Wholesale Business Compliance Project Manager

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.

**Strong preference for the candidate to sit in CST or EST**

Position Summary

This position will report to the Sr. Manager, Wholesale Business Compliance, with a dotted line to the Lead Director for Client Account Management in the TPA & Payor Solutions business area. The Project Manager will be responsible for supporting all contract‑related activities for American Health Holding’s medical management business. This role will oversee the creation, drafting, redlining, and completion of client service agreements, confidentiality agreements, business associate agreements, delegation agreements, amendments, and other business-required contracts.

In addition, this individual will manage the client contract repository, ensuring agreements are updated, amended, or terminated as needed, while also providing support for regulatory filings. The Project Manager serves as a subject matter resource on contract terms when questions arise from the business or other constituents. The Project Manager will work closely with Managing Senior Counsel to maintain legally and regulatory compliant templates and escalate day-to-day matters involving legal risk.

The role requires regular collaboration with business partners to develop contract language and participation in client and account management discussions to address contractual requirements. Strong contract knowledge, redlining expertise, and excellent communication and writing skills are essential.

Required Qualifications

• A minimum of 5 years of experience drafting and negotiating customer contracts; familiarity with Master Services Agreement (MSA) (Aetna experience a plus).

• Experience operating within a highly regulated healthcare environment.

• Proficiency in contract drafting, review, and negotiation.

• Experience using SERFF or similar regulatory filing systems.

Preferred Qualifications

• Experience drafting Medical Management Agreements, Delegation Agreements, and related amendments.

• Understanding of medical management operations (UM, CM, delegation oversight, accreditation, etc.)

• Ability to maintain strong relationships with customers and legal partners.

• Willingness to support cross‑functional initiatives and provide legal/contract expertise.

• Ability to manage multiple priorities and ensure high-quality work products.

• Ability to collaborate with SMEs across Legal, Product, Markets, Government Affairs, Privacy, Clinical Operations, and Compliance

• Adaptability to evolving business needs.

Education & Certifications

• Bachelor's degree preferred or a combination of work experience and education.

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

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

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