Lead Director, PBM Corporate Compliance

9025 CVS Shared Services Resources LLC; Scottsdale (AZ); On-site; USD 100,000 - 232,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Job summary

CVS Health is seeking a Pharmacy Benefit Manager (PBM) Corporate Compliance Lead Director in Scottsdale to oversee regulatory adherence and governance across Caremark’s PBM business. You will partner with Legal, Operations, and Enterprise Compliance to embed compliance into processes and controls.

You will lead a high-performing team, drive evidence-based reviews, and promote a culture of proactive regulatory excellence in a rapidly evolving environment.

Qualifications

• 10+ years of experience in Compliance, Regulatory Affairs, Risk or related oversight.
• Strong project leadership and mentoring of project leaders.
• Ability to travel up to 10-15% (including by plane).

Responsibilities

• Lead regulatory compliance initiatives for Caremark PBM; assess new requirements and drive implementation.
• Embed compliance across operations, processes, systems, and governance.
• Oversee PBM compliance investigations, root cause analysis, and executive updates.
• Represent Compliance on governance committees and key initiatives.
• Provide strategic guidance and foster a culture of regulatory accountability.
• Lead, mentor, and develop a team of compliance professionals.

Skills

Regulatory compliance

Leadership

PBM knowledge

Risk management

Project management

Education

Bachelor’s degree

Advanced degree preferred (JD, MBA, MPH)

Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

As a Pharmacy Benefit Manager (PBM) Corporate Compliance Lead Director, you will serve as a key compliance leader responsible for overseeing regulatory adherence and governance across Caremark’s PBM business. In this highly visible role, you will help ensure alignment with evolving state and federal PBM requirements while partnering closely with PBM Operations, Legal, Enterprise Compliance, and other cross-functional business partners. As a strategic member of the Compliance leadership team, you will guide the integration of compliance obligations into the organization’s operational, contractual, data, technology, and client-facing processes. You will provide leadership and oversight to promote continuous regulatory readiness, strengthen risk management practices, establish and maintain effective compliance controls, validate compliance through evidence-based reviews, and foster a proactive culture of compliance within a complex and rapidly evolving regulatory environment. Success in this role requires a collaborative and influential leader who can build strong partnerships, develop high-performing teams, provide trusted guidance to stakeholders, drive alignment across diverse teams, and uphold the highest standards of regulatory integrity and operational excellence.

Key Responsibilities

• Lead regulatory compliance initiatives for Caremark’s PBM business, including assessing new federal and state requirements; partnering with Legal to determine regulatory applicability and business impact; and driving implementation of compliance requirements across business operations, systems and controls.
• Partner with Legal and cross-functional stakeholders to ensure compliance is embedded across business operations, processes, systems, and governance frameworks.
• Drive implementation of regulatory requirements and compliance initiatives through completion, validating effectiveness through evidence of compliance and ensuring sustainable operational controls are established and maintained.
• Oversee PBM-related compliance investigations, including issue assessments, root cause analysis, reporting, and executive updates, while ensuring effective corrective actions are implemented and sustained.
• Represent Compliance on enterprise governance committees and key business initiatives.
• Provide strategic compliance leadership, guidance to business partners, fostering a culture of compliance, regulatory accountability, and operational excellence.
• Lead, mentor, and develop a team of compliance professionals and people leaders through coaching, performance management, succession planning, and talent development.

Required Qualifications

• 10+ years of combined experience in Compliance, Regulatory Affairs, Risk Management, Audit, Project Management or similar oversight disciplines
• Strong background in leading major projects and mentoring project leaders
• Ability to travel up to 10%-15% (including by plane)

Preferred Qualifications

• Deep expertise in PBM regulatory and operational domains, including: PBM economics, manufacturer contracting, and rebate administration
• PBM client onboarding and implementation lifecycle
• Compliance with federal and state PBM regulatory requirements, including: Rebate pass‑through requirements Pricing transparency and detailed reporting mandates Pharmacy reimbursement parity and benchmarking requirements State‑level PBM reporting and audit obligations Any‑Willing‑Pharmacy standards.
• Contract compliance, ERISA‑related changes, and fiduciary requirements Pharmacy complaint, dispute, and appeal processes
• Demonstrated success leading large‑scale compliance and regulatory programs and operational readiness initiatives within 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.

Education

Bachelor’s Degree; equivalent years of related professional work experience may substitute Advanced degree preferred (JD, MBA, MPH, or related)

Pay Range

The typical pay range for this role is: $100,000.00 - $231,540.00 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. This position also includes an award target in the company’s equity award program.

Benefits

Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

Application Window

We anticipate the application window for this opening will close on: 09/30/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Company Culture

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.