Senior Compliance Consultant - Licensing Unit
CurrentPromote and enforce compliance with state and federal laws related to managing licenses while adhering to CVS code of conduct.
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@aetna.com
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Lori Ritchie is listed as Senior Compliance Consultant - Licensing Unit at Aetna, a CVS Health Company, a with 39880 employees, based in Gilbertsville, Pennsylvania, United States. AeroLeads shows a work email signal at aetna.com and a matched LinkedIn profile for Lori Ritchie.
Lori Ritchie previously worked as Compliance Consultant at Aetna, A Cvs Health Company. Lori Ritchie holds Green Belt Certificate Of Completion from Villanova University.
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I am an enthusiastic and versatile compliance professional with expertise in legislative documentation review, compliance monitoring, and contract negotiations. I have a demonstrated history of working in the health care insurance industry. I am flexible and adaptable to changing business needs. My strengths include superior communication, relationship management, and influencing skills. I have proven success in Policy Analysis, business (UR, TPA, PBM) licensing, legal research, Microsoft Suite, process improvement, project management, state specific reporting, analyzing filings, marketing communications, and products to ensure compliance with state and federal laws. I offer exceptional talents in risk assessment and project management.Some of my core competencies include:● Compliance Monitoring ● Legislative Documentation Review ● Research● Contract Negotiations
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Promote and enforce compliance with state and federal laws related to managing licenses while adhering to CVS code of conduct.
• Provided technical assistance for products and approved forms to internal business and operational areas to ensure ongoing compliance with all applicable statutes and regulations.• Researched, analyzed, and interpreted new and aged legislation to assess impact to filed forms. Successfully eliminating over 65 aged legislative filings within a designated 12-month target completion date.• Created and implemented HMO, POS, PPO, and indemnity product contract language for all new and revised products for members and policyholders, including Certificate of Coverage (COC), Schedule of Benefits, Policies, amendments and Provider Directories. • Prepared and submitted form filings to the appropriate state Department of Insurance (DOI) while ensuring that filings were compliant with all applicable state and federal regulations.• Conducted periodic review and analysis of marketing communications and product development materials for maintaining compliance with regulatory and legislative laws.• Negotiated contract language with internal clients and state regulators to ensure accurate compilation of documents to achieve timely approvals for business objectives.• Established and maintained strong professional relationships with internal and external constituents, such as Department of Insurance and Department of Health, which resulted in a collaborative environment and improved filing approval turn around time. • Developed, monitored, and enforced ongoing state and federal compliance procedures, in conjunction with the appropriate business unit, to mitigate any compliance issues and create actions plans for any identified gaps. • Streamlined work processes to ensure that all team members were completing assignments and projects in a consistent manner.
Other employees you can reach at aetna.com. View company contacts for 39880 employees →
K Richardson
Colleague at Aetna, A Cvs Health CompanyDallas, Texas, United States
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Dada Sadiqua
Colleague at Aetna, A Cvs Health CompanyRoswell, Georgia, United States
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Tomeco Haynes
Colleague at Aetna, A Cvs Health CompanySpring, Texas, United States
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Tammy Keenan
Colleague at Aetna, A Cvs Health CompanyToronto, Ohio, United States
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Amy Grimm
Colleague at Aetna, A Cvs Health CompanyDavenport, Iowa, United States
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Thierry Bernard
Colleague at Aetna, A Cvs Health CompanyGreater Paris Metropolitan Region, France
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Laurie Sweeney
Colleague at Aetna, A Cvs Health CompanyWynantskill, New York, United States
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Tien Phan
Colleague at Aetna, A Cvs Health CompanySan Francisco Bay Area, United States
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Laurie Reed
Colleague at Aetna, A Cvs Health CompanyGrand Prairie, Texas, United States
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Reham Said Shamseldin
Colleague at Aetna, A Cvs Health CompanyWashington Dc-Baltimore Area, United States
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Lori Ritchie works for Aetna, a CVS Health Company.
Lori Ritchie is listed as Senior Compliance Consultant - Licensing Unit at Aetna, a CVS Health Company.
AeroLeads has found 1 work email signal at @aetna.com for Lori Ritchie at Aetna, a CVS Health Company.
Lori Ritchie is based in Gilbertsville, Pennsylvania, United States while working with Aetna, a CVS Health Company.
Lori Ritchie has worked for Aetna, A Cvs Health Company.
Lori Ritchie's colleagues at Aetna, a CVS Health Company include K Richardson, Dada Sadiqua, Tomeco Haynes, Tammy Keenan, and Amy Grimm.
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Lori Ritchie holds Green Belt Certificate Of Completion from Villanova University.
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