312 Benefit Manager jobs in the United States
Senior Legal Counsel - Pharmacy Benefit Manager (PBM)
Posted 3 days ago
Job Viewed
Job Description
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**
As a Senior Legal Counsel, Pharmacy Benefit Manager (PBM) you will provide legal guidance, interpretation, advice and recommendations for action to internal stakeholders and senior/executive management regarding federal/state regulations in the healthcare industry. Serves as a subject matter expert by providing legal advice and interpretation of new legal requirements.
Major Responsibilities:
+ Provides advanced legal advice and counsel to promote the company's mandates and protect the overall interests of the company.
+ Prepares communications with state regulators, examiners, and/or consultants with expected deadlines/short timelines.
+ Researches and analyzes state laws and regulations.
+ Performs legal review and assessment of any adverse state market conduct exam findings and consent orders.
+ Supports legal review, analysis, and outcomes of state mental health parity exams.
+ Identifies and reviews legal risk for buisness areas/subject matter experts for purposes of assessing market conduct impact and corrective action plans.
+ Provides legal expertise on company-wide initiatives, which may require legal research and advice related to various parts of the CVS Health enterprise.
+ Works collaboratively and cross functionally with a variety of areas including members of the law department, Compliance, Government Affairs, Regulatory Affairs, and business operations teams to implement new laws and regulations for assigned areas.
+ Assists with onboarding junior-level staff to promote the development of departmental capabilities.
**Required Qualifications**
+ 8+ years of legal attorney experience in a law firm and/or in-house setting
+ Mastery of problem solving and decision making skills
+ Mastery of collaboration and teamwork
+ Mastery of growth mindset (agility and developing yourself and others) skills
+ Mastery of execution and delivery (planning, delivering, and supporting) skills
+ Mastery of business intelligence
**Preferred Qualifications**
+ In-house Counsel Certification (IC In-house Counsel Certification (ICC) preferred.
+ In depth knowledge of healthcare laws, regulations and industry standards governing the provision of healthcare including, for example, ACA, Medicare, Medicaid, Any Willing Provider and other provider network issues, pharmacy and/or mental health parity.
+ Experience working with state and federal government agencies, healthcare laws and regulations.
+ Experience working with PBMs and/or the pharmacy division of a health plan and/or with health plans.
**Education**
JD required
Bachelor's Degree required
**Pay Range**
The typical pay range for this role is:
$175,100.00 - $334,750.00
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.
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 anticipate the application window for this opening will close on: 11/05/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Senior Legal Counsel - Pharmacy Benefit Manager (PBM)
Posted 3 days ago
Job Viewed
Job Description
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**
As a Senior Legal Counsel, Pharmacy Benefit Manager (PBM) you will provide legal guidance, interpretation, advice and recommendations for action to internal stakeholders and senior/executive management regarding federal/state regulations in the healthcare industry. Serves as a subject matter expert by providing legal advice and interpretation of new legal requirements.
Major Responsibilities:
+ Provides advanced legal advice and counsel to promote the company's mandates and protect the overall interests of the company.
+ Prepares communications with state regulators, examiners, and/or consultants with expected deadlines/short timelines.
+ Researches and analyzes state laws and regulations.
+ Performs legal review and assessment of any adverse state market conduct exam findings and consent orders.
+ Supports legal review, analysis, and outcomes of state mental health parity exams.
+ Identifies and reviews legal risk for buisness areas/subject matter experts for purposes of assessing market conduct impact and corrective action plans.
+ Provides legal expertise on company-wide initiatives, which may require legal research and advice related to various parts of the CVS Health enterprise.
+ Works collaboratively and cross functionally with a variety of areas including members of the law department, Compliance, Government Affairs, Regulatory Affairs, and business operations teams to implement new laws and regulations for assigned areas.
+ Assists with onboarding junior-level staff to promote the development of departmental capabilities.
