Compliance Director

Job Group Summary

Whether it's complying with changing regulations and laws, adhering to ethical guidelines or preventing fraud, our Legal Department is the driving force behind it. Their work helps us meet the highest standards of business conduct and integrity in all we do.

Family Summary

Promotes compliance with laws and regulations and fosters highest standards of integrity and ethical conduct in order to advance company objectives, protect the company’s reputation and safeguard the interests of the company’s customers, employees and shareholders. Responsibilities include: monitoring, investigating, training/education, enforcement, reporting, collaborating and consulting with business leaders, and engaging with regulators on compliance related issues.

Position Summary

• Promotes and enforces compliance with state/federal laws and regulations and related-company policies (including the Aetna Code of Conduct) affecting Aetna businesses. Encourages high business standards and promotes Integrity – The Aetna Way 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/or assigned business areas. Responsibilities include: Identifying and addressing compliance issues impacting businesses, monitoring and reporting on adherence to compliance controls, overseeing and helping businesses to implement compliance controls or corrective action plans.

Fundamental Components & Physical Requirements

• 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 Assists
• Chief Regulatory Officer with regulatory outreach to build strong effective relationships with regulators Develops standards of performance and related metrics Oversees and manages resources as required Develops, evaluates and motivates staff

Background Experience Desired

• 5+ years experience in a regulatory compliance position in healthcare, insurance or financial services.

Education and Certification Requirements

• Bachelor's degree and 8 or more years of relevant experience preferred.