Manager, Business Compliance Data Analytics (Provider Networks), Remote
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
The Manager, Business Compliance - Data Analytics supports network adequacy filings for the Commercial business. This role ensures compliance with state regulatory standards while driving process improvements, data integrity, and cross-functional coordination. The Manager serves as a subject matter expert, interfacing with Market Compliance Consultants (MCCs) and enterprise partners to complete complex network adequacy filings.Job Description
The Manager is responsible for completing network adequacy filings, which differ by state. This position requires Excel and analytical skills to complete required filings.Primary Job Duties & Responsibilities
• Complete network adequacy filings for assigned commercial states, including data calls, templates, affidavits/attestations, cover letters, and supporting documentation.
• Manage deficiency and objection cycles from initial notice through resolution, including coordinating responses with internal stakeholders, preparing supporting documentation, and ensuring timely, regulator‑ready communications to achieve approval.
• Ensure high-quality, accurate, and timely submissions.
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• Leverage Excel (data modeling, complex formulas, pivot reporting, automation) to support large-scale regulatory filings.
• Leverage and/or learn advanced analytics and visualization tools such as Power BI and Dataiku to aggregate, analyze, and present complex network adequacy data.
• Collaborate with MCCs and leaders to address regulators requests.
• Support responses to regulatory inquiries, audits, and escalations as it pertains to network adequacy filings.
• Implement best practices to complete network adequacy filings.
**Position may sit anywhere in the United States.Required Qualifications
• Minimum 1 year work experience preferably in compliance, regulatory filings, and/or analytics
• Proven experience in data analytics
• Adept at problem solving and decision making; collaboration and teamwork; growth mindset; execution and delivery (planning, delivering, supporting).
• Strong Excel skills, including ability to use formulas, pivot tables, and data validation for compliance and network adequacy reportingPreferred Qualifications:
• Healthcare industry experience and knowledge
• Provide Network Management knowledge and understandingEducation
• Bachelor's degree preferred / specialized training / relevant professional qualification Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:$54,300.00 - $159,120.00This 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 peopleWe 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.
Perks and Benefits
Health and Wellness
- Health Insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- HSA
- HSA With Employer Contribution
- Pet Insurance
- Mental Health Benefits
Parental Benefits
- Fertility Benefits
- Adoption Assistance Program
- Family Support Resources
Work Flexibility
- Flexible Work Hours
- Remote Work Opportunities
- Hybrid Work Opportunities
Office Life and Perks
Vacation and Time Off
- Paid Vacation
- Paid Holidays
- Personal/Sick Days
Financial and Retirement
- 401(K) With Company Matching
Professional Development
- Tuition Reimbursement
Diversity and Inclusion
- Employee Resource Groups (ERG)
- Diversity, Equity, and Inclusion Program