**Required Qualifications**
+ 8+ years of legal attorney experience in a law firm and/or in-house setting
+ Mastery of problem solving and decision making skills
+ Mastery of collaboration and teamwork
+ Mastery of growth mindset (agility and developing yourself and others) skills
+ Mastery of execution and delivery (planning, delivering, and supporting) skills
+ Mastery of business intelligence
**Preferred Qualifications**
+ In-house Counsel Certification (IC In-house Counsel Certification (ICC) preferred.
+ In depth knowledge of healthcare laws, regulations and industry standards governing the provision of healthcare including, for example, ACA, Medicare, Medicaid, Any Willing Provider and other provider network issues, pharmacy and/or mental health parity.
+ Experience working with state and federal government agencies, healthcare laws and regulations.
+ Experience working with PBMs and/or the pharmacy division of a health plan and/or with health plans.
**Education**
JD required
Bachelor's Degree required
**Pay Range**
The typical pay range for this role is:
$175,100.00 - $334,750.00
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.
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 anticipate the application window for this opening will close on: 11/05/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Senior Legal Counsel - Pharmacy Benefit Manager (PBM)
Posted 3 days ago
Job Viewed
Job Description
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**
As a Senior Legal Counsel, Pharmacy Benefit Manager (PBM) you will provide legal guidance, interpretation, advice and recommendations for action to internal stakeholders and senior/executive management regarding federal/state regulations in the healthcare industry. Serves as a subject matter expert by providing legal advice and interpretation of new legal requirements.
Major Responsibilities:
+ Provides advanced legal advice and counsel to promote the company's mandates and protect the overall interests of the company.
+ Prepares communications with state regulators, examiners, and/or consultants with expected deadlines/short timelines.
+ Researches and analyzes state laws and regulations.
+ Performs legal review and assessment of any adverse state market conduct exam findings and consent orders.
+ Supports legal review, analysis, and outcomes of state mental health parity exams.
+ Identifies and reviews legal risk for buisness areas/subject matter experts for purposes of assessing market conduct impact and corrective action plans.
+ Provides legal expertise on company-wide initiatives, which may require legal research and advice related to various parts of the CVS Health enterprise.
+ Works collaboratively and cross functionally with a variety of areas including members of the law department, Compliance, Government Affairs, Regulatory Affairs, and business operations teams to implement new laws and regulations for assigned areas.
+ Assists with onboarding junior-level staff to promote the development of departmental capabilities.
**Required Qualifications**
+ 8+ years of legal attorney experience in a law firm and/or in-house setting
+ Mastery of problem solving and decision making skills
+ Mastery of collaboration and teamwork
+ Mastery of growth mindset (agility and developing yourself and others) skills
+ Mastery of execution and delivery (planning, delivering, and supporting) skills
+ Mastery of business intelligence
**Preferred Qualifications**
+ In-house Counsel Certification (IC In-house Counsel Certification (ICC) preferred.
+ In depth knowledge of healthcare laws, regulations and industry standards governing the provision of healthcare including, for example, ACA, Medicare, Medicaid, Any Willing Provider and other provider network issues, pharmacy and/or mental health parity.
+ Experience working with state and federal government agencies, healthcare laws and regulations.
+ Experience working with PBMs and/or the pharmacy division of a health plan and/or with health plans.
**Education**
JD required
Bachelor's Degree required
**Pay Range**
The typical pay range for this role is:
$175,100.00 - $334,750.00
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.
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 anticipate the application window for this opening will close on: 11/05/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Senior Legal Counsel - Pharmacy Benefit Manager (PBM)
Posted 7 days ago
Job Viewed
Job Description
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**
As a Senior Legal Counsel, Pharmacy Benefit Manager (PBM) you will provide legal guidance, interpretation, advice and recommendations for action to internal stakeholders and senior/executive management regarding federal/state regulations in the healthcare industry. Serves as a subject matter expert by providing legal advice and interpretation of new legal requirements.
