Compliance Senior Analyst

Blue Cross Blue Shield of Michigan • Detroit, MI

3d

About The Position

Conduct compliance investigations and lead moderately complex initiatives for Blue Cross Blue Shield of Michigan (BCBSM) and its subsidiaries. Analyze and develop documentation supporting regulatory changes and departmental policies and procedures. Perform regulatory analyses, including reviewing, summarizing, and disseminating compliance reports, and support privacy investigations with recommendations to mitigate business risk.

Develop workflows to document department processes, generate reports, and improve processes. Define project scope and deliverables for assigned compliance initiatives. Partner with the business to integrate compliance into business plans, scorecards, metrics, and processes, and promote compliance awareness through training, programs, and departmental activities. Support or lead government audit requests and inquiries by collecting, reviewing, and verifying requested materials. Provide analyses to management for compliance reporting activities.

Requirements

• Bachelor’s degree in a related field.
• At least four years of related experience.
• Intermediate proficiency with Microsoft Word, PowerPoint, and Excel.
• Intermediate written and verbal communication skills.
• Ability to process large quantities of detailed information accurately.
• Ability to analyze information and provide alternative problem-solving solutions.
• Knowledge of process-improvement tools and techniques.
• Ability to manage multiple priorities and moderately complex projects.
• Ability to travel up to 20% of the time, within and outside Michigan.

Nice To Haves

• Previous experience with regulatory health care requirements.
• Compliance Certification Board (CCB) certification(s).

Responsibilities

• Conduct compliance investigations and lead moderately complex initiatives for BCBSM and its subsidiaries.
• Analyze and develop documentation to support regulatory changes and departmental policies and procedures.
• Conduct regulatory analyses, including reviewing, summarizing, and disseminating compliance reports.
• Support privacy investigations and provide recommendations to mitigate business risk.
• Develop workflows to document departmental processes, report generation, and process improvements.
• Define assigned project scope and deliverables for compliance initiatives.
• Partner with the business to integrate compliance into business plans, scorecards, metrics, and processes.
• Promote compliance awareness by supporting training, programs, and departmental activities.
• Support or lead government audit requests and inquiries by collecting, reviewing, and verifying requested materials.
• Support management with analyses for compliance reporting activities.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior