Aetna Compliance & Legislation Small Group Sr Project Manager (Underwriting) in Hartford, Connecticut
Req ID: 50845BR
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come. #WeJoinYou #Underwriting
This position coordinates responses to the Department of Insurance and works very closely with our Internal Compliance area. This opportunity will allow exposure and ability to interact with a broad variety of Aetna departments, including but not limited to Actuarial, Compliance, Finance and Underwriting. Focus is on compliance measures and implementing and tracking results as well as communicating guidance on legislative changes. Responsibilities include analyzing data pulls, working with all regional underwriting shops to respond to requests, fraud case review, Employee and Employer Forms for all states, and SUN guidelines. Focus is on compliance measures and implementing and tracking results as well as communicating guidance on legislative changes.
Fundamental Components:· Strong organizational skills are needed to pull and analyze data to respond to Department of Insurance requests and Compliance needs. · Excellent communication skills, verbal and written, are critical to deliver information to the regional underwriting teams and coordinate responses for external responses. · Use of Excel and Internal systems are critical to pulling data and interpreting requests. –· Close attention to detail and proven ability to meet deadlines is needed as requests often have very quick turnaround times and financial penalties apply for missed deadlines.
BACKGROUND/EXPERIENCE desired:· 4-6 years of experience in compliance, federal legislation implementation, and/or underwriting· Strong knowledge of state and federal laws that impact underwriting decisions is required· Previous experience working within small group underwriting is a plus. · Proven track record in meeting project milestones and negotiating for resources. · Proven communication skills both written and verbal · Proven ability to affect change/interpersonal skills Solid Project Management skills · Strong Organizational skills and ability to multi task EDUCATION
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
Functional - Underwriting/Policy guidelines development/1-3 Years
Functional - Underwriting/Rating methodologies and/or functions (rating and accounting)./4-6 Years
Functional - Legal/Compliance - state reviews/1-3 Years
Functional - Legal/Compliance - state/federal legislation implementation/1-3 Years
Technical - Aetna Applications/Customer Underwriting Prod & Procedure/4-6 Years/End User
Technical - Desktop Tools/Microsoft Word/4-6 Years/End User
Technical - Operating Systems/Windows/4-6 Years/End User
General Business/Communicating for Impact/ADVANCED
Leadership/Collaborating for Results/ADVANCED
Leadership/Driving a Culture of Compliance/ADVANCED
General Business/Applying Reasoned Judgment/MASTERY
Leadership/Developing and Executing Strategy/ADVANCED
Will consider work at home for current internal work at home candidates.
ADDITIONAL JOB INFORMATION
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.
We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.
Together we will empower people to live healthier lives.
Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.
We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.
Job Function: Management