Compliance Senior Analyst

Company: Blue Cross Blue Shield of Michigan Industry: Health Insurance and Health Care Level: Non-Manager JobFamily: Audit/Corporate Compliance Compensation: Competitive Total Compensation Package About Us When you think of Blue Cross Blue Shield of Michigan for health insurance, you can know you’re getting much more. We're a company founded on a tradition of affordable, quality health care for everyone, improving the present and investing in the future. We offer: Plans for employers and individuals that meet today’s needs, budgets and lifestyle The largest network of doctors and hospitals in the state Lower health care costs Higher quality health care Grants and programs that promote better health throughout Michigan Mission: We commit to being our members’ trusted partner by providing affordable, innovative products that improve their care and health. Legal Disclaimer: EEO Statement: view full text All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability. view full text Legal Disclaimer: EEO Statement: view full text All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability. view full text photo_library +12 Photos video_library 2 Videos Overview Position Summary Conduct compliance investigations and lead the execution of moderately complex initiatives for Blue Cross Blue Shield of Michigan (BCBSM) and its subsidiaries. Analyze and develop documentation to support regulatory changes and departmental policies and procedures. Responsibilities Analysis Conduct comprehensive and moderately complex regulatory analyses to include the review, summarization and dissemination of compliance reports. Provide support and recommendations for privacy investigations to mitigate business risk. Project Management Develop work flows to define the documentation of department processes, report generation, and process improvements. Define assigned project scope and deliverables to support compliance initiatives. Partner with the business to drive compliance as a core competency and integrate compliance into business plans, scorecards, metrics and processes. Compliance Promote compliance awareness by supporting training, programs and departmental activities. Provide support or lead government audit requests and inquiries by collecting, reviewing and verifying all requested material. Support and provide analyses to management in compliance reporting activities. Requirements Education Bachelor’s degree in related field is required. Experience A minimum of four (4) years of related experience is required. Previous experience with regulatory health care requirements is preferred. Knowledge Intermediate proficiency using Microsoft Word, PowerPoint and Excel. Intermediate written and verbal communication skills. Ability to process large quantities of detailed information with high levels of accuracy. Ability to analyze information and provide alternative solutions for problem solving. Knowledge of process improvement tools and techniques to improve business processes. Ability to manage multiple priorities and projects of moderate complexity. Certification Compliance Certification Board (CCB) certification(s) is preferred. Travel Ability to travel up to 20% of the time both within and outside of Michigan. About Us When you think of Blue Cross Blue Shield of Michigan for health insurance, you can know you’re getting much more. We're a company founded on a tradition of affordable, quality health care for everyone, improving the present and investing in the future. We offer: Plans for employers and individuals that meet today’s needs, budgets and lifestyle The largest network of doctors and hospitals in the state Lower health care costs Higher quality health care Grants and programs that promote better health throughout Michigan Mission: We commit to being our members’ trusted partner by providing affordable, innovative products that improve their care and health. Legal Disclaimer: EEO Statement: view full text All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability. view full text Legal Disclaimer: EEO Statement: view full text All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability. view full text With more than 7,000 employees, we are the largest health insurance company in Michigan. We offer an exciting work environment with a diverse group of employees. Our goal is to make health insurance easier for our members. We want to transform the industry and become a resource that people can trust. View Summary Company: Blue Cross Blue Shield of Michigan Level: Non-Manager Compensation: Competitive Total Compensation Package JobFamily: Audit/Corporate Compliance Industry: Health Insurance and Health Care Overview Conduct compliance investigations and lead the execution of moderately complex initiatives for Blue Cross Blue Shield of Michigan (BCBSM) and its subsidiaries. Analyze and develop documentation to support regulatory changes and departmental policies and procedures. Responsibilities Conduct comprehensive and moderately complex regulatory analyses to include the review, summarization and dissemination of compliance reports. Provide support and recommendations for privacy investigations to mitigate business risk. Develop work flows to define the documentation of department processes, report generation, and process improvements. Define assigned project scope and deliverables to support compliance initiatives. Partner with the business to drive compliance as a core competency and integrate compliance into business plans, scorecards, metrics and processes. Promote compliance awareness by supporting training, programs and departmental activities. Provide support or lead government audit requests and inquiries by collecting, reviewing and verifying all requested material. Support and provide analyses to management in compliance reporting activities. Conduct comprehensive and moderately complex regulatory analyses to include the review, summarization and dissemination of compliance reports. Provide support and recommendations for privacy investigations to mitigate business risk. Develop work flows to define the documentation of department processes, report generation, and process improvements. Define assigned project scope and deliverables to support compliance initiatives. Partner with the business to drive compliance as a core competency and integrate compliance into business plans, scorecards, metrics and processes. Promote compliance awareness by supporting training, programs and departmental activities. Provide support or lead government audit requests and inquiries by collecting, reviewing and verifying all requested material. Support and provide analyses to management in compliance reporting activities. Requirements Bachelor’s degree in related field is required. A minimum of four (4) years of related experience is required. Previous experience with regulatory health care requirements is preferred. Compliance Certification Board (CCB) certification(s) is preferred. Intermediate proficiency using Microsoft Word, PowerPoint and Excel. Intermediate written and verbal communication skills. Ability to process large quantities of detailed information with high levels of accuracy. Ability to analyze information and provide alternative solutions for problem solving. Knowledge of process improvement tools and techniques to improve business processes. Ability to manage multiple priorities and projects of moderate complexity. Ability to travel up to 20% of the time both within and outside of Michigan. Bachelor’s degree in related field is required. A minimum of four (4) years of related experience is required. Previous experience with regulatory health care requirements is preferred. Compliance Certification Board (CCB) certification(s) is preferred. Intermediate proficiency using Microsoft Word, PowerPoint and Excel. Intermediate written and verbal communication skills. Ability to process large quantities of detailed information with high levels of accuracy. Ability to analyze information and provide alternative solutions for problem solving. Knowledge of process improvement tools and techniques to improve business processes. Ability to manage multiple priorities and projects of moderate complexity. Ability to travel up to 20% of the time both within and outside of Michigan. Legal Disclaimer: EEO Statement: view full text All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability. view full text #J-18808-Ljbffr Blue Care Network