over‑year results and understand the underlying data logic driving outcomes. Partner with analytical and reporting teams to validate measures, methodologies, and compliance interpretations. Apply analytical judgment when reviewing and validating consolidated report outputs. Governance and Future State Enablement Support leadership efforts to reduce ad hoc reporting through standardized, repeatable reporting constructs. Contribute to definition and rationalization of reusable dimensions and metrics across PBM and Medicaid reporting where applicable. Participate in future‑state discussions related to automation and semantic layers, recognizing current capacity and delivery constraints. Required Qualifications 7+ years of work experience. Senior‑level experience coordinating regulatory or compliance reporting across multiple teams or functions. Demonstrated experience governing intake processes, scope validation, and requirements management. Proven experience managing report templates, version control, and year‑over‑year change governance. Strong stakeholder management experience, including experience leading discussions with Compliance, Legal, and reporting teams. Experience operating in complex, matrixed environments with competing priorities and deadlines.

Preferred Qualifications

Experience working with medical and/or pharmacy claims data. Familiarity with PBM, Medicaid, or state regulatory reporting environments. Experience partnering with data and analytics teams to validate methodologies and outputs. Experience supporting audit or compliance reviews related to regulatory reporting. Education Bachelor’s degree or equivalent practical experience. Pay Range The typical pay range for this role is: $75,400.00 - $182,549.00 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. 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. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 05/09/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Apply To This Job