Compliance Advisor

<p>With more than 8,000 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. Interested in joining us?</p>

Detroit, MI

Blue Cross Blue Shield of Michigan

When you think of <a href="" target="_blank" rel="noopener noreferrer">Blue Cross Blue Shield of Michigan</a> for health insurance, you can know you&rsquo;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.<br /><br />We offer:<br />Plans for employers and individuals that meet today&rsquo;s needs, budgets and lifestyle<br />The largest network of doctors and hospitals in the state<br />Lower health care costs Higher quality health care<br />Award-winning diversity practices<br />Grants and programs that promote better health throughout Michigan<br /><strong><br />Mission:&nbsp;</strong>We commit to being our members&rsquo; trusted partner by providing affordable, innovative products that improve their care and health.<br /><br /><a href="" target="_blank" rel="noopener noreferrer"><strong>Click here</strong></a> to learn more about our commitment to our Social Mission, view company updates and reviews, and view our awards &amp; accolades.<br /><br />Learn more about your options as an external candidate. <a href="" target="_blank" rel="noopener noreferrer">Click here</a> to view open positions.&nbsp;

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Competitive Total Compensation Package

Overview: <strong>Support compliance efforts through, monitoring and maintenance of legal and regulatory requirements (i.e. HIPAA privacy and security, Medicare Advantage, prescription drug and CMS requirements). Coordinate communications and provide training/support to business units. Provide guidance to business units and serve as a subject matter expert regarding healthcare regulations.</strong>
Responsibilities: <ul> <li>Provides leadership, mentors, trains and oversees work of Compliance Analysts, Senior Compliance Analysts, and Corporate Compliance Specialists.</li> <li>Leads the development of and the execution of the Company&rsquo;s overall vendor regulatory compliance.</li> <li>Leads preparation for regulatory audit activity and compliance training programs.</li> <li>Partners with, and influences as necessary, subject matter experts and information providers.</li> <li>Build and maintain customer relationships to establish credibility, understands each customers current and future business needs and influences without positional authority.</li> <li>Manage and collaborate with various workgroup participants to ensure teams are on track, and understand the interpretation of the law; resolve or escalate issues. Partner with business leads to co-direct initiatives as needed.</li> <li>Exercise discretion and independent judgment to resolve problems such as vendor and internal compliance issues,</li> <li>Prepare progress summaries for executive management including the Board of Directors Audit Committee.</li> </ul>
Requirements: <ul> <li>Bachelor's Degree in business administration, economics, healthcare or related field is required. Master&rsquo;s Degree in related field preferred.</li> <li>Five (5) years&rsquo; experience in related healthcare field, Medicare Advantage preferred, which may include experience in technical/systems, information security, compliance and/or audit and risk assessments.</li> <li>Prior supervisory experience preferred.</li> <li>Ability to develop and present complex materials in a clear, concise and persuasive manner.</li> <li>Working knowledge of HIPAA legislation, privacy rules, or security standards, or federal regulations related to Medicare Parts C and D, or advanced knowledge of risk assessment concepts and generally accepted auditing principles.</li> <li>Excellent analytical, organizational, interpersonal, problem solving, written and verbal communication skills, as well and the ability to apply concepts to practical situations.</li> <li>Experience in conflict management skills necessary to resolve issues.</li> <li>Advanced written and oral communication skills.</li> <li>Advanced proficiency with Microsoft Office suite.</li> <li>Basic knowledge of project management (PMP not required, but helpful).</li> <li>Ability to effectively interface with various levels of management internally and as well as contacts outside the organization.</li> <li>Ability to work effectively under minimal direction in a team environment.</li> <li>At least 25% domestic travel, including overnight, expected.</li> </ul>