DESCRIPTION/RESPONSIBILITIES:
This position is responsible for supporting the BCBSM and BCN Corporate Compliance Offices by directing and assisting leaders in the implementation, monitoring and maintenance of legal and regulatory requirements throughout the enterprise, (e.g. HIPAA Privacy and Security requirements, Medicare Advantage and Prescription Drug, requirements in accordance with CMS). Provides guidance to corporate leaders and individual employees that identify compliance issues and recommend corrective action plans enterprise-wide. Consults with business areas and other subject matter experts to identify compliance requirements, assess risks, and recommend compliant solutions that support business goals. This position acts as subject matter expert on applicable regulations (e.g. HIPAA, Medicare, etc.), training and awareness programs, and for responding to compliance-related inquiries.
Develop, implement and administer compliance monitoring programs, risk assessment and compliance processes. Provide analysis, process flows, written reports and documentation. Represent director and manager on committees and at meetings. Perform and lead compliance reviews and enterprise-wide compliance evaluations on an on-going basis. Supervise Corporate Compliance senior analysts on assigned tasks, project risk assessments and manage relationships to help ensure efficient and effective solutions are implemented. 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.
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. Investigate compliance and control issues to resolve complex problems and make recommendations to business leaders and employees to ensure on-going compliance. Review and interpret new and existing regulations (e.g. HIPAA Privacy and Security, Medicare Parts C and D), and coordinate with legal staff to provide opinions on compliance issues. Maintain knowledge of regulations impacting the company and industry. Assist leaders with implementation of requirements and validate compliance requirements during on-going reviews. Develop compliance communications (e.g. web site, content, Compliance Corner articles, presentations etc.) for various
audiences as needed.
All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, protected veteran status or status as an individual with a disability.