Compliance Senior Analyst

Blue Cross Blue Shield of Michigan; Detroit (MI); On-site; USD 70,000 - 100,000; Full time

Job summary

Blue Cross Blue Shield of Michigan is seeking an Audit/Corporate Compliance professional at the non-manager level to conduct regulatory analyses and lead the execution of moderately complex initiatives. You will analyze documentation to support regulatory changes and department policies and procedures.

Responsibilities include supporting privacy investigations, developing workflows, defining project scope, and partnering with the business to embed compliance into plans, scorecards, and training

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.
• Knowledge of process improvement tools and techniques to improve business processes.
• 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.
• Ability to manage multiple priorities and projects of moderate complexity.
• Compliance Certification Board (CCB) certification(s) is preferred.
• Ability to travel up to 20% of the time both within and outside of Michigan.

Responsibilities

• Conduct regulatory analyses and summarize 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.

Skills

Regulatory analysis

Privacy investigations

Process improvement

Attention to detail

Written and verbal communication

Multi-tasking / Prioritization

Stakeholder collaboration

Education

Bachelor’s degree in related field

CCB certification

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Job description

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.

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.

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.
• Knowledge of process improvement tools and techniques to improve business processes.
• 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.
• Ability to manage multiple priorities and projects of moderate complexity.
• Compliance Certification Board (CCB) certification(s) is preferred.
• 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

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.