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The Product and Regulatory Approvals - State Consultant researches, analyzes, and interprets state regulatory requirements. Develops and drafts state-specific benefit contract language. Oversees compliance activities all in support of the development, implementation and ongoing support of the organization's products, programs, and initiatives.
Job Responsibility:
Develop, draft, submit and negotiate timely approval of high-quality regulatory filings that comply with state and federal regulatory requirements, support business requirements, and meet business expectations and needs
Proactively project manage each filing project, working with internal business partners, counsel, and regulators to ensure accurate and compliant contract content that achieves business objectives
Negotiate and resolve business or compliance conflicts and product/business changes. Facilitate and expedite resolution of issues pertaining to product and legislative filings. Proactively manage relationships with business partners and regulators
Provide timely follow-up and response. Negotiate regulatory objections
Obtain regulatory approvals within aggressive timelines
Effectively manage multiple complex filings, projects, and priorities (often simultaneously) to ensure that filings and projects reflect P&RA and business priorities and meet P&RA filing deadlines and metrics. Provide early alerts to management when deadlines are in jeopardy and strategize with management on solutions
Adhere to regulatory and internal filing requirements and procedures
Build, maintain and promote positive and effective working relationships with state/federal regulators, internal business partners, and legal/compliance partners
Work closely with counsel and compliance staff to promote and enforce compliance with state/federal laws and regulations and implementation of risk management policies
Effectively use P&RA filing and reporting systems and company resources (e.g., QuickBase, SharePoint)
Identify opportunities to streamline processes and improve efficiencies within P&RA and with key business partners
Exhibit behaviors and values outlined in CVS Health's How We Work Behaviors and the P&RA Way, acting with professionalism and integrity
Effectively communicate with multiple levels of the organization
Serve as a regulatory subject matter expert for business, compliance, and legal partners
Requirements:
3+ years of insurance industry, regulatory and/or legal experience
Bachelor's degree required or equivalent years of relevant experience
Excellent analytical, problem solving, and critical thinking
Ability to navigate multiple software environments/technically savvy
Strong project management skills, the ability to manage multiple priorities simultaneously, and proven ability to work both independently and on a team
Excellent written and verbal communication skills, and the ability to interact effectively with different audiences. The ability to "manage up" and communicate effectively with various levels of the organization
Demonstrated ability to take on progressively more challenging projects
Nice to have:
Strong understanding of the healthcare industry and regulatory environment, including in-depth knowledge of Aetna products, services, business units and administrative procedures
Experience with SERFF, QuickBase and SharePoint
Paralegal certificate
What we offer:
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching