Job Details

Executive Director, Medicare Regulatory Affairs

About the Company

Expanding retail pharmacy & healthcare company

Industry
Hospital & Health Care

Type
Public Company

Founded
1963

Employees
10,001+

Categories

• Retail
• Pharmacy
• Health Care
• Consumer Staples
• Retail Store
• Health & Wellness
• Health and Wellness
• Healthcare
• Beauty Products
• Convenience Stores
• Customer Loyalty Program
• Printing
• Greeting Card
• Mobile App Development
• Drug Retailers
• Health
• Personal Care
• Pharmaceuticals
• Online Pharmacies
• Pharmacies and Personal Care Stores

Specialties

• retail
• pharmacy benefits management
• health insurance
• health care
• pharmacy
• care management
• and primary care

About the Role

The Company is seeking an Executive Director for Medicare Regulatory Affairs to lead the strategic development and oversight of Medicare regulatory initiatives within the Government Services Division and Pharmacy Benefit Management (PBM) business. The successful candidate will be responsible for driving regulatory strategies to optimize client value, interpreting legislative actions and agency guidance, and ensuring effective communication with plan sponsors and stakeholders. Key areas of focus include Medicare Part D, Part B, Managed Care, Employer Group Waiver Plans, and Retiree Drug Subsidy. The role demands a leader with a strong work ethic, a self-starter attitude, and the ability to be highly productive in a dynamic, collaborative environment. The Executive Director will be accountable for all Medicare regulatory deliverables, lead a team of subject matter experts, and manage the strategic Medicare regulatory agenda for the PBM.
Applicants for this role at the company should have a Bachelor's degree or equivalent work experience, with a preference for candidates with a background in Medicare. The position requires a minimum of 10 years' of demonstrated leadership experience, particularly in PBM Government Services, Health Plan, Regulatory agencies, or other Industry Groups. The ideal candidate will have a proven track record in strategic thinking, influencing skills, and the ability to distill complex ideas into actionable insights. Strong communication, presentation, and partnership skills are essential, as is the ability to influence at all levels of the organization. The role also demands a commitment to diversity, equity, and inclusion, and the candidate should be open to remote work arrangements.

Hiring Manager Title
VP of Regulatory Affairs

Travel Percent
Less than 10%

Functions

• CEO/President
• Non-Profit Management
• Medical Care/Hospital Administration
• Operations
• Strategy