CVS HealthRemote
Wholesale Business Compliance Project Manager
United States of America
Full Time
2 hours ago
$54,000 - $159,000 USD
Visa Sponsor
Key skills
RepositoryCollaborationNegotiationAccount Management
About this role
CVS Health is committed to shaping a more connected and compassionate health experience. The Wholesale Business Compliance Project Manager will oversee contract-related activities for American Health Holding’s medical management business, including the creation and management of various client service agreements and ensuring compliance with regulatory requirements.
Responsibilities:
- Supporting all contract-related activities for American Health Holding’s medical management business
- Overseeing the creation, drafting, redlining, and completion of client service agreements, confidentiality agreements, business associate agreements, delegation agreements, amendments, and other business-required contracts
- Managing the client contract repository, ensuring agreements are updated, amended, or terminated as needed, while also providing support for regulatory filings
- Serving as a subject matter resource on contract terms when questions arise from the business or other constituents
- Working closely with Managing Senior Counsel to maintain legally and regulatory compliant templates and escalate day-to-day matters involving legal risk
- Regular collaboration with business partners to develop contract language and participation in client and account management discussions to address contractual requirements
Requirements:
- 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
- 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