Major Responsibilities:
+ Provides advanced legal advice and counsel to promote the company's mandates and protect the overall interests of the company.
+ Prepares communications with state regulators, examiners, and/or consultants with expected deadlines/short timelines.
+ Researches and analyzes state laws and regulations.
+ Performs legal review and assessment of any adverse state market conduct exam findings and consent orders.
+ Supports legal review, analysis, and outcomes of state mental health parity exams.
+ Identifies and reviews legal risk for buisness areas/subject matter experts for purposes of assessing market conduct impact and corrective action plans.
+ Provides legal expertise on company-wide initiatives, which may require legal research and advice related to various parts of the CVS Health enterprise.
+ Works collaboratively and cross functionally with a variety of areas including members of the law department, Compliance, Government Affairs, Regulatory Affairs, and business operations teams to implement new laws and regulations for assigned areas.
+ Assists with onboarding junior-level staff to promote the development of departmental capabilities.
**Required Qualifications**
+ 8+ years of legal attorney experience in a law firm and/or in-house setting
+ Mastery of problem solving and decision making skills
+ Mastery of collaboration and teamwork
+ Mastery of growth mindset (agility and developing yourself and others) skills
+ Mastery of execution and delivery (planning, delivering, and supporting) skills
+ Mastery of business intelligence
**Preferred Qualifications**
+ In-house Counsel Certification (IC In-house Counsel Certification (ICC) preferred.
+ In depth knowledge of healthcare laws, regulations and industry standards governing the provision of healthcare including, for example, ACA, Medicare, Medicaid, Any Willing Provider and other provider network issues, pharmacy and/or mental health parity.
+ Experience working with state and federal government agencies, healthcare laws and regulations.
+ Experience working with PBMs and/or the pharmacy division of a health plan and/or with health plans.
**Education**
JD required
Bachelor's Degree required
**Pay Range**
The typical pay range for this role is:
$175,100.00 - $334,750.00
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.
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 anticipate the application window for this opening will close on: 11/05/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Senior Legal Counsel - Pharmacy Benefit Manager (PBM)
Posted 7 days ago
Job Viewed
Job Description
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**
As a Senior Legal Counsel, Pharmacy Benefit Manager (PBM) you will provide legal guidance, interpretation, advice and recommendations for action to internal stakeholders and senior/executive management regarding federal/state regulations in the healthcare industry. Serves as a subject matter expert by providing legal advice and interpretation of new legal requirements.
Major Responsibilities:
+ Provides advanced legal advice and counsel to promote the company's mandates and protect the overall interests of the company.
+ Prepares communications with state regulators, examiners, and/or consultants with expected deadlines/short timelines.
+ Researches and analyzes state laws and regulations.
+ Performs legal review and assessment of any adverse state market conduct exam findings and consent orders.
+ Supports legal review, analysis, and outcomes of state mental health parity exams.
+ Identifies and reviews legal risk for buisness areas/subject matter experts for purposes of assessing market conduct impact and corrective action plans.
+ Provides legal expertise on company-wide initiatives, which may require legal research and advice related to various parts of the CVS Health enterprise.
+ Works collaboratively and cross functionally with a variety of areas including members of the law department, Compliance, Government Affairs, Regulatory Affairs, and business operations teams to implement new laws and regulations for assigned areas.
+ Assists with onboarding junior-level staff to promote the development of departmental capabilities.
**Required Qualifications**
+ 8+ years of legal attorney experience in a law firm and/or in-house setting
+ Mastery of problem solving and decision making skills
+ Mastery of collaboration and teamwork
+ Mastery of growth mindset (agility and developing yourself and others) skills
+ Mastery of execution and delivery (planning, delivering, and supporting) skills
+ Mastery of business intelligence
**Preferred Qualifications**
+ In-house Counsel Certification (IC In-house Counsel Certification (ICC) preferred.
+ In depth knowledge of healthcare laws, regulations and industry standards governing the provision of healthcare including, for example, ACA, Medicare, Medicaid, Any Willing Provider and other provider network issues, pharmacy and/or mental health parity.
