Executive Director, Aetna Commercial Business Compliance Office (BCO)

9025 CVS Shared Services Resources LLC; United States; Sur place; USD 132 000 - 303 000; Plein temps

Avantages offerts par ce poste

Comprehensive benefits

Résumé du poste

CVS Health is seeking a senior Business Compliance leader to guide policy development and risk mitigation across health insurance and regulated domains. You will build and mentor a team of specialists, align with Legal and Regulatory partners, and drive compliant decision-making at the highest levels.

This full-time role requires 10+ years in compliance, a Bachelor's degree, and a proven track record in complex healthcare environments.

Qualifications

• 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.

Responsabilités

• Be the compliance lead for the assigned business segment in implementing solutions.
• Partner with assigned business areas to provide overall compliance support and direction.
• Direct the implementation of mitigation plans and monitor business segment compliance with external findings.
• Communicates strategically across the organization to drive decision-making and influence ethical and compliant outcomes.
• 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 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.

Connaissances

Business Compliance

Healthcare compliance

Execution & delivery

Business intelligence

Collaboration

Problem solving

Growth mindset

Formation

Bachelor's degree

Description du poste

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.

Position Summary

Contributes to top-level decision making and leadership on Business Compliance strategies. Develops a team with specialized expertise in compliance, health insurance business, analytical, and communication skills. Establishes policies and procedures to support and manage compliance strategies, implement requirements of new laws and regulations, promote compliant behavior, mitigate compliance risks, and meet regulatory obligations.

Major Responsibilities

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.

Required Qualifications

• 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.

Preferred Qualifications

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

Education

Bachelor's degree preferred/specialized training/relevant professional qualification.

Pay Range

The typical pay range for this role is: $131,500.00 - $303,195.00. This 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. This position also includes an award target in the company’s equity award program.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

Application Deadline

We anticipate the application window for this opening will close on: 11/06/2026. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Our Work Experience

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self‑disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.