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Aetna is now a CVS Health Company

Senior Compliance Consultant

Primary Location: New Albany, OH
Additional Locations: OH-New Albany
Experienced compliance position that applies compliance, regulatory, business, analytical and communication skills to support, manage and help develop Medicare and Medicaid compliance programs and processes that promote compliant and ethical behavior, meet regulatory obligations and prevent, detect and mitigate compliance risks.

Fundamental Components:
Independently demonstrates the principles of effective Medicare and Medicaid Compliance programs, including, but not
limited to, risk assessment, auditing and monitoring,
maintaining effective policies and procedures, effective communication and
training, identifying solutions to compliance gaps and helping business to
implement compliance controls. Assists in the preparation and filing of moderately complex
regulatory reports, non-product filings and follow-ups, and supports regulatory
review and audit activities. Manages multiple moderately complex
regulatory interactions including drafting regulatory correspondence, meeting with regulators and
industry groups on compliance with laws and regulations, and responding to routine regulatory inquiries
requiring an understanding of business processes and regulatory requirements.

Supports compliance officers and moderately
complex compliance business process reviews, corrective actions and other projects involving internal and external constituents. Independently develops
materials that meet regulatory and legal requirements. Maintains positive, productive relationships with internal and external constituents and effectively communicates and influences
decision-making and ethical and compliant outcomes at various levels necessary to accomplish goals. Appropriately escalates issues requiring resolution. Applies industry and
compliance knowledge to support and manage moderately complex matters involving established
compliance system and operations,
including processes for implementation of laws and regulations, supports the Company’s Privacy Office on privacy matters monitoring
of compliance issues, and handling of moderately complex complaints. Independently identifies and assesses moderately
complex compliance issues and risks
that need resolution using established rules, regulations and guidelines,
assists in the development of appropriate action plans and communications, monitors remediation and risk
mitigation activity and appropriately informs and escalates matters to managers and subject matter experts. Independently collects the facts related to an issue, performs analysis and effectively
prepares and communicates concise summaries on moderately complex matters.

Responds to moderately complex requests
for information within area of responsibility from
internal and external constituents. Acts as resource for colleagues and
effectively guides less experienced team members to accomplish goals. Ability
to work independently and as part of a team.

Background Experience:
  • 3-5 years’ experience in a regulatory compliance position in healthcare, with Medicare and Medicaid experience preferred, or relevant work experience in a business area.
  • Project Management skills
  • Bachelor's degree or equivalent experience.

Required Skills:
General Business - Consulting for Solutions, Leadership - Collaborating for Results, Service - Demonstrating Service Discipline

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. 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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