+ Experience working with state and federal government agencies, healthcare laws and regulations.
+ Experience working with PBMs and/or the pharmacy division of a health plan and/or with health plans.
**Education**
JD required
Bachelor's Degree required
**Pay Range**
The typical pay range for this role is:
$175,100.00 - $334,750.00
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.
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 anticipate the application window for this opening will close on: 11/05/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Senior Legal Counsel - Pharmacy Benefit Manager (PBM)
Posted 7 days ago
Job Viewed
Job Description
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**
As a Senior Legal Counsel, Pharmacy Benefit Manager (PBM) you will provide legal guidance, interpretation, advice and recommendations for action to internal stakeholders and senior/executive management regarding federal/state regulations in the healthcare industry. Serves as a subject matter expert by providing legal advice and interpretation of new legal requirements.
Major Responsibilities:
+ Provides advanced legal advice and counsel to promote the company's mandates and protect the overall interests of the company.
+ Prepares communications with state regulators, examiners, and/or consultants with expected deadlines/short timelines.
+ Researches and analyzes state laws and regulations.
+ Performs legal review and assessment of any adverse state market conduct exam findings and consent orders.
+ Supports legal review, analysis, and outcomes of state mental health parity exams.
+ Identifies and reviews legal risk for buisness areas/subject matter experts for purposes of assessing market conduct impact and corrective action plans.
+ Provides legal expertise on company-wide initiatives, which may require legal research and advice related to various parts of the CVS Health enterprise.
+ Works collaboratively and cross functionally with a variety of areas including members of the law department, Compliance, Government Affairs, Regulatory Affairs, and business operations teams to implement new laws and regulations for assigned areas.
+ Assists with onboarding junior-level staff to promote the development of departmental capabilities.
**Required Qualifications**
+ 8+ years of legal attorney experience in a law firm and/or in-house setting
+ Mastery of problem solving and decision making skills
+ Mastery of collaboration and teamwork
+ Mastery of growth mindset (agility and developing yourself and others) skills
+ Mastery of execution and delivery (planning, delivering, and supporting) skills
+ Mastery of business intelligence
**Preferred Qualifications**
+ In-house Counsel Certification (IC In-house Counsel Certification (ICC) preferred.
+ In depth knowledge of healthcare laws, regulations and industry standards governing the provision of healthcare including, for example, ACA, Medicare, Medicaid, Any Willing Provider and other provider network issues, pharmacy and/or mental health parity.
+ Experience working with state and federal government agencies, healthcare laws and regulations.
+ Experience working with PBMs and/or the pharmacy division of a health plan and/or with health plans.
**Education**
JD required
Bachelor's Degree required
**Pay Range**
The typical pay range for this role is:
$175,100.00 - $334,750.00
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.
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 anticipate the application window for this opening will close on: 11/05/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Senior Legal Counsel - Pharmacy Benefit Manager (PBM)
Posted 7 days ago
Job Viewed
Job Description
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**
As a Senior Legal Counsel, Pharmacy Benefit Manager (PBM) you will provide legal guidance, interpretation, advice and recommendations for action to internal stakeholders and senior/executive management regarding federal/state regulations in the healthcare industry. Serves as a subject matter expert by providing legal advice and interpretation of new legal requirements.
Major Responsibilities:
+ Provides advanced legal advice and counsel to promote the company's mandates and protect the overall interests of the company.
+ Prepares communications with state regulators, examiners, and/or consultants with expected deadlines/short timelines.
+ Researches and analyzes state laws and regulations.
+ Performs legal review and assessment of any adverse state market conduct exam findings and consent orders.
+ Supports legal review, analysis, and outcomes of state mental health parity exams.
+ Identifies and reviews legal risk for buisness areas/subject matter experts for purposes of assessing market conduct impact and corrective action plans.
+ Provides legal expertise on company-wide initiatives, which may require legal research and advice related to various parts of the CVS Health enterprise.
