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.
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.
"Qualifications"
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.
All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.
Numbers & Facts
Location
Detroit, MI
Industry
Insurance
Company Size
2,000 to 2,499 employees
Website
https://www.bcbs.com/about-us/careers
About Company
At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry. We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.
Skills
Analysis Skillsunmatched
Business Planunmatched
Change Controlunmatched
Communication Skillsunmatched
Documentationunmatched
Governmentunmatched
Healthcareunmatched
Maintain Complianceunmatched
Metricsunmatched
Microsoft Excelunmatched
Microsoft PowerPointunmatched
Microsoft Wordunmatched
Multitaskingunmatched
Presentation/Verbal Skillsunmatched
Problem Solving Skillsunmatched
Process Improvementunmatched
Regulationsunmatched
Risk Managementunmatched
Scorecardingunmatched
Support Documentationunmatched
Training Programunmatched
Willing to Travelunmatched
Writing Skillsunmatched
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