Aetna Regional Compliance Consultant in Plymouth, Minnesota
Req ID: 53241BR
Serve as a regional compliance consultant in the compliance department of a third-party administrator (TPA). In this role the successful candidate will work collaboratively with team members throughout the organization on legal, regulatory and compliance related tasks and projects. This position promotes and enforces compliance with state/federal laws and regulations and related-company policies.
Researches and applies knowledge of legal, regulatory and procedural developments that relate to the company, as well as clients business goals, plans and priorities.
Interprets regulatory materials and helps the business understand regulatory requirements by producing summaries and/or action plans for assigned laws.
Proactively identifies areas of potential risk for assessment and mitigation.
Identifies and implements solutions to compliance gaps, where appropriate.
Monitors subsequent adherence to compliance action plans.
Reinforces company's commitment to compliance.
Leads routine business process reviews.
Handles multiple projects simultaneously more complex matters are handled with oversight by manager.
Maintains effective relationships with various audience levels and escalates issues requiring resolution on a timely basis.
Encourages high business standards in order to advance company objectives, benefit the company's customers, employees and shareholders, and protect the company's reputation.
5+ years experience in a regulatory/compliance position in the insurance industry, preferably with self-funded health plans.
Demonstrated experience with state/federal legislation implementation.
Ability to communicate effectively with all levels of management.
Ability to manage complexity and multiple projects simultaneously.
Demonstrated superior analytical and problem-solving skills.
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
Functional - Legal/Compliance/4-6 Years
Functional - Legal/Compliance - investigation/4-6 Years
Functional - Legal/Compliance - market conduct/regulatory exams/1-3 Years
Functional - Legal/Compliance - state/federal legislation implementation/4-6 Years
Functional - Sales & Service/Self insured/stop loss products/
Technical - Desktop Tools/Microsoft SharePoint/1-3 Years/End User
General Business/Applying Reasoned Judgment/FOUNDATION
Leadership/Collaborating for Results/FOUNDATION
Leadership/Driving a Culture of Compliance/FOUNDATION
General Business/Maximizing Work Practices/ADVANCED
Leadership/Fostering a Global Perspective/FOUNDATION
Flexible telework / office-based schedule (can live near any office location)
Option for telework will be evaluated after a certain period of employment
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 candidates'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: Legal