- Coordinates and oversees the documentation and review of moderately complex compliance activities and relevant business processes in compliance with applicable laws/regulations and internal programs and policies.
- Develops and maintains effective service and support of internal collaboration by facilitating inter-divisional relationships, communication, and contact with relevant subject matter experts, leadership, and/or applicable parties.
- Collaborates with subject matter experts and functional area management to ensure adherence to applicable laws/regulations and that the compliance programs foster and support a corporate culture of compliance excellence.
- Investigates, documents, and resolves reports that violate a policy, procedure, practice, or contractual agreements within the organization.
- Collaborates with applicable departments to review root-cause, remediation plan, and timeframe for each finding.
- Interprets, guides, and assists appropriate management and/or staff with the development or revisions of procedures, policies, protocols, or operating guidelines to document compliance.
- Evaluates existing processes and procedures to suggest appropriate improvements. Implements approved recommended improvements and monitors such improvements to ensure effectiveness.
- Monitors, reviews, and assesses new and existing regulations to understand the effects to the organization.
- Documents and tracks resolution of compliance issues and risks.
- Assists in administering of records management.
- Supports the development of data analysis tools to conduct compliance monitoring and helps develop metrics to track the overall effectiveness of the compliance program.
- Performs work under general supervision. Handles moderately complex issues and problems and refers more complex issues to higher-level staff.
- Bachelor's degree in Business, Legal, Auditing, Law Enforcement or related.
- 3 years of Health insurance, regulatory compliance, investigations, auditing, government programs or related experience required.
- Either have or are willing to obtain a Compliance and Ethics Professional (CCEP) certification or Certified in Healthcare Compliance (CHC) certification.
- Desire to collaborate and communicate well with other team members.
- Experience managing different projects with varying deadlines.
- Ability to problem solve, find resolutions and think analytically through different situations.
- Wellness incentives including well-being lifestyle spending accounts, employee assistance program and employee discounts.
- Encouraged paid time off including paid holidays and flexible holidays to use as you wish.
- 16 hours of paid volunteer time with a $200 donation to a charity of your choice upon completion of all volunteer hours.
- Employee recognition, community initiative events and yearly company outings.
- Workplace flexibility offering different options for working arrangements and the freedom to make time for important commitments.
- Our core benefits include health, dental, vision and life insurance, short-term and long-term disability and paid parental leave.
Compliance Analyst - Fargo, United States - Blue Cross Blue Shield of North Dakota
Description
All about us
You likely know us as an insurance company, but that's just a portion of what we do. Hundreds of thousands of North Dakotans trust us to provide them with personalized service and unmatched access to care. It's a mission we take seriously.
We also work with entities throughout the state to challenge the cost and complexity of health care in North Dakota. This uncompromising goal requires caring, innovative people who are ready and willing to help create a new level of health and well-being in North Dakota and beyond.
Work environment
This opportunity is eligible for remote, hybrid, or an in-office work arrangement. We empower our employees to find a work style that is best for them. Learn more at Life at Blue | BCBSND.
This position is eligible for internal and external applications.
Pay information
Pay Level: 022
FLSA Category: Exempt - Salaried
A day in the life
The Compliance Analyst is responsible for the administration and maintenance of moderately complex compliance activities to meet the organization's legal and regulatory compliance obligations. This role investigates potential compliance issues, addresses policy and regulatory violations, and develops and facilitates training programs to prevent non-compliance.
Your responsibilities will include
What you need to succeed
Equivalent combination of education, experience or training determined to be acceptable by Human Resources may be substituted, unless regulated by contract or program standards
Benefits and perks
Equal opportunity employment
Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individual with Disabilities, as well as Sexual Orientation or Gender Identity.
For questions, please email
This job posting will be closed 4/25/2024 at 8:00 a.m. (CT). No further applications will be considered.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR c)