Lead Director, PBM Corporate Compliance

• Lead regulatory compliance initiatives for Caremark’s PBM business, including assessing new federal and state requirements and driving implementation across operations, systems, and controls
• Partner with Legal and cross-functional stakeholders to embed compliance across business operations, processes, systems, and governance frameworks
• Drive regulatory requirements and compliance initiatives through completion, validating effectiveness through evidence of compliance and establishing sustainable operational controls
• Oversee PBM-related compliance investigations, including issue assessments, root cause analysis, reporting, executive updates, and corrective actions
• Represent Compliance on enterprise governance committees and key business initiatives
• Provide strategic compliance leadership and guidance to business partners while fostering regulatory accountability and operational excellence
• Lead, mentor, and develop compliance professionals and people leaders through coaching, performance management, succession planning, and talent development

• 10+ years of combined experience in Compliance, Regulatory Affairs, Risk Management, Audit, Project Management, or similar oversight disciplines
• Strong background leading major projects and mentoring project leaders
• Ability to travel up to 10%-15%, including by plane
• Deep expertise in PBM regulatory and operational domains, including PBM economics, manufacturer contracting, rebate administration, and client onboarding
• Knowledge of federal and state PBM regulatory requirements, including rebate pass-through, pricing transparency, pharmacy reimbursement parity, state-level reporting and audit obligations, and Any-Willing-Pharmacy standards
• Knowledge of contract compliance, ERISA-related changes, fiduciary requirements, and pharmacy complaint, dispute, and appeal processes
• Demonstrated success leading large-scale compliance and regulatory programs and operational readiness initiatives in PBM, healthcare, pharmacy, managed care, or other highly regulated industries
• Exceptional communication, executive-level presentation, and stakeholder-management skills
• Proven success leading and developing teams, including mentoring leaders and building organizational capability
• Bachelor’s Degree; equivalent years of related professional work experience may substitute
• Advanced degree preferred (JD, MBA, MPH, or related)

Demonstrates extensive expertise in regulatory compliance and risk management within the PBM sector, with a strong focus on leading compliance initiatives, mentoring teams, and ensuring operational excellence. Proven ability to navigate complex federal and state regulations while fostering collaboration across cross-functional teams.

• Regulatory Compliance Leadership
• PBM Regulatory Expertise
• Project Management
• Stakeholder Management
• Team Development and Mentoring

• Regulatory Compliance
• Risk Management
• Audit
• Project Management
• PBM Economics
• Manufacturer Contracting
• Rebate Administration
• Client Onboarding
• Contract Compliance
• Operational Readiness

• Exceptional Communication
• Executive-Level Presentation
• Stakeholder Management
• Mentoring
• Performance Management

• Bachelor’s Degree
• Advanced Degree Preferred (JD, MBA, MPH)

• PBM
• Healthcare
• Managed Care
• Fiduciary Requirements
• Pharmacy Reimbursement Parity
Pricing Transparency
• State-Level Reporting
• Audit Obligations
• Any-Willing-Pharmacy Standards
• ERISA