+ Works collaboratively and cross functionally with a variety of areas including members of the law department, Compliance, Government Affairs, Regulatory Affairs, and business operations teams to implement new laws and regulations for assigned areas.
+ Assists with onboarding junior-level staff to promote the development of departmental capabilities.
**Required Qualifications**
+ 8+ years of legal attorney experience in a law firm and/or in-house setting
+ Mastery of problem solving and decision making skills
+ Mastery of collaboration and teamwork
+ Mastery of growth mindset (agility and developing yourself and others) skills
+ Mastery of execution and delivery (planning, delivering, and supporting) skills
+ Mastery of business intelligence
**Preferred Qualifications**
+ In-house Counsel Certification (IC In-house Counsel Certification (ICC) preferred.
+ In depth knowledge of healthcare laws, regulations and industry standards governing the provision of healthcare including, for example, ACA, Medicare, Medicaid, Any Willing Provider and other provider network issues, pharmacy and/or mental health parity.
+ Experience working with state and federal government agencies, healthcare laws and regulations.
+ Experience working with PBMs and/or the pharmacy division of a health plan and/or with health plans.
**Education**
JD required
Bachelor's Degree required
**Pay Range**
The typical pay range for this role is:
$175,100.00 - $334,750.00
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.
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 anticipate the application window for this opening will close on: 11/05/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Be The First To Know
About the latest Benefit manager Jobs in United States !
Product Manager Senior - CarelonRx Pharmacy Benefit Manager (PBM)
Posted 3 days ago
Job Viewed
Job Description
**Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered.
_Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law._
A proud member of the Elevance Health family of companies, **CarelonRx** (formerly IngenioRx) leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care.
The **Product Manager** ** Senior** role involves comprehensive ownership of product initiatives, from ideation to execution, ensuring alignment with strategic business goals and a deep understanding of market dynamics and customer needs. Responsibilities include leading cross-functional teams through the Product Lifecycle Management process, managing P&L, driving testing readiness, and communicating effectively with stakeholders to deliver successful outcomes and continuous improvements.
**How you will make an impact:**
**P&L Owner:**
+ **Profit and Loss Responsibility:** Ensure financial performance and sustainability, aligning with strategic goals.
**Strategic Ownership:**
+ **End-to-End Accountability:** Own the product initiative from ideation to execution, ensuring alignment with business strategy, customer needs, and goals.
+ **Define Product Vision & Objectives:** Articulate strategic intent, success metrics, and desired outcomes.
+ **Business Case Development:** Create and validate business cases with cost-benefit analysis and market insights.
+ **PLM Gate Leadership:** Lead through all Product Lifecycle Management phases, ensuring readiness and stakeholder alignment.
**Customer & Market Focus:**
+ **Voice of the Customer:** Use market research and feedback to guide product design and prioritize.
+ **Problem Definition:** Clearly articulate customer problems or opportunities, including personas and pain points.
+ **Value Proposition Development:** Define and validate the product's value and differentiation.
**Cross-Functional Leadership:**
+ **Collaborate with Project Manager:** Partner to co-lead meetings and manage dependencies.
+ **Lead Cross-Functional Teams:** Guide stakeholders from IT, Legal, Compliance, Operations, and Marketing.
+ **Decision Maker:** Central authority for product decisions, consulting with managers and Product Heads.
**Planning & Execution:**
+ **Product Roadmap Definition:** Maintain a roadmap aligning long-term vision with immediate priorities.
+ **Requirements Development:** Define business and functional requirements, user stories, and acceptance criteria.
+ **Prioritization:** Manage the product backlog and prioritize based on value, risk, and effort.
+ **UAT & Go-Live:** Lead business UAT efforts and ensure go-to-market readiness.
+ **Testing Readiness and Execution:** Drive testing readiness, oversee execution, and review results to ensure quality and effectiveness.
