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Product & Regulatory Approvals Consultant

Primary Location: Franklin, TN
Additional Locations: TN-Franklin
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Description:
Responsible for benefit contract language development, regulatory submissions and approvals and compliance activities as they relate to development and implementation; of Aetna products and programs, regulatory licensing approvals and statutory reporting.

Fundamental Components:
  • Develop, submit and negotiate timely approval of high-quality regulatory filings that comply with state and federal regulatory requirements and meet business expectations and needs
  • Facilitate approvals and expedite resolution of issues pertaining to product, licensing and legislative filing; proactively manage relationships with business clients and regulators by providing timely follow-up and response; negotiate and resolve business compliance conflicts and product changes to achieve business objectives; obtain regulatory approvals within aggressive timelines
  • Effectively manage multiple filings and projects to ensure that filings and projects reflect P&RA and business priorities and meet P&RA metrics.
  • Provide early alerts to management when deadlines are in jeopardy
  • Build, maintain and promote positive and effective working relationships with state/federal regulators and internal clients and insurance groups
  • Work closely with attorneys and compliance staff to promote and enforce compliance and state/federal laws and regulations and implementation of risk management policies
  • Effectively use P&RA filing and reporting systems
  • Identify opportunities to streamline processes and improve efficiencies within P&RA
  • Adhere to regulatory and internal filing requirements and procedures
  • Seek additional work across the P&RA teams and look to take on more challenging assignments
  • Prepare, secure and maintain health plan certifications, licenses and agreements with regulatory agencies
  • Act with professionalism and demonstrate high personal standards of performance and integrity; complete and promote compliance training and policies; serve as a creditable resource to constituents
  • Exhibit behaviors outlined in Product & Regulatory Approvals Consultant Competencies


Background Experience:
  • Excellent analytical and problem solving skills
  • Ability to navigate multiple software environments/technically savvy
  • Strong project management skills, the ability to manage multiple priorities simultaneously, and proven ability to work both independently and on a team
  • Excellent written and verbal communication skills, and the ability to interact effectively with different audiences
  • Strong understanding of the healthcare industry and regulatory environment, including in-depth knowledge of Aetna products, services, business units and administrative procedures.
  • Associate's or Bachelor's degree.
  • Paralegal certificate beneficial.


Additional Job Information:
This position requires attention to detail, a high level of organization, and the ability to effectively communicate with stakeholders to determine impact of objection responses for implementation. Effective legal research skills are required to validate laws and regulations and ensure compliance. Candidate should be self-motivated and able to work independently, asking questions as needed. Candidate should be a team player with a good attitude who is willing to learn and support the team on a variety of projects.

Required Skills:
General Business - Applying Reasoned Judgment, General Business - Communicating for Impact, General Business - Consulting for Solutions, General Business - Ensuring Project Discipline, General Business - Turning Data into Information, Leadership - Driving a Culture of Compliance, Service - Working Across Boundaries

Desired Skills:
General Business - Demonstrating Business and Industry Acumen, Leadership - Anticipating and Innovating, Leadership - Collaborating for Results, Leadership - Driving Change, Service - Improving Constituent-Focused Processes

Potential Telework Position:
No

Percent of Travel Required:
0 - 10%

EEO Statement:
Aetna is an Equal Opportunity, Affirmative Action Employer

Benefit Eligibility:
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Candidate Privacy Information:
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.

Click To Review Our Benefits (PDF)

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