Aetna Audit Sr Consultant in Hartford, Connecticut
Req ID: 54317BR
The Audit Senior Consultant coordinates and supports organizational compliance with National Network Delegation policies and process, evaluates the performance of risk and/or delegated provider relationships, identifies compliance issues and closes performance gaps. Performs I formation Privacy & Security (IP&S) assessments of delegates to verify compliance with Aetna standards and regulatory requirements by utilizing the prescribed due diligence, contracting, and reporting tools.
Support the effectiveness of delegation risk management and oversight processes, control and governance processes, and add value to our business partners & overall operations. Participate in the execution of complex procedures and tasks for assigned compliance objectives and process improvement initiatives. Ensure successful completion of assigned audit activities, from start to finish, inclusive of preplanning and wrap up activities. Performs, in accordance with state, federal, accreditation, and Aetna delegation/oversight standards, audit activities to verify and monitor compliance with regulatory requirements and standards, including: reviews documentation obtained during outreach efforts to the delegate for assigned audit activities, identifies and communicates issues raised and offers recommended solutions to mitigate risk, actively participate in communication to clarify status, follow-up items, and corrective action plans. With little to no guidance, obtains and reviews evidence ensuring audit results and work papers are clear, concise, well-documented, and retained. Provides audit results and supporting documentation to senior project manager for review and approval prior to release. Conducts audit activity follow-up and monitoring. Participates and presents at required delegation oversight committees. Assists with supporting and educating network staff in their understanding of delegation requirements and the oversight processes to comply with the regulatory requirements. Ensures adequate focus on personal professional growth relevant to taking on more challenging assignments, in line with career progression. Supports and/or manage special projects as needed.
Problem Solver Able to work independently and motivated to achieve department goals. Able to work in a fast pace, deadline driven environment. Past experience includes any/all of the following: auditing, quality assurance, compliance, and information technology Minimum of 2-4 years of Audit, Compliance, Security Controls, or related business experience. Advanced skill level with MS Excel, Word and Outlook. Proficient skill level with MS Visio and MS Access is preferred Able to travel up to 20%. CISA and/or CISSP preferred.
Bachelor's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Information Management/Certified Information System Auditor is desired
Information Management/Certified Information Systems Security Professional (CISSP) - - sponsored by International Information Systems Security Certification Consortium is desired
Functional - Communications/Communication Delivery - Public Speaking/1-3 Years
Functional - General Management/Data analysis & interpretation/1-3 Years
Functional - General Management/Process & quality improvement/1-3 Years
Functional - General Management/Project management (non-IT)/1-3 Years
Functional - Project Management/Time Management/1-3 Years
Technical - Desktop Tools/Microsoft PowerPoint/1-3 Years/End User
Technical - Desktop Tools/Microsoft Visio/1-3 Years/End User
Technical - Desktop Tools/Microsoft Word/1-3 Years/End User
Technical - Desktop Tools/TE Microsoft Excel/1-3 Years/End User
General Business/Applying Reasoned Judgment/ADVANCED
Technology/Selecting and Applying Technology Solutions/FOUNDATION
Leadership/Driving a Culture of Compliance/MASTERY
General Business/Communicating for Impact/ADVANCED
Leadership/Developing and Executing Strategy/FOUNDATION
Considered only for current internal teleworkers (in any area), external candidates must be office base in Hartford, CT.
ADDITIONAL JOB INFORMATION
Join a growing team with numerous opportunities to grow and develop. Support the development of a brand new IP&S program. Ability to collaborate with and learn from SME's in areas such as Global Security, Compliance, Legal, Risk Management, and Network. Strengthen written and verbal communication skills through delivery of reports and participation in Committees/meetings. Develop and utilize ABX Six Sigma/Lean skills as we rebuild the framework, processes, and controls for this organization. Learn to assess the risk of the delegate population, analyze data and trends, and manage delegate compliance with standards and regulatory requirements.
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 candidates'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: Financial Services
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.