Blue Cross and Blue Shield of Illinois, Montana, N Director Program Oversight in Chicago, Illinois


At HCSC, building a talent engine for the future is a key priority because we recognize that as our business evolves to reflect the changing world, we must adapt our workforce to meet this challenge. Additionally, with "excellence" one of our core values, we are focused on improving our success measures and delivering the best possible customer experience.

JOB PURPOSE:This position is responsible for directing efforts ensuring compliance with federal, state and local regulatory and contractual obligations. Responsible for the strategic development and the implementation of the system of controls to monitor and oversee the performance of operations, business units and delegated entities in accordance with state and federal requirements and other best practice and performance requirements. Responsible for identifying potential areas of noncompliance by conducting investigations and / or performing compliance reviews and performing risk assessments. Provides advice and guidance to operational areas regarding proper policies and procedures. Represents the company in government compliance matters as well as regulatory meetings and activities. Develops and implements business plans. Additionally, this position will collaborate with internal and external business partners to provide guidance and recommendations around the development, maintenance and enhancements of programs, products and servicesREQUIRED

JOB QUALIFICATIONS:* Bachelor degree in Accounting, Business or related field.* 8 years of auditing or investigative experience with a focus in government or compliance reviews.* 5 years of managerial experience.* Accounting and auditing skills.* Management and negotiation skills.* Effective verbal and written communication skills

PREFERRED REQUIREMENTS:* Registered Nurse (RN) or Registered Physician Assistant (RPA) with unrestricted, current license in the state of operations.* Quality certification such as Health Care Quality & Management (HCQM) Certification or Certified Six Sigma Black Belt (CSSBB).

Location: IL - Chicago, TX - Richardson

Activation Date: Monday, March 12, 2018

Expiration Date: Saturday, March 24, 2018

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