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Aetna is now a CVS Health Company

Compliance Consultant

Primary Location: Phoenix, AZ
Additional Locations: AZ-Phoenix
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Description:
Intermediate level compliance position for Mercy Care, an Aetna administered Medicaid health plan, that applies compliance, business, analytical and communication skills to support established compliance programs and processes that promote compliant and ethical behavior, meet regulatory obligations and prevent, detect and mitigate compliance risks.


Fundamental Components:
With support, demonstrates the principles of an effective Compliance program, including, but not limited to, risk assessment, auditing and monitoring, maintaining effective compliance policies and procedures, and effective communication and training. Prepares routine and moderately complex regulatory reports, filings and follow-ups, and supports regulatory review and audit activities. Manages moderately complex regulatory interactions including drafting regulatory correspondence and responding to routine regulatory inquiries requiring an understanding of business processes and regulatory requirements. Develops standard forms and related materials that meet regulatory and legal requirements. Effectively communicates and maintains positive, productive relationships with internal and external constituents. Provides input for decision-making and influences ethical and compliant outcomes at appropriate levels necessary to accomplish goals. Supports 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. Identifies and assesses routine compliance issues that need resolution using established rules, regulations and guidelines, assists in the development of appropriate action plans and communications, monitors mitigation activity and appropriately informs and escalates matters to managers and subject matter experts. Conducts fact gathering and law searches on moderately complex matters and provides basic analysis. Responds to moderately complex requests for information within area of responsibility from internal and external constituents. Other components relevant to the specific role.

Background Experience:
2-4 years’ experience in a regulatory compliance position in healthcare, insurance or financial services or relevant work experience in a business area. Possessing Project Management skills is a plus. Bachelor's degree or equivalent experience.
Minimum Technical Experience
Desktop Tool - TE Microsoft Excel


Technology Experience:
Desktop Tool - TE Microsoft Excel

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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