Analyst, Business Compliance

CVS Health; United States; Remote; USD 43,000 - 86,000; Full time

Job summary

CVS Health seeks a Business Compliance Analyst to investigate and address policyholder complaints and regulatory inquiries. The role demands strong analytical skills, attention to detail, and the ability to work under pressure, ensuring compliance with healthcare regulations and reporting requirements. The position offers competitive annual salary with a range of benefits, fostering a culture of health and employee wellbeing.

Benefits

Affordable medical plan options

401(k) plan with company contributions

Employee stock purchase plan

Wellness programs

Paid time off

Tuition assistance

Qualifications

• 2-4 years in regulatory compliance in healthcare.
• Strong understanding of health insurance products and regulations.
• Ability to communicate complex ideas clearly.

Responsibilities

• Conduct investigations of regulatory complaints.
• Maintain records of complaints and resolutions.
• Prepare and submit reports to regulatory bodies.

Skills

Analytical skills

Communication skills

Problem-solving skills

Attention to detail

Organizational skills

Education

Bachelor's preferred

Tools

Microsoft Word

Microsoft Teams

Adobe

PowerPoint

Workfront

Job description

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 Business Compliance Analyst position in Aetna Senior Supplemental’s Product & Regulatory Affairs area investigates and prepares written responses to policyholder complaints and inquiries from regulatory agencies and other sources.

• Investigation and Resolution: Conduct thorough investigations of regulatory complaints, gather information, and resolve issues in a timely and efficient manner.
• Documentation: Maintain accurate records of complaints, investigations, resolutions, and all related research and communications.
• Communication: Communicate effectively with clients, providers, and internal departments to resolve issues and provide updates.
• Compliance: Ensure all actions comply with regulatory standards, policy language, and company processes.
• Analysis: Analyze trends in complaints to identify areas for process improvement in business areas.
• Reporting: Prepare and submit reports to regulatory bodies as required.

Required Qualifications

• 2 -4 years’ work in a regulatory compliance position in healthcare which reflects experience with customer service and complaint resolution is required.
• Proficiency in relevant software and databases such as Microsoft Word, Microsoft Teams, Adobe, PowerPoint, and Workfront.
• Possess a strong understanding of health insurance products, policies, and regulations.
• Excellent verbal and written communication skills. A writing sample will be required reflecting the candidate’s investigative and analytical skills and ability to write in a clear and explanatory style.
• Strong analytical and problem-solving abilities, with the capacity to identify root causes and propose solutions.
• Strong work organization skill and experience with managing a heavy workload within imposed deadlines is mandatory.
• Accuracy and attention to detail are critical to thoroughly assess the reasons for the consumer complaint and prepare a written response.

Preferred Qualifications

• Prior experience with an insurance regulatory agency would be a great asset, but not required.

Anticipated Weekly Hours

40

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 Business Compliance Analyst position in Aetna Senior Supplemental’s Product & Regulatory Affairs area investigates and prepares written responses to policyholder complaints and inquiries from regulatory agencies and other sources.

• Investigation and Resolution: Conduct thorough investigations of regulatory complaints, gather information, and resolve issues in a timely and efficient manner.
• Documentation: Maintain accurate records of complaints, investigations, resolutions, and all related research and communications.
• Communication: Communicate effectively with clients, providers, and internal departments to resolve issues and provide updates.
• Compliance: Ensure all actions comply with regulatory standards, policy language, and company processes.
• Analysis: Analyze trends in complaints to identify areas for process improvement in business areas.
• Reporting: Prepare and submit reports to regulatory bodies as required.

Required Qualifications

• 2 -4 years’ work in a regulatory compliance position in healthcare which reflects experience with customer service and complaint resolution is required.
• Proficiency in relevant software and databases such as Microsoft Word, Microsoft Teams, Adobe, PowerPoint, and Workfront.

• Possess a strong understanding of health insurance products, policies, and regulations.
• Excellent verbal and written communication skills. A writing sample will be required reflecting the candidate’s investigative and analytical skills and ability to write in a clear and explanatory style.
• Strong analytical and problem-solving abilities, with the capacity to identify root causes and propose solutions.
• Strong work organization skill and experience with managing a heavy workload within imposed deadlines is mandatory.
• Accuracy and attention to detail are critical to thoroughly assess the reasons for the consumer complaint and prepare a written response.

Preferred Qualifications

• Prior experience with an insurance regulatory agency would be a great asset, but not required.

Education
Bachelors preferred

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$43,888.00 - $85,068.00

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.

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 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.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 06/23/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

About the company

At CVS Health, we share a clear purpose: helping people on their path to better health. Through our health services, plans and community pharmacists, we’re pioneering a bold new approach to total health. Making quality care more affordable, accessible, simple and seamless, to not only help people get well, but help them stay well in body, mind and spirit.

Notice

Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at [e-mail] or 407-000-0000.

Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.

An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report . NYC applicants may request an alternative process or accommodation at [e-mail] or 407-000-0000.