Minimum of four years of relevant experience is needed.
Preferred experience with regulatory health care requirements.
Compliance Certification Board (CCB) certifications are preferred.
Intermediate proficiency in Microsoft Word, PowerPoint, and Excel.
Competent written and verbal communication skills are necessary.
Strong attention to detail with a capability to manage large data sets accurately.
Responsibilities
Conduct comprehensive regulatory analyses for compliance reports.
Support and recommend privacy investigations to reduce business risks.
Develop workflows for documenting department processes and improving operations.
Define the scope and deliverables for compliance-related projects.
Partner with business units to integrate compliance into operational plans.
Promote compliance awareness through training and departmental initiatives.
Lead or support government audit requests by gathering and verifying documents.
Benefits
Opportunities for professional growth and development.
Engaging work environment fostering compliance culture.
Collaborative teams focused on regulatory excellence.
Full Job Description
Job Description
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.
