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Aetna Director, Reporting and Analytics - Compliance in Chicago, Illinois

Req ID: 60276BR

Job Description

Position can be located in Chicago IL or Blue Bell PA*

Great opportunity to join a dynamic and innovative team at Aetna as Dir, Reporting & Analytics -Compliance. This position will promote and enforce compliance with state/federal laws and regulations and related-company policies affecting Aetna and CVS Health businesses. Encourages high business standards and promotes integrity in order to advance company objectives, benefit the company's customers, employees and shareholders, and protect the company's reputation. Drives compliance as a core competency across Aetna and CVS Health and/or assigned business areas. Responsibilities include: Leveraging processes, data and technologies to identify and address compliance issues impacting businesses, monitor and report on adherence to compliance controls, oversee the implementation of compliance controls or corrective action plans.

Fundamental Components included but are not limited to:

  • Oversees the business and technical portions of analytics for all areas within compliance

  • Inspires and enables individual contributors to build and execute quickly

  • Provides technical vision for the data analytics team

  • Leads the development of the data analytics organization within compliance

  • Supports deployment of insights across multiple channels (i.e. Ethics Line, Assessments, Regulatory Reviews)

Qualifications Requirements and Preferences:

• 10+ yrs of relevant programming or analytic experience. Healthcare or pharmaceutical industry experience is preferred.

• Strong Project Management Skills.

• Strong experience with systems development lifecycle (e.g. APLC).

• 7+ yrs experience with data visualization tools such as Tableau or SAP Dashboard/xCelcius.

•Experience in working in a data warehouse environment as well as the ability to work with large data sets from multiple data sources (e.g. Hive, Hadoop).

•Strong application lifecycle project management experience

• Strong SQL and SAS programming skills (e.g., SAS Base, SAS STAT, SAS Macros)

•Knowledge of analytic programming tools and methods (SAS, SQL, Business

Objects, Crystal).

•Experience in statistical analysis and database management.

•Understanding of relational databases, data systems and data warehouses.

•Demonstrated analytical and problem-solving skills.

•Solid understanding of complex databases and UNIX or mainframe environments.

•Deep knowledge of health care industry, policy, research design, univariate and multivariate statistical analyses, predictive modeling, case-mix and risk adjustment methods and tools. Outlier identification.

•Experience developing predictive analytic models.

•Demonstrated written and verbal communication skills. Able to present information to various audiences.

•Knowledge of other reporting platforms such as: Business Objects, Microsoft Access, web development technology, big data analytics, data mining, Visual Basic.

•Experience with IBM Watson (Discovery) / Natural Language Understanding (NLU)

• Strong knowledge of health care claims, products & systems.

Required Skills:

Leadership - Collaborating for Results, Leadership - Driving a Culture of Compliance, Technology - Selecting and Applying Technology Solutions

Desired Skills:

Technology - Creating Technology Partnerships, Technology - Leveraging Technology, Technology - Promoting Emerging Technology

Benefit Eligibility

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

Job Function: Legal

Aetna is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veterans status.

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