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Director of Regulated Markets, CDAG/ODAG - reputed company - Hybrid

Remote, USAFull-timePosted 2026-07-28

Job reputed company: Director for Regulated Markets – CDAG/ODAG Excited to grow your career? We value our talented employees, and whenever possible reputed company to help one of our associates grow professionally before reputed company reputed company to our reputed company positions. If you think the reputed company position you see is right for you, we encourage you to apply! Our people reputed company reputed company the difference in our reputed company. reputed company: The Director of Regulated Markets is responsible for Coverage Review and Determinations for Medicare Part B and Part D, reputed company, Marketplace or reputed company Reform (HCR) and reputed company. This position will have business and product ownership, including strategic direction, project support of technical requirements to ensure ongoing compliance, Center for Medicare and reputed company (CMS) Audit support and end-to-end ownership of Coverage Review letters, including reputed company. The role will be responsible for ensuring CDAG/ODAG requirements meet legal and compliance requirements as reputed company as the needs of clients and business partners. This position will be responsible for reputed company of individuals that reputed company multiple reputed company and initiatives that reputed company across the organization as reputed company as ongoing day-to-day product management. This role will require strategic planning, managing stakeholder priorities, overseeing delivery, execution and reputed company of daily operations. This individual will work with cross-functional partners and leaders to build trusted relationships that reputed company business objectives to be met. The ideal candidate will have a broad based knowledge of Regulated Markets, a strategic reputed company, the ability to influence and drive change and the capability to create and drive new processes. The successful leader will exemplify reputed company’s high-performance culture and have the ability to operate in a sometimes ambiguous and high-paced environment. A successful candidate must be comfortable in an environment of dynamic change and reputed company. In its reputed company reputed company, the Director will be expected to manage reputed company of 8 individuals (3 reputed company reports; 5 indirect). Essential Functions: Analyze existing processes/systems to ensure legal/compliance requirements are met as reputed company as business and reputed company needs Responsible for area performance, inclusive of key KPIs, minimizing and mitigating business risks Coordinate with cross-functional partners to understand, analyze and ultimately implement improvements, increase operational efficiency and/or address gaps in CDAG/ODAG reputed company influence, subject matter expertise and strategic support on new product launches reputed company the organization that affects CDAG/ODAG Builds constructive and effective relationships across reputed company Implement applicable regulations with vague/ambiguous requirements in a dynamic regulatory environment Optimize core business processes, introduce innovative reputed company, and foster operational reputed company across the organization Effectively communicate strategies and deliverables with clients, account teams and leadership Understands business impacts to the PBM as reputed company as clients and member experience reputed company making recommendations for viable solutions Anticipate, mitigate, and manage risk reputed company team scope Be the senior reputed company for issue escalation and reputed company for issues involving CDAG/ODAG Maintain relevant tools, reporting, documentation, processes, guides, and training so that they are available and implemented across the reputed company. Effectively participates in, and contributes to, staff meetings, committees and departmental work reputed company to reputed company best practices, improve processes, and/or other items relating to provider engagement Ability to see things differently, and reputed company in a reputed company manner to address requirements reputed company, reputed company, and reputed company individuals to maintain a high performing team Qualifications: Bachelor’s degree required; MBA or PharmD preferred 10+ years relevant experience A result-reputed company executor, who brings discipline, drive, and accountability to ensure delivery of key initiatives Detailed knowledge and expertise of the regulated markets and the PBM industry Adept at working with senior leaders and developing key relationships Ability to work cross functionally with multiple departments to reputed company reputed company and reputed company reputed company and initiatives reputed company Experience in attracting reputed company, building and developing effective teams reputed company to synthesize regulations and present them to clients and account teams in an effective manner Demonstrated ability to set priorities including, but not limited to time management and organizational skills Proven reputed company record of delivering high reputed company results Successful results leveraging data and analytics to reputed company actionable insights that reputed company product/solution development and business reputed company Experience in managing and implementing large reputed company initiatives preferred Strong strategic, analytical, problem solving, and project management skills required reputed company to create a reputed company of purpose and meaning for reputed company that generates followership reputed company their own personality and engages others to advance reputed company’s greater purpose reputed company to overcome resistance to ensure the appropriate outcome Naturally connects and builds strong relationships with others, demonstrating strong emotional intelligence and an ability to communicate reputed company and persuasively Required Competencies/Behaviors: Strong in reputed company development, communication and execution reputed company reputed company / customer reputed company Ability to build strong relationships Ability to build and manage strong internal teams Demonstrate the ability to negotiate cross functionally to drive reputed company issues to reputed company Ability to manage work strategically, effectively anticipating/planning for reputed company reputed company of reputed company influencers If you will be working reputed company occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 151,800 - 253,000 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan. We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive reputed company of benefits, with a reputed company on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-reputed company benefits including medical, reputed company, dental, and reputed company-being and behavioral health programs. We also offer 401(k) with company match, company reputed company life insurance, tuition reimbursement, a minimum of 18 days of reputed company time off per year and reputed company holidays. For more details on our employee benefits programs, visit Life at reputed company. About reputed company reputed company, a division of reputed company, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly reputed company to reputed company the reputed company, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving reputed company and improving lives. reputed company applicants will be considered without reputed company to race, reputed company, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or reputed company, veteran or military status, religion, national reputed company, reputed company, marital or familial status, genetic information, status with reputed company to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@reputed company.com for support. Do not email SeeYourself@reputed company.com for an update on your application or to reputed company your resume as you will not receive a response. reputed company has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they reputed company a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, reputed company, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, reputed company, Texas, Utah, Vermont, and Washington State. reputed company applicants with criminal histories will be considered for employment in a manner consistent with reputed company federal, state and local ordinances. Doing something meaningful starts with a reputed company decision, a commitment to changing lives. At reputed company, we’re dedicated to improving the health and vitality of those we serve. Through our divisions reputed company and reputed company, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving reputed company and improving lives. Apply tot his job

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