Job ID: J117099
Company: Highmark Inc
Location: Pittsburgh, PA, United States
Full/Part Time: Full time
Job Type: Regular
Posted at: Feb 21, 2018
This job conducts program management of compliance-related projects conducted by assigned business owners (e.g., compliance analysts, senior compliance analysts, management, etc.) across all states and applicable departments for any type of regulatory requirement that is or may be applicable to the organization, as well as delegation oversight requirements across all applicable regulatory requirements. Maintains subject matter knowledge and expertise to educate and direct business owners on reviewer expectations to support compliance with current, new, and/or revised standards and guidelines. Demonstrates the ability to identify potential business impacts/compliance gaps across the organization and collaborates with and/or directs business owners on the development of solutions to mitigate risk. Reviews documentation developed by business owners to support compliance on an ongoing basis to ensure continuous audit preparedness. Represents the organization with external stakeholders (e.g., CMS, NCQA, BCBSA, state regulatory agencies, etc.) on regulatory requirement related matters. Project management of business owners within department for regulatory compliance-related tasks.
LICENSES OR CERTIFICATION
Language Requirement (other than English)
0% - 25%
SCOPE OF RESPONSIBILITY
Does this role supervise/manage other employees?
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
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