Lead Director, PBM Corporate Compliance
Core
Lead regulatory compliance and governance for Caremark's PBM business, ensuring alignment with federal and state requirements while embedding compliance into operations and technology.
Role type
Senior IC compliance leader (PBM)
Builds
Operational compliance controls, regulatory readiness, and risk management frameworks for PBM services
Domain
Healthcare + Pharmacy Benefit Management (PBM)
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
PBM regulatory compliance, risk management, audit, project management, stakeholder management, team leadership, executive presentation
Preferred skills
PBM economics, manufacturer contracting, rebate administration, ERISA compliance, fiduciary requirements, pharmacy reimbursement parity, state-level reporting, Any-Willing-Pharmacy standards
Technologies
None explicitly stated
Responsibilities
Lead regulatory compliance initiatives and assess new federal/state requirements; Partner with Legal to determine regulatory applicability; Drive implementation of compliance requirements across business operations; Oversee PBM-related compliance investigations and corrective actions; Represent Compliance on enterprise governance committees; Lead, mentor, and develop a team of compliance professionals
Seniority
Director, strategic leadership & team management