Compliance Specialist

Blue Cross Blue Shield of MichiganDetroit, MI

About The Position

Conduct compliance investigations and lead the execution of complex initiatives for Blue Cross Blue Shield of Michigan (BCBSM) and its subsidiaries. Support leadership in the design and implementation of compliance initiatives. Conduct comprehensive and complex regulatory analyses to include the review, summarization and dissemination of compliance reports. Lead privacy investigations to evaluate associated business risks and provide recommendations to leadership to maintain compliance. Facilitate government audit requests and inquiries by establishing timelines and deliverables. Maintain knowledge of insurance industry standards and monitor the regulatory environment to identify business vulnerabilities, conduct risk assessments and recommend process changes. Support management in the determination of resource allocation for key compliance initiatives. Prepare executive-level compliance reports and presentations. May lead or direct the work of other compliance team members.

Requirements

  • Bachelor’s degree in related field is required.
  • A minimum of five (5) years of related experience is required.
  • Advanced proficiency using Microsoft Word, PowerPoint and Excel.
  • Advanced written and verbal communication skills.
  • Ability to analyze large quantities of detailed information with high levels of accuracy.
  • Ability to facilitate resolution to high-impact and cross-functional problems.
  • Advanced knowledge of process improvement tools and techniques to improve business processes.
  • Ability to manage multiple priorities and projects of high complexity.
  • Ability to travel up to 20% of the time both within and outside of Michigan.

Nice To Haves

  • Master’s degree in related field is preferred.
  • Previous experience with regulatory requirements is preferred.
  • Previous leadership experience is preferred.
  • Compliance Certification Board (CCB) certification(s) is preferred.

Responsibilities

  • Conduct compliance investigations
  • Lead the execution of complex initiatives
  • Support leadership in the design and implementation of compliance initiatives
  • Conduct comprehensive and complex regulatory analyses to include the review, summarization and dissemination of compliance reports
  • Lead privacy investigations to evaluate associated business risks and provide recommendations to leadership to maintain compliance
  • Facilitate government audit requests and inquiries by establishing timelines and deliverables
  • Maintain knowledge of insurance industry standards and monitor the regulatory environment to identify business vulnerabilities, conduct risk assessments and recommend process changes
  • Support management in the determination of resource allocation for key compliance initiatives
  • Prepare executive-level compliance reports and presentations
  • May lead or direct the work of other compliance team members
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