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Executive Director, Regulatory Management, Network Standards & Technology Transformation

CVS Health

RemoteAZ Work from homeStaff
Sign in to applyVerified 1h ago
Location
AZ Work from home
Work model
Remote
Level
Staff
Posted
1d ago

About this role

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. CVS Caremark is seeking an Executive Director, Regulatory Management, Network Standards & Technology Transformation who is responsible for the strategy, governance, execution, and performance of regulatory implementation, industry standards management, technology modernization, capital investment planning, and transformational initiatives supporting the Pharmacy Network Services organization. This role serves as a critical bridge between business operations, technology, compliance, regulatory affairs, legal, finance, and external industry organizations. The Executive Director is accountable for translating evolving regulatory requirements, industry standards, and business needs into scalable operational capabilities, technology solutions, and enterprise programs that strengthen compliance, improve provider experience, enhance operational efficiency, and create measurable business value. Reporting within Network Services, this leader will provide strategic oversight across regulatory compliance, market conduct examinations, Network Standards, Pharmacy Portal modernization, capital investment governance, and enterprise transformation initiatives. The role blends regulatory expertise, technology leadership, business acumen, and executive influence to drive critical outcomes across a highly matrixed organization.

Major Responsibilities

Regulatory Compliance, Examinations & Risk Management Lead the assessment, implementation, and governance of state and federal regulatory requirements impacting Pharmacy Network Services. Provide executive oversight of market conduct examinations, regulatory inquiries, audits, investigations, and compliance-related initiatives. Partner with Legal, Compliance, Regulatory Affairs, Government Affairs, Finance, Digital, and Operations teams to evaluate business impacts, establish implementation strategies, and ensure timely execution. Oversee documentation, controls, audit readiness activities, regulatory submissions, and corrective action planning to strengthen organizational compliance and risk management. Serve as a trusted advisor to executive leadership on regulatory developments, compliance obligations, examination trends, and emerging risks. Network Standards & Industry Engagement Lead enterprise management of pharmacy network standards and regulatory protocols impacting Pharmacy Network Services. Oversee organizational readiness and implementation for industry-standard initiatives, including NCPDP telecommunications standards and related regulatory requirements. Serve as executive sponsor for Network Services participation in industry standards organizations and workgroups. Ensure evolving industry standards, transaction-processing requirements, and external market developments are appropriately evaluated and operationalized. Represent CVS Caremark externally, as appropriate, in industry forums and standards-related discussions. Technology Modernization, Transformation & Business Enablement Lead strategic technology, modernization, and transformation initiatives that improve Network Services capabilities, provider experience, operational scalability, and regulatory compliance. Serve as senior business owner and strategic partner for key Network Services technology platforms, digital capabilities, and provider-facing solutions. Establish and execute multi-year roadmaps focused on automation, workflow simplification, operating model transformation, and modernization of business processes and systems. Partner with Digital, Technology, Operations, and

Executive Director, Regulatory Management, Network Standards & Technology Transformation at CVS Health — AZ Work from home | Yoinka