Compliance Senior Analyst

Blue Cross Blue Shield of Michigan; Detroit (MI); On-site; USD 85,000 - 110,000; Full time

Job summary

Blue Cross Blue Shield of Michigan in Michigan is seeking a Compliance Investigator to conduct regulatory analyses and support privacy investigations, aligning processes with health-care regulations. You will document workflows and deliverables while collaborating with the business to embed compliance into plans and scorecards.

The role requires a Bachelor's degree and at least four years of related experience, with preferred CCB certification and travel up to 20% within Michigan.

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.

Responsibilities

• Perform comprehensive and moderately complex regulatory analyses and summarize compliance reports.
• Support privacy investigations to mitigate business risk with recommendations.
• Develop workflows to document department processes and improve reporting and processes.
• Define project scope and deliverables to support compliance initiatives.
• Partner with the business to drive compliance as a core competency and integrate into business plans.
• Promote compliance awareness by supporting training and departmental activities.
• Support and lead government audit requests and inquiries with collected materials.
• Provide analyses to management in compliance reporting.

Skills

Communication skills

Attention to detail

Project management

Education

Bachelor’s degree in related field

Tools

Microsoft Word

PowerPoint

Excel

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.

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

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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