Privacy Consultant

Blue Cross and Blue Shield of Louisiana•Baton Rouge, LA
•Onsite

About The Position

Responsible for carrying out compliance reviews that ensure company personnel and/or applicable third-party vendors are complying with current corporate policies and all laws and regulations. Collects and prepares information to provide support to Divisional Management. Provides management with recommendations to better manage risks, strengthen internal controls and deter and reduce non-compliance. Reviews compliance procedures and reports on findings to management. Accountable for complying with all laws and regulations associated with duties and responsibilities. This role does not manage people.

Requirements

  • Bachelor's Degree in Business Administration, Management, Finance or a related field required
  • Four years of related experience can be used in lieu of a Bachelor’s degree.
  • 3 years of experience in a predominantly analytical position required
  • Audit experience should include evaluating risks and effectively planning an audit approach, developing a risk-based audit program, completing fieldwork using supporting work paper techniques, and effectively communicating results upon completion. required
  • Excellent oral and written communication skills.
  • Working knowledge of Microsoft software and other relevant software.
  • Incumbent must maintain complete confidentiality of information encountered.
  • Ability to conduct research and audit functions necessary.
  • Ability work extended hours with some travel required.

Nice To Haves

  • Master's Degree in Business Administration, Management, Finance or a related field with previous audit experience preferred
  • Previous healthcare, insurance, compliance and Medicare programs experience preferred
  • SharePoint experience preferred
  • Certification in an audit (CIA, CPA) field preferred

Responsibilities

  • Conducts audits, reviews, periodic evaluations and special reviews as identified in annual risk assessment or as specified by management, to determine Company’s compliance with laws and regulations.
  • Researches and remains current with applicable State and Federal laws and regulations, in addition to standard operating procedures relevant to the Code of Business Conduct and Compliance program, to ensure the Company is in compliance.
  • Advises the Compliance Management of changes and new regulations.
  • Advises various levels of personnel on compliance issues related to products, services, regulations and laws to ensure the Company is in compliance.
  • As necessary, coordinates with Internal Audit on periodic Privacy Audits, including Reviews of Standard Operating Procedures, Operational Checks and Balances and Management Controls to identify problems and to recommend corrective actions.
  • Conducts special reviews and privacy investigations originating as a result of alleged violations of the Code of Conduct (including fraud, abuses, and other related improprieties) and reports findings to Compliance Management.
  • Assists Compliance Management in other areas, as assigned by Compliance Management, to include training and education of the Company employees regarding the Information Governance & Privacy program and other compliance related education to ensure employee understanding of compliance and ethics.
  • When requested, coordinates and/or assists with external audits, special projects and examinations to ensure their successful completion.
  • Ability to work extended hours with some travel required.

Benefits

  • Residency in or relocation to Louisiana is preferred for all positions.
  • Applicants must be authorized to work for Louisiana Blue in the United States without employer-sponsored immigration support.
  • Louisiana Blue will not provide current or future employment-based immigration sponsorship or other immigration support for this opportunity, including H-1B, L-1, O-1, H-1B1, E-3, TN, or J-1 sponsorship or F-1 OPT/STEM OPT/CPT support.
  • We want to ensure that our employees have a work environment that will optimize personal health and well-being.
  • Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free.
  • We perform background and pre-employment drug screening after an offer has been extended and prior to hire for all positions.
  • A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.
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