Aetna

Compliance Manager (Healthcare)

Aetna

Santa Ana, CA, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

Are you a highly motivated and detail-oriented individual with a strong background in healthcare compliance? Aetna is seeking a Compliance Manager to join our team and ensure that our organization operates in accordance with all applicable laws and regulations. In this role, you will play a crucial part in upholding ethical standards and mitigating risk for our company. If you have a passion for compliance and a desire to make a positive impact in the healthcare industry, we encourage you to apply for this exciting opportunity.

  1. Develop and implement compliance policies and procedures in accordance with industry standards and regulations.
  2. Conduct regular audits and assessments to identify potential compliance issues and areas for improvement.
  3. Monitor and stay updated on changes in healthcare laws and regulations to ensure the organization remains compliant.
  4. Collaborate with cross-functional teams to train and educate employees on compliance policies and procedures.
  5. Investigate and respond to any reported compliance violations or concerns, and take appropriate corrective actions.
  6. Maintain accurate and up-to-date records of compliance activities and reports for internal and external use.
  7. Serve as the primary point of contact for external regulatory agencies and coordinate any required audits or inspections.
  8. Conduct risk assessments and develop risk management strategies to mitigate potential compliance risks.
  9. Provide guidance and support to employees on ethical and compliance-related matters.
  10. Stay informed on industry best practices and make recommendations for continuous improvement of compliance processes.
  11. Represent the organization at industry conferences and events to stay current on compliance trends and network with other professionals in the field.
  12. Collaborate with legal and regulatory teams to ensure compliance with all applicable laws and regulations.
  13. Foster a culture of compliance throughout the organization by promoting ethical behavior and accountability.
  14. Prepare and present compliance reports to senior management and make recommendations for any necessary changes or improvements.
  15. Lead and manage a team of compliance professionals, providing guidance, coaching, and support as needed.
Where is this job?
This job is located at Santa Ana, CA, USA
Job Qualifications
  • Bachelor's Degree In Healthcare Administration, Business, Or Related Field.

  • Minimum Of 5 Years Experience In Compliance Management, Preferably In The Healthcare Industry.

  • In-Depth Knowledge Of Healthcare Laws And Regulations, Such As Hipaa, Medicare, And Medicaid.

  • Strong Understanding Of Compliance Auditing And Monitoring Processes.

  • Excellent Communication And Leadership Skills, With The Ability To Train And Educate Staff On Compliance Policies And Procedures.

Required Skills
  • Quality Assurance

  • Communication Skills

  • Data Analysis

  • Conflict Resolution

  • Risk assessment

  • Audit management

  • Policy Development

  • team

  • Compliance monitoring

  • Investigation Skills

  • Regulatory Knowledge

  • Training And Education

Soft Skills
  • Communication

  • Conflict Resolution

  • Leadership

  • Time management

  • creativity

  • Organizational skills

  • Teamwork

  • Adaptability

  • Problem-Solving

  • Empathy

Compensation

According to JobzMall, the average salary range for a Compliance Manager (Healthcare) in Santa Ana, CA, USA is $85,000 - $116,000 per year. This can vary depending on factors such as years of experience, education level, and specific job responsibilities. Some employers may also offer additional benefits and bonuses.

Additional Information
Aetna is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedJune 21st, 2024
Apply BeforeMay 10th, 2026
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About Aetna

Aetna Inc. is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid (fully or partly) insurance and benefit programs, and through Medicare. Since November 28, 2018, the company has been a subsidiary of CVS Health.

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