CVS Health

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Regional Compliance Consultant

at CVS Health

Posted: 9/8/2020
Job Reference #: 72900BR
Keywords: compliance

Job Description

Job Description
Serve as a regional compliance consultant in the compliance department of a third-party administrator (TPA). In this role the successful candidate will work collaboratively with team members throughout the organization on legal, regulatory and compliance related tasks and projects. This position promotes and enforces compliance with state/federal laws and regulations and related-company policies.

Fundamental Components
  • Researches and applies knowledge of legal, regulatory and procedural developments that relate to the company, as well as clients’ business goals, plans and priorities.
  • Interprets regulatory materials and helps the business understand regulatory requirements by producing summaries and/or action plans for assigned laws.
  • Proactively identifies areas of potential risk for assessment and mitigation. Identifies and implements solutions to compliance gaps, where appropriate.
  • Monitors subsequent adherence to compliance action plans.
  • Reinforces company’s commitment to compliance.
  • Leads routine business process reviews.
  • Handles multiple projects simultaneously more complex matters are handled with oversight by manager.
  • Maintains effective relationships with various audience levels and escalates issues requiring resolution on a timely basis.
  • Encourages high business standards in order to advance company objectives, benefit the company's customers, employees and shareholders, and protect the company's reputation.

Background Experience
  • Experience in regulatory/compliance/legal (one of) REQUIRED (preferred 5+ years)
  • Able to understand benefits & read laws is REQUIRED
  • Experience in the insurance industry, preferably with self-funded health plans.
  • Demonstrated experience with state/federal legislation implementation.
  • Ability to communicate effectively with all levels of management.
  • Ability to manage complexity and multiple projects simultaneously.
  • Demonstrated superior analytical and problem-solving skills.

Bachelor's degree or equivalent experience

Percent of Travel Required
0 - 10%

Business Overview
Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!