Executive Director, Aetna Commercial Business Compliance Office (BCO)

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

• →Be the compliance lead for the assigned business segment(s) in implementing solutions, with applicable business partners, to comply with the requirements of new laws and regulations. 

• →Partner with assigned business areas to provide overall compliance support and direction.

• →Direct the implementation of mitigation plans and monitor business segment compliance with any external regulatory findings. 

• →Communicates strategically across the organization to drive decision-making and influence ethical and compliant outcomes throughout all organizational levels.
• →Contributes to planning and administration of company programs and initiatives that promote the Corporate Compliance area's agenda.
• →Implements organizational policies, goals, and objectives based on best practices in the field.
• →Ensure process to track, monitor and validate corrective action plans.
• →Supports cross-functional areas to respond to regulatory requests.
• →Advises on organizational standards for compliance controls to help mitigate regulatory risks.
• →Manages operational aspects of the team and implements workforce and succession plans to meet business needs.

• →Support business initiatives and compliance related inquiries. 

• →Manage the review of new mandates (laws and regulations) and coordinate with Legal and Regulatory partners to identify applicability to the business segment.

• →Establish working relationships with process owners to drive and implement business practice enhancements to increase the compliance program effectiveness.

• →Actively participate in applicable business working groups/committees for areas of responsibility.

• →Act as a Business Compliance Office lead in Risk Assessments on Subject Matter areas to identify regulatory risks, business controls, and establish Compliance oversight.

• →Partner with the Compliance Center of Excellence team to address and implement solutions with the business for Global and High-Risk findings.

• →Assist with investigations, including interview/fact finding and analysis, presentation of recommendations to executive leadership, and remediation/root cause process enhancements.
• →Represent Compliance Department at various business leadership meetings.

• →Perform additional duties as assigned.

• 10+ years of Business Compliance experience
• Strong knowledge of healthcare related compliance risks.
• Adept at execution and delivery (planning, delivering, and supporting) skills.
• Adept at business intelligence.
• Adept at collaboration and teamwork.
• Mastery of problem solving and decision-making skills.
• Mastery of growth mindset (agility and developing yourself and others) skills.

• 15+ years of experience in the health insurance business.
• 10+ years experience leading multiple teams.
• Preference to candidates located in the northeast.

The typical pay range for this role is: