Aetna Senior Compliance Lead in Princeton, New Jersey
Req ID: 43808BR
Office based in Princeton, NJ
Promotes and enforces compliance with state/federal laws and regulations and related-company policies (including the Aetna Code of Conduct) affecting Aetna businesses and encourages high business standards in order to advance company objectives, benefit the company's customers, employees and shareholders, and protect the company's reputation. Responsibilities include: auditing, investigating, training/education and enforcement, ongoing consultation on compliance issues impacting businesses, interfacing with industry groups and regulators on compliance with laws and regulators, monitoring and reporting on adherence to compliance controls, recommending and helping businesses to implement compliance controls.
Oversees compliance activities in support of a large or complex business group and/or manages teams responsible for managing market conduct and other regulatory exams, inquiries or reporting. Assures the timely implementation of all state and federal legislation and regulations applicable to assigned business areas Ensures that compliance risks are addressed and corrective actions are taken, as appropriate; Assists business units with development and promulgation of appropriate compliance controls/corrective actions. Oversees or ensures the development of policies and procedures needed in response to new or existing laws or Company policies. Monitors ongoing compliance with the policies and procedures within the business group Partners with C&RA to conduct investigations of compliance deviations or failures. Directs compliance reviews and risk assessments Promotes and enforces Aetna's Code of Conduct and Integrity The Aetna Way Promotes compliance awareness, education and training Works closely with management to drive compliance as a core competency and integrate compliance into business plans, scorecards, metrics and processes; removes barriers to implementation Assists C&RA and business unit head with communicating Company's and targeted business conduct, integrity and compliance messages Identifies and analyzes significant legislative initiatives and impact on business operations Establishes education programs and provides and/or promotes continuing training & education Assures compliance direction is aligned with segment business strategies Develops standards of performance and related metrics
5+ years experience in a regulatory compliance position in healthcare, insurance or financial services. - Medicaid and Medicare experience strongly preferred; Bachelor's degree required; legal or masters degree preferred; 5 or more years of relevant experience preferred.
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
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ADDITIONAL JOB INFORMATION
Knowledge of Medicaid
Required Skills: (was not able to enter below) General Business/Applying Reasoned Judgment/MASTERY Leadership/Creating Accountability/ADVANCED Leadership/Driving a Culture of Compliance/FOUNDATION
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 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.
Job Function: Legal