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Regional Compliance Consultant

Primary Location: Linthicum, MD
Additional Locations: FL-Tampa, MD-Linthicum, MN-Minneapolis
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.

Fundamental Components:
  • 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.

Background Experience:
  • Experience in regulatory/compliance/legal (one of) REQUIRED (preferred 5+ years)
  • Able to understand benefits & read laws is REQUIRED
  • Experience 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.

Required Skills:
General Business - Applying Reasoned Judgment, Leadership - Collaborating for Results, Leadership - Driving a Culture of Compliance

Desired Skills:
General Business - Communicating for Impact, General Business - Consulting for Solutions, Technology - Leveraging Technology

Functional Skills:
Lega - Compliance, Lega - Compliance - investigation, Lega - Compliance - state/federal legislation implementation, Sales & Service - Self insured/stop loss products

Technology Experience:
Desktop Tool - Microsoft SharePoint

Potential Telework Position:

Percent of Travel Required:
0 - 10%

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

Benefit Eligibility:
Benefit eligibility may vary by 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.


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