**Communication & Stakeholder Engagement:**
+ **Communicate Vision and Progress:** Clearly communicate goals and progress to stakeholders.
+ **PPOC Participation:** Co-present updates at committee meetings with the Project Manager, providing status, risks, and outcomes.
+ **Change Agent:** Manage expectations and align on scope, timelines, or priorities.
**Post-Launch & Continuous Improvement:**
+ **Monitor Success Metrics:** Track key performance indicators, adoption, and feedback.
+ **Continuous Improvement:** Prioritize post-launch enhancements.
+ **Retrospective Leadership:** Lead lessons learned sessions to inform future initiatives.
**Minimum Requirements:**
+ *** Requires a BA/BS degree in a related field and a minimum of 2 years of related experience; or any combination of education and experience, which would provide an equivalent background. ***
**Preferred Skills, Capabilities, and Experiences:**
+ MBA preferred
+ Pharmacy Benefit Management (PBM), Health or managed care experience preferred
+ Healthcare product experience highly preferred
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Product Manager Senior - CarelonRx Pharmacy Benefit Manager (PBM)
Posted 3 days ago
Job Viewed
Job Description
**Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered.
_Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law._
A proud member of the Elevance Health family of companies, **CarelonRx** (formerly IngenioRx) leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care.
The **Product Manager** ** Senior** role involves comprehensive ownership of product initiatives, from ideation to execution, ensuring alignment with strategic business goals and a deep understanding of market dynamics and customer needs. Responsibilities include leading cross-functional teams through the Product Lifecycle Management process, managing P&L, driving testing readiness, and communicating effectively with stakeholders to deliver successful outcomes and continuous improvements.
**How you will make an impact:**
**P&L Owner:**
+ **Profit and Loss Responsibility:** Ensure financial performance and sustainability, aligning with strategic goals.
**Strategic Ownership:**
+ **End-to-End Accountability:** Own the product initiative from ideation to execution, ensuring alignment with business strategy, customer needs, and goals.
+ **Define Product Vision & Objectives:** Articulate strategic intent, success metrics, and desired outcomes.
+ **Business Case Development:** Create and validate business cases with cost-benefit analysis and market insights.
+ **PLM Gate Leadership:** Lead through all Product Lifecycle Management phases, ensuring readiness and stakeholder alignment.
**Customer & Market Focus:**
+ **Voice of the Customer:** Use market research and feedback to guide product design and prioritize.
+ **Problem Definition:** Clearly articulate customer problems or opportunities, including personas and pain points.
+ **Value Proposition Development:** Define and validate the product's value and differentiation.
**Cross-Functional Leadership:**
+ **Collaborate with Project Manager:** Partner to co-lead meetings and manage dependencies.
+ **Lead Cross-Functional Teams:** Guide stakeholders from IT, Legal, Compliance, Operations, and Marketing.
+ **Decision Maker:** Central authority for product decisions, consulting with managers and Product Heads.
**Planning & Execution:**
+ **Product Roadmap Definition:** Maintain a roadmap aligning long-term vision with immediate priorities.
+ **Requirements Development:** Define business and functional requirements, user stories, and acceptance criteria.
+ **Prioritization:** Manage the product backlog and prioritize based on value, risk, and effort.
+ **UAT & Go-Live:** Lead business UAT efforts and ensure go-to-market readiness.
+ **Testing Readiness and Execution:** Drive testing readiness, oversee execution, and review results to ensure quality and effectiveness.
**Communication & Stakeholder Engagement:**
+ **Communicate Vision and Progress:** Clearly communicate goals and progress to stakeholders.
+ **PPOC Participation:** Co-present updates at committee meetings with the Project Manager, providing status, risks, and outcomes.
+ **Change Agent:** Manage expectations and align on scope, timelines, or priorities.
**Post-Launch & Continuous Improvement:**
+ **Monitor Success Metrics:** Track key performance indicators, adoption, and feedback.
+ **Continuous Improvement:** Prioritize post-launch enhancements.
