At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position Summary
The Business Compliance Analyst position in Aetna Senior Supplemental's Product & Regulatory Affairs area investigates and prepares written responses to policyholder complaints and inquiries from regulatory agencies and other sources.
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- Investigation and Resolution: Conduct thorough investigations of regulatory complaints, gather information, and resolve issues in a timely and efficient manner.
- Documentation: Maintain accurate records of complaints, investigations, resolutions, and all related research and communications.
- Communication: Communicate effectively with clients, providers, and internal departments to resolve issues and provide updates.
- Compliance: Ensure all actions comply with regulatory standards, policy language, and company processes.
- Analysis: Analyze trends in complaints to identify areas for process improvement in business areas.
- Reporting: Prepare and submit reports to regulatory bodies as required.
- 2 -4 years' work in a regulatory compliance position in healthcare which reflects experience with customer service and complaint resolution is required.
- Proficiency in relevant software and databases such as Microsoft Word, Microsoft Teams, Adobe, PowerPoint, and Workfront.
- Possess a strong understanding of health insurance products, policies, and regulations.
- Excellent verbal and written communication skills. A writing sample will be required reflecting the candidate's investigative and analytical skills and ability to write in a clear and explanatory style.
- Strong analytical and problem-solving abilities, with the capacity to identify root causes and propose solutions.
- Strong work organization skill and experience with managing a heavy workload within imposed deadlines is mandatory.
- Accuracy and attention to detail are critical to thoroughly assess the reasons for the consumer complaint and prepare a written response.
- Prior experience with an insurance regulatory agency would be a great asset, but not required.
Bachelors preferred Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:$43,888.00 - $85,068.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
- Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.