Manager - Corporate Compliance

<p>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.</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.

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Competitive Total Compensation Package

Overview: We are currently seeking a highly skilled, experienced Compliance Manager with knowledge of relevant regulations and expertise in compliance processes sufficient to assist the organization in understanding and addressing legal obligations, and promote organizational integrity through the operation of effective compliance programs. The successful candidate will be familiar with the seven elements of an effective compliance program, risk management, an excellent communicator, and well versed in industry&rsquo;s standards for auditing and monitoring. This role will also lead and contribute to key departmental responsibilities.&nbsp;
Responsibilities: <ul> <li> <div align="left"><span style="font-size: small;">Develop, implement and administer compliance monitoring programs, risk assessment and compliance controls monitoring.&nbsp;</span></div> </li> <li> <div align="left"><span style="font-size: small;">Manage compliance reviews and enterprise-wide compliance evaluations. Provide analysis, process flows, written reports and documentation.</span></div> </li> <li> <div align="left"><span style="font-size: small;">Coordinate with business areas (e.g. Federal Programs Business Unit, Information Services Security, Enterprise Security, etc.) to develop and update content for new and on-going training and awareness programs.</span></div> </li> <li> <div align="left"><span style="font-size: small;">Develop detailed plans to address complex compliance issues by identifying goals, objectives and risks to achieving compliance objectives. Coordinate with business areas to implement corrective action plans when needed.</span></div> </li> <li> <div align="left"><span style="font-size: small;">Investigate compliance and control issues to resolve complex problems and make recommendations to business leaders and employees to ensure on-going compliance.</span></div> </li> <li> <div align="left"><span style="font-size: small;">Review and analyze new and existing regulations (e.g. HIPAA, Medicare, and PPACA), and coordinate with legal staff to provide opinions on compliance issues. Maintain knowledge of regulations impacting the company and industry.</span></div> </li> <li> <div align="left"><span style="font-size: small;">Assist key stakeholders with implementation of requirements and validate compliance requirements during on-going reviews.</span></div> </li> <li> <div align="left"><span style="font-size: small;">Develop compliance communications (e.g. web site, content, g-memo articles, presentations etc.) for various audiences as needed.</span></div> </li> <li> <div align="left"><span style="font-size: small;">Manage and measure staff performance and deliverables.</span></div> </li> <li> <div align="left"><span style="font-size: small;">Represent director, as necessary, in meetings and discussions with key stakeholders (e.g. committees, conference calls, etc.).</span></div> </li> <li> <div align="left"><span style="font-size: small;">Obtain and maintain credentials necessary for certification as a compliance professional.</span></div> </li> </ul> <div align="left"><strong><span style="font-size: small;">Responsible to plan, organize, direct, control, and lead assigned business unit; specialize in development, planning, and leadership; operate within broad objectives to ensure optimum utilization of capital, manpower, and equipment for the assigned business unit.</span></strong></div> <ul> <li> <div align="left"><span style="font-size: small;">Manage activities of a department including but not limited to planning, problem solving, staff development and communication.</span></div> </li> <li> <div align="left"><span style="font-size: small;">Execute function/area objectives that support continuous improvement.</span></div> </li> <li> <div align="left"><span style="font-size: small;">Manage professional, exempt, and non-exempt non-bargaining and bargaining unit employees. Responsible for special projects and/or problem resolutions.</span></div> </li> <li> <div align="left"><span style="font-size: small;">Provide effective and efficient solutions to complex business problems.</span></div> </li> <li> <div align="left"><span style="font-size: small;">Provide high level oversight and leadership.</span></div> </li> <li> <div align="left"><span style="font-size: small;">Other duties may be assigned.&nbsp;</span></div> </li> </ul>
Requirements: <ul> <li>Bachelor's Degree in related field required. Master's Degree in related field considered a plus.</li> <li>Five (5) to ten (10) years experience in related field including experience in a leadership role.</li> <li>Ability to work under general direction.</li> <li>Ability to work effectively in a team environment.</li> <li>Good analytical, organizational, planning, verbal and written communication skills.</li> <li>Other related skills and/or abilities may be required to perform this job.</li> </ul> <p><strong>CERTIFICATES, LICENSES, REGISTRATIONS<br /> </strong>If an employee is selling/negotiating a rate as part of the duties and responsibilities of this job, the following licenses are required within 90 days of the employee&rsquo;s start date or the license expiration date.</p> <ul> <li>Valid Michigan Accident and Health Insurance License</li> <li>Valid and unrestricted driver&rsquo;s license is required&nbsp;</li> </ul> <p><em>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.</em></p> <br /><br />