Pharmacy Benefit Manager Regulatory Filing Specialist

CVS Health; Massachusetts; Hybrid; USD 47,000 - 92,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a Regulatory Filing Specialist to support Pharmacy Benefit Manager licensing and regulatory reporting activities. You will help ensure compliance with state and regulatory requirements, manage licensing filings, conduct research, and support business partners across the organization.

The role requires hands-on PBM licensing and reporting experience, strong organization, and the ability to manage multiple deadlines in a fast-paced environment.

Qualifications

• 2+ years of PBM licensing, regulatory filing, and reporting experience.
• 2+ years of project management experience.
• Experience using SERFF, NIPR, and state filing portals.
• Excellent written and verbal communication skills.
• Ability to travel up to 5%.

Responsibilities

• Manage PBM licensing and regulatory reporting activities.
• Coordinate and submit regulatory filings through SERFF, NIPR, and state filing portals.
• Monitor compliance requirements and help ensure adherence to applicable regulations.
• Research regulatory and legal issues and provide recommendations to stakeholders.
• Maintain accurate records and documentation for licensing and compliance activities.
• Support audits, monitoring activities, and internal compliance initiatives.
• Communicate with regulators as needed regarding filings and compliance matters.
• Partner with cross-functional teams to provide timely compliance guidance.
• Manage multiple projects and regulatory deadlines simultaneously.

Skills

PBM licensing

Regulatory filing

Project management

Documentation & records

Communication

Education

Bachelor's degree preferred

Tools

SERFF

NIPR

State filing portals

Microsoft Word/Excel/Teams

Job description

Pharmacy Benefit Manager Regulatory Filing Specialist### Pharmacy Benefit Manager Regulatory Filing SpecialistApply: Remote/Hybrid: OK - Work from home: Work At Home-Arkansas: Work At Home-Ohio: Work At Home-Texas: Work At Home-Massachusetts: Full time: Posted Yesterday: End Date: October 30, 2026 (6 days left to apply): R1063198We’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**We are seeking a Regulatory Filing Specialist to support Pharmacy Benefit Manager (PBM) licensing and regulatory reporting activities. In this role, you will help ensure compliance with state and regulatory requirements, manage licensing filings, conduct research, and support business partners across the organization.The ideal candidate has hands-on experience with PBM licensing and reporting, strong organizational skills, and the ability to manage multiple deadlines in a fast-paced environment. ### Key Responsibilities* Manage PBM licensing and regulatory reporting activities.* Coordinate and submit regulatory filings through SERFF, NIPR, and state filing portals.* Monitor compliance requirements and help ensure adherence to applicable regulations.* Research regulatory and legal issues and provide recommendations to stakeholders.* Maintain accurate records and documentation for licensing and compliance activities.* Support audits, monitoring activities, and internal compliance initiatives.* Communicate with regulators as needed regarding filings and compliance matters.* Partner with cross-functional teams to provide timely compliance guidance.* Manage multiple projects and regulatory deadlines simultaneously. ### Required Qualifications* 2+ years of PBM licensing, regulatory filing, and reporting experience.* 2+ years of project management experience.* Experience using SERFF, NIPR, and state filing portals.* Proficiency with Microsoft Word, Excel, and Teams.* Strong analytical, organizational, and problem-solving skills.* Ability to work independently and manage competing priorities.* Excellent written and verbal communication skills.* Ability to travel up to 5%, including air travel. ### Preferred Qualifications* Paralegal Certificate or legal research experience.* Ability to interpret legislation and conduct legal research.* Knowledge of Pharmacy Benefit Manager (PBM) regulations and operations.### Education* Bachelor's degree preferred OR equivalent relevant work experience may be considered in place of a degree.**Anticipated Weekly Hours**40**Time Type**Full time**Pay Range**The typical pay range for this role is:$46,988.00 - $91,800.00This 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 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.We anticipate the application window for this opening will close on: 10/30/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.