- Lead regulatory compliance initiatives for Caremark’s PBM business, including assessing new federal and state requirements and driving implementation across operations, systems, and controls
- Partner with Legal and cross-functional stakeholders to embed compliance across business operations, processes, systems, and governance frameworks
- Drive regulatory requirements and compliance initiatives through completion, validating effectiveness through evidence of compliance and establishing sustainable operational controls
- Oversee PBM-related compliance investigations, including issue assessments, root cause analysis, reporting, executive updates, and corrective actions
- Represent Compliance on enterprise governance committees and key business initiatives
- Provide strategic compliance leadership and guidance to business partners while fostering regulatory accountability and operational excellence
- Lead, mentor, and develop compliance professionals and people leaders through coaching, performance management, succession planning, and talent development
Requirements
- 10+ years of combined experience in Compliance, Regulatory Affairs, Risk Management, Audit, Project Management, or similar oversight disciplines
- Strong background leading major projects and mentoring project leaders
- Ability to travel up to 10%-15%, including by plane
- Deep expertise in PBM regulatory and operational domains, including PBM economics, manufacturer contracting, rebate administration, and client onboarding
- Knowledge of federal and state PBM regulatory requirements, including rebate pass-through, pricing transparency, pharmacy reimbursement parity, state-level reporting and audit obligations, and Any-Willing-Pharmacy standards
- Knowledge of contract compliance, ERISA-related changes, fiduciary requirements, and pharmacy complaint, dispute, and appeal processes
- Demonstrated success leading large-scale compliance and regulatory programs and operational readiness initiatives in PBM, healthcare, pharmacy, managed care, or other highly regulated industries
- Exceptional communication, executive-level presentation, and stakeholder-management skills
- Proven success leading and developing teams, including mentoring leaders and building organizational capability
- Bachelor’s Degree; equivalent years of related professional work experience may substitute
- Advanced degree preferred (JD, MBA, MPH, or related)
Core Competencies
Demonstrates extensive expertise in regulatory compliance and risk management within the PBM sector, with a strong focus on leading compliance initiatives, mentoring teams, and ensuring operational excellence. Proven ability to navigate complex federal and state regulations while fostering collaboration across cross-functional teams.
Highest-signal resume keywords
- Regulatory Compliance Leadership
- PBM Regulatory Expertise
- Project Management
- Stakeholder Management
- Team Development and Mentoring
ATS Optimization Keywords
Hard Skills
- Regulatory Compliance
- Risk Management
- Audit
- Project Management
- PBM Economics
- Manufacturer Contracting
- Rebate Administration
- Client Onboarding
- Contract Compliance
- Operational Readiness
Soft Skills
- Exceptional Communication
- Executive-Level Presentation
- Stakeholder Management
- Mentoring
- Performance Management
Certifications & Qualifications
- Bachelor’s Degree
- Advanced Degree Preferred (JD, MBA, MPH)
Industry Keywords
- PBM
- Healthcare
- Managed Care
- Fiduciary Requirements
- Pharmacy Reimbursement Parity
- State-Level Reporting
- Audit Obligations
- Any-Willing-Pharmacy Standards
- ERISA