[Hiring] Wholesale Business Compliance Project Manager @CVS Health

Role Description

This position will report to the Sr. Manager, Wholesale Business Compliance, with a dotted line to the Lead Director for Client Account Management in the TPA & Payor Solutions business area. The Project Manager will be responsible for supporting all contract-related activities for American Health Holding’s medical management business.

• Oversee the creation, drafting, redlining, and completion of client service agreements, confidentiality agreements, business associate agreements, delegation agreements, amendments, and other business-required contracts.
• Manage the client contract repository, ensuring agreements are updated, amended, or terminated as needed.
• Provide support for regulatory filings.
• Serve as a subject matter resource on contract terms when questions arise from the business or other constituents.
• Work closely with Managing Senior Counsel to maintain legally and regulatory compliant templates and escalate day-to-day matters involving legal risk.
• Collaborate with business partners to develop contract language and participate in client and account management discussions to address contractual requirements.

Strong contract knowledge, redlining expertise, and excellent communication and writing skills are essential.

Qualifications

• A minimum of 5 years of experience drafting and negotiating customer contracts; familiarity with Master Services Agreement (MSA) (Aetna experience a plus).
• Experience operating within a highly regulated healthcare environment.
• Proficiency in contract drafting, review, and negotiation.
• Experience using SERFF or similar regulatory filing systems.

Requirements

• Experience drafting Medical Management Agreements, Delegation Agreements, and related amendments.
• Understanding of medical management operations (UM, CM, delegation oversight, accreditation, etc.).
• Ability to maintain strong relationships with customers and legal partners.
• Willingness to support cross-functional initiatives and provide legal/contract expertise.
• Ability to manage multiple priorities and ensure high-quality work products.
• Ability to collaborate with SMEs across Legal, Product, Markets, Government Affairs, Privacy, Clinical Operations, and Compliance.
• Adaptability to evolving business needs.

Benefits

• Affordable medical plan options.
• 401(k) plan (including matching company contributions).
• 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