Director of Regulatory Affairs, Medicaid
CVS Health
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**
The Director of Regulatory Affairs is responsible for supporting the development and implementation of Aetna Better Health of Virginia’s comprehensive state regulatory affairs and account management strategy. This position will focus on engaging with state healthcare regulatory agencies with an emphasis on the Virginia Medicaid Agency and is responsible for the identification, development, and management of strategic relationships with Virginia state and local agencies, community-based organizations, and key stakeholder advocacy and trade associations, with the purpose of advancing the organizational priorities of Aetna Better Health of Virginia). The Director of Regulatory Affairs will monitor state regulatory activity, assist in the implementation of key state priorities, monitor and respond to all state regulatory inquiries, coordinate with coalitions and stakeholders, and represent Aetna Better Health of Virginia in discussions with regulatory agency staff. The Director of Regulatory Affairs will also be responsible for the oversight and implementation of key state level initiatives and projects.
+ Primarily responsible for receiving and processing any state-level inquiries and complaints Coordinates with enterprise staff for responses and files response with documentation with states. Responsible for file documentation and management as part of final responses to state.
+ Draft formal responses, letters, and other regulatory submissions in response to proposed rules, policies, and notices issued by state agencies.
+ Responsible for oversight and internal governance of internal business owners in meeting all timely and accurate filing requirements of all state regulatory reports and deliverables.
+ Track implementation of laws and regulations relevant to Medicaid managed care operations and support efforts to ensure that regulations align with the priorities of
+ Build relationships and coordinate meetings with staff at key state regulatory agencies, including Medicaid and related Health and Human Resources agencies, serving as a representative of Aetna Better Health of Virginia.
+ Collaborate with internal teams and external partners to develop educational resources and tools for effective regulatory advocacy, including toolkits, policy briefs and meeting summaries
+ Monitor and attend public state and local level regulatory meetings, ensuring health plan management is aware of all regulatory meetings, and outcomes with comprehensive summaries and updates.
+ Maintain knowledge of national trends and state-specific developments affecting managed care organizations and integrate this into Aetna’s Virginia specific regulatory strategy.
+ Perform other duties and functions as assigned.
**Required Qualifications**
+ At least 5 years of experience in public policy with a focus on state regulatory issues, especially Medicaid policy, or experience working directly with or within state regulatory agencies or state Medicaid programs.
+ A demonstrated interest in and commitment to improving healthcare outcomes, particularly for underserved populations or individuals or individuals on Medicaid
+ Experience with stakeholder engagement and coalition-building.
+ Must be based out of Virginia
**Preferred Qualifications**
+ Strong understanding of state regulatory processes, particularly in health and human services. Familiarity with state Medicaid programs and managed care regulations a plus.
+ Excellent organizational, verbal (including public speaking), and written communication skills.
+ Ability to draft persuasive and well-reasoned policy documents, comments, and recommendations.
+ Capable of managing multiple projects and deadlines in a fast-paced environment.
+ Comfortable working independently and collaboratively as part of a team.
+ Willingness to travel to attend meetings as required.
+ Proficiency with Microsoft Office and Teams.
**Education**
+ Bachelor’s degree in a related field (public policy, public health, political science, social work, healthcare administration, or related discipline) required. Master's degree preferred.
**Pay Range**
The typical pay range for this role is:
$100,000.00 - $231,540.00
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 https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 09/22/2025
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.
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