Aetna

Compliance Manager (Healthcare)

Aetna

Miami, FL, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

Welcome to Aetna, where we are committed to providing quality healthcare solutions to our members. We are currently seeking a dedicated and experienced Compliance Manager to join our team. As a Compliance Manager at Aetna, you will be responsible for ensuring that our company operates in accordance with all relevant laws and regulations. Your expertise in compliance and your strong attention to detail will play a critical role in maintaining our high standards of quality and ethical conduct. If you are a driven individual with a passion for healthcare and a strong understanding of compliance, we encourage you to apply for this exciting opportunity.

  1. Develop and implement compliance policies and procedures to ensure adherence to all applicable laws and regulations.
  2. Conduct regular audits and assessments to identify any potential compliance risks and address them in a timely manner.
  3. Stay up-to-date on changes in laws and regulations related to the healthcare industry and communicate any relevant updates to the team.
  4. Train and educate employees on compliance standards and expectations, and provide ongoing support and guidance.
  5. Collaborate with cross-functional teams to ensure that compliance is integrated into all business processes.
  6. Investigate and respond to any compliance-related complaints or incidents, and take appropriate corrective actions.
  7. Maintain accurate and detailed records of compliance activities and reports.
  8. Conduct regular internal reviews to identify any areas of improvement and implement necessary changes.
  9. Serve as the main point of contact for external audits and regulatory inquiries.
  10. Monitor and analyze compliance metrics and provide regular reports to senior management.
  11. Foster a culture of compliance and ethical behavior throughout the organization.
  12. Ensure that all company operations and activities are in line with Aetna's code of conduct and values.
  13. Collaborate with legal counsel to interpret and apply laws and regulations to company policies and procedures.
  14. Evaluate and approve any marketing or promotional materials to ensure compliance with regulations.
  15. Continuously assess and improve Aetna's compliance program to meet industry standards and best practices.
Where is this job?
This job is located at Miami, FL, USA
Job Qualifications
  • Knowledge Of Healthcare Regulations: A Compliance Manager At Aetna Should Have A Thorough Understanding Of Federal And State Healthcare Regulations, Including Hipaa, Aca, And Medicare/Medicaid.

  • Experience In Compliance Management: Candidates For This Role Should Have At Least 5 Years Of Experience In Compliance Management, Preferably In The Healthcare Industry.

  • Strong Communication Skills: As A Compliance Manager, The Ability To Effectively Communicate With Various Stakeholders, Including Senior Leadership, Legal Teams, And Regulatory Bodies, Is Crucial.

  • Attention To Detail: Compliance Managers Must Have Strong Attention To Detail To Ensure That All Processes And Procedures Are In Line With Regulatory Requirements And Company Policies.

  • Leadership Skills: Aetna Is Looking For Candidates Who Can Effectively Lead And Manage A Team Of Compliance Professionals, Providing Guidance And Support In Navigating Complex Compliance Issues.

Required Skills
  • Process Improvement

  • Communication Skills

  • Data Analysis

  • Conflict Resolution

  • Team Leadership

  • Risk assessment

  • Problem-Solving

  • Policy Development

  • Regulatory Knowledge

  • Attention

  • Compliance Auditing

  • Training And Education

Soft Skills
  • Communication

  • Conflict Resolution

  • Emotional Intelligence

  • Leadership

  • Time management

  • Interpersonal Skills

  • creativity

  • Teamwork

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Compliance Manager (Healthcare) in Miami, FL, USA is $78,000-$120,000 per year. This range may vary depending on the specific company, experience level, and other factors. Some compliance managers in the healthcare industry may earn higher salaries, especially those with advanced degrees and extensive experience. Additionally, location can also impact salary, with larger cities typically offering higher salaries due to the cost of living.

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 BeforeApril 11th, 2026
This job posting is from a verified source. 
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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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