Governance Risk and Compliance - Senior Consultant

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?


Blue Cross Blue Shield of Michigan

When you think of Blue Cross Blue Shield of Michigan 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 /> <ul> <li>Plans for employers and individuals that meet today&rsquo;s needs, budgets and lifestyles</li> <li>The largest network of doctors and hospitals in the state</li> <li>Lower health care costs</li> <li>Higher quality health care</li> <li>Award-winning diversity practices</li> <li>Grants and programs that promote better health throughout Michigan</li> </ul> <strong>Mission: </strong>We commit to being our members&rsquo; trusted partner by providing affordable, innovative products that improve their care and health.<br /><br /><strong><a href=",45.htm" target="_blank">Click here</a></strong> to learn more about our commitment to our Social Mission, view company updates and reviews, and view our awards &amp; accolades.

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Senior Consultant

Competitive Total Compensation Package

Overview: <span id="requisitionDescriptionInterface.ID1535.row1" class="text" title=""><strong>Accountable for and manages the development, implementation and ongoing maintenance of long-term project(s) typically spanning two years or more planning to implementation with relatively more complex scope and deliverables that may impact multiple business unit/function or business critical program. Project scope impacts one or more of the following: process, system, function, product and/or service. Project span across enterprise. Aligns with enterprise initiatives, multi-faceted and strategy.</strong></span>
Responsibilities: <span id="requisitionDescriptionInterface.ID1535.row1" class="text" title="">Monitor progress, produce project status reports, timelines, budget reports, project metrics. Plan projects, including the concept, design, planning, project scope, cost and benefits, testing, acceptance, implementation and post-implementation review of project deliverables. Leads cross functional teams comprised of various internal customers and vendor resources. Provide assistance and mentor staff on project management related issues. Lead complex development initiatives. Manage teams and ensure that project resources are utilized in an effective and efficient manner. Ensure project goals are met or exceeded via the facilitation and resolution of barriers prohibiting the progress on projects. Recommend and implement process changes to increase project execution performance. Review system and tools to ensure quality and efficient implementation of development and enhancement efforts. Monitor project risk and consult on mitigation plans. May provide supervision to others. Other duties as assigned.</span>
Requirements: <div id="requisitionDescriptionInterface.ID1564.row1" class="inlinepanel" style="display: inline;" title=""><span class="subtitle">Qualifications:</span></div> <ul> <li>Bachelor&rsquo;s degree in related field required</li> <li>Seven (7) or more years experience in related field</li> <li>Five (5) years project management experience in&nbsp; health plan operations or related field</li> <li>Project Management/ Project Management Certificate (PMP) preferred</li> <li>Leadership and/or analytical experience with data, systems, and operations</li> <li>Knowledge of program management preferred</li> <li>Demonstrated proficiency and experience with project management applications, templates, development tools, and analysis tools required</li> <li>Demonstrated knowledge and experience planning and leading high risk and complex projects</li> <li>Knowledge of project management tools and methodologies</li> <li>Knowledge of healthcare and/or managed care principles, computer systems, and claims databases</li> <li>Extensive experience with analysis including root cause identification and problem solving</li> <li>Knowledge of Michigan health care marketplace</li> <li>Proficient in current industry standard PC applications and systems (e.g., Access, Excel and Word)</li> <li>Demonstrated project management skills including the use of continuous quality improvement tools</li> <li>Demonstrated competency planning and conducting reports and completing research reports</li> <li>Excellent written and verbal communication skills</li> </ul> <p style="margin-bottom: 0px; margin-top: 0px;">&nbsp;</p> <div>Department Preferences:</div> <div>&nbsp;</div> <ul> <li>System implementation experience.</li> <li>Experience developing business readiness documentation to support system and process implementations.</li> <li>Experience working with cross-functional areas.</li> <li>Ability to perform and interpret gap analysis.</li> <li>Ability to perform risk assessment processes.</li> <li>Ability to develop risk remediation strategies.</li> <li>Understanding of control rationalization, optimization, effectiveness and efficiency.</li> <li>Proficient with SharePoint and Microsoft Excel.</li> <li>Experience working in VBA.</li> </ul>