+ **Retrospective Leadership:** Lead lessons learned sessions to inform future initiatives.
**Minimum Requirements:**
+ *** Requires a BA/BS degree in a related field and a minimum of 2 years of related experience; or any combination of education and experience, which would provide an equivalent background. ***
**Preferred Skills, Capabilities, and Experiences:**
+ MBA preferred
+ Pharmacy Benefit Management (PBM), Health or managed care experience preferred
+ Healthcare product experience highly preferred
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Product Manager Senior - CarelonRx Pharmacy Benefit Manager (PBM)
Posted 5 days ago
Job Viewed
Job Description
**Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered.
_Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law._
A proud member of the Elevance Health family of companies, **CarelonRx** (formerly IngenioRx) leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care.
The **Product Manager** ** Senior** role involves comprehensive ownership of product initiatives, from ideation to execution, ensuring alignment with strategic business goals and a deep understanding of market dynamics and customer needs. Responsibilities include leading cross-functional teams through the Product Lifecycle Management process, managing P&L, driving testing readiness, and communicating effectively with stakeholders to deliver successful outcomes and continuous improvements.
**How you will make an impact:**
**P&L Owner:**
+ **Profit and Loss Responsibility:** Ensure financial performance and sustainability, aligning with strategic goals.
**Strategic Ownership:**
+ **End-to-End Accountability:** Own the product initiative from ideation to execution, ensuring alignment with business strategy, customer needs, and goals.
+ **Define Product Vision & Objectives:** Articulate strategic intent, success metrics, and desired outcomes.
+ **Business Case Development:** Create and validate business cases with cost-benefit analysis and market insights.
+ **PLM Gate Leadership:** Lead through all Product Lifecycle Management phases, ensuring readiness and stakeholder alignment.
**Customer & Market Focus:**
+ **Voice of the Customer:** Use market research and feedback to guide product design and prioritize.
+ **Problem Definition:** Clearly articulate customer problems or opportunities, including personas and pain points.
+ **Value Proposition Development:** Define and validate the product's value and differentiation.
**Cross-Functional Leadership:**
+ **Collaborate with Project Manager:** Partner to co-lead meetings and manage dependencies.
+ **Lead Cross-Functional Teams:** Guide stakeholders from IT, Legal, Compliance, Operations, and Marketing.
+ **Decision Maker:** Central authority for product decisions, consulting with managers and Product Heads.
**Planning & Execution:**
+ **Product Roadmap Definition:** Maintain a roadmap aligning long-term vision with immediate priorities.
+ **Requirements Development:** Define business and functional requirements, user stories, and acceptance criteria.
+ **Prioritization:** Manage the product backlog and prioritize based on value, risk, and effort.
+ **UAT & Go-Live:** Lead business UAT efforts and ensure go-to-market readiness.
+ **Testing Readiness and Execution:** Drive testing readiness, oversee execution, and review results to ensure quality and effectiveness.
**Communication & Stakeholder Engagement:**
+ **Communicate Vision and Progress:** Clearly communicate goals and progress to stakeholders.
+ **PPOC Participation:** Co-present updates at committee meetings with the Project Manager, providing status, risks, and outcomes.
+ **Change Agent:** Manage expectations and align on scope, timelines, or priorities.
**Post-Launch & Continuous Improvement:**
+ **Monitor Success Metrics:** Track key performance indicators, adoption, and feedback.
+ **Continuous Improvement:** Prioritize post-launch enhancements.
+ **Retrospective Leadership:** Lead lessons learned sessions to inform future initiatives.
**Minimum Requirements:**
+ *** Requires a BA/BS degree in a related field and a minimum of 2 years of related experience; or any combination of education and experience, which would provide an equivalent background. ***
**Preferred Skills, Capabilities, and Experiences:**
+ MBA preferred
+ Pharmacy Benefit Management (PBM), Health or managed care experience preferred
+ Healthcare product experience highly preferred
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.