Senior Analyst, Product & Regulatory Approvals

About the position

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. The position involves managing the development, submission, and state approval process for insurance form filings.

Responsibilities

• Draft Medicare Supplement and short-term limited duration health insurance products (policies, forms, brochures, etc.) to ensure compliance with all applicable laws, regulations, and guidelines.
• Verify that the products meet specific requirements regarding benefits, premium structures, eligibility, and other relevant aspects.
• Stay abreast of changes in state and federal regulations related to Medicare supplement insurance.
• Maintain accurate records of product filings and related correspondence.
• Collaborate with other business areas and stakeholders within the company throughout the product filing and approval process.
• Possess a strong understanding of Medicare supplement and short term, limited duration health insurance products including and their benefits.

Requirements

• Minimum of five (5) years of work experience in insurance product development and a policy forms drafting capacity with a health insurance carrier.
• Minimum of five (5) years of work experience with health insurance products, specifically including Medicare Supplement and short-term limited duration health insurance plans, products, applicable regulations, and industry practices.
• Familiarity with legal research and review of applicable statutes and regulations.
• Strong analytical skills with the ability to review and analyze complex data and documents.
• Experience with independently drafting complex health insurance policy documents, applications, policy riders, and outlines of coverage.
• Strong attention to detail, in particular accuracy and meticulousness in reviewing and processing filings via SERFF.
• Excellent ability to communicate effectively, both verbally and in writing to effectively coordinate and communicate with internal business partners and insurance departments.
• Problem-Solving Skills: Ability to identify and resolve issues related to product filings.
• Proficiency in relevant software and databases such as Microsoft Word, Microsoft Teams, Adobe, PowerPoint, and Workfront.
• Experience with responding to insurance department questions and objections in response to insurance product filings.
• Extensive knowledge of insurance department rules and regulations governing coverage forms, endorsements, rules, and policy language requirements.
• Maintains a high level of confidentiality and professional demeanor and approach in the performance of duties.
• Must possess initiative to work independently without frequent supervisory involvement.
• Ability to quickly understand new insurance products and product changes.
• Possess high organizational skills and ability to set and adjust priorities.
• Ability to make decisions within scope of authority.

Nice-to-haves

• High School diploma

Benefits

• 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.