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

Serves as a compliance consultant in the compliance department of a third-party administrator (TPA). In this role the successful candidate will work collaboratively with team members throughout the organization on legal, regulatory and compliance related tasks and projects.

• This position promotes and enforces compliance with state/federal laws and regulations and related-company policies, with an emphasis on ensuring compliance with privacy rule.
• Identifies and assesses routine compliance issues that need resolution using established rules, regulations and guidelines, assists in the development of appropriate action plans and communications, monitors mitigation activity and appropriately informs and escalates matters to managers and subject matter experts.
• Conducts fact gathering searches on moderately complex matters and provides basic analysis.
• Responds to moderately complex requests for information within area of responsibility from internal and external constituents.
• Other components relevant to the specific role.

Required Qualifications

• 3 - 5 years of healthcare compliance experience, including investigating HIPAA privacy matters
• 3 years of self-funded health plan experience

Preferred Qualifications

• Able to apply business knowledge to interpret and implement state and/or federal laws and regulations impacting our business or our clients.

Education

• Bachelor's degree or equivalent experience.

Anticipated Weekly Hours
40

Time Type
Full time

Pay Range

The typical pay range for this role is:

$43,888.00 - $102,081.00

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: 11/28/2025

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