New job Regulatory Compliance Analyst in Arkansas

Regulatory Compliance Analyst

Company : Arkansas Blue Cross and Blue Shield
Salary : Details not provided
Location : Arkansas

Full Description

Take the steps to start your career at Arkansas Blue Cross and Blue Shield. Job SummaryJob Profile Summary Regulatory Compliance Analyst conducts comprehensive regulatory analyses, which includes the review, summarization and dissemination of compliance reports and data. Incumbent must remain abreast of the health insurance industry, to include identification and interpretation of new and/or revised regulations. Requirements Education & Experience: 1. Bachelor’s degree. In lieu of degree, five (5) years of health insurance, healthcare, compliance, legal or equivalent experience. 2. Three (3) years of compliance, regulatory/legal and/or claims processing experience, preferably in a healthcare environment. 3. Proficiency using Microsoft Office such as Word, Excel, and Access 4. Knowledge of laws and/or regulations in the area of compliance. Specialized Knowledge & Skills 1. Microsoft Access 2. Microsoft Word 3. Microsoft Excel 4. Health Care Regulation 5. Government Regulation 6. State Regulations 7. Analyzing Quantitative Data 8. Analytical Tools 9. Analytical Reasoning 10. Independent Thinking 11. Self-Starter 12. Detail-Oriented 13. Oral and Written Communications 14. Interpersonal Communication 15. Professional Judgment 16. Highly Organized SkillsAnalytical Skills, Attention to detail, Building relationships, Documentation Skills, Microsoft Excel, Microsoft Office, Microsoft PowerPoint, Oral Communication, Presentation Skills, Problem Solving Skills, Technical Skills, Written Communication ResponsibilitiesCollaborates with various internal departments, analysts, development teams, external vendors and leadership to ensure proper testing, and system functionally is met., Collects and audits data, performs root cause analysis of issues or problems, and proposes solutions based on best practices, and current and future needs of the business., Creates test plans, scripts and/or test cases to provide in-depth testing, verification, documentation and implementation of systems errors, changes, and enhancements to ensure proper system functionality., Leads the design of new projects and programs by evaluating current practices, while conferring with management in order to define scope of work, purpose, goals and objectives, timelines and resource requirements for implementation., Maintains and documents existing business processes and/or system changes, which may also require the development and delivery of training programs or presentations. Thorough documentation is essential to the ongoing business processes., Performs other duties as assigned., Prepares reports or audits by analyzing and summarizing the information and trends to make recommendations regarding process changes., Serves as the operational subject matter expert to assist in the design, development, testing, documentation and evaluation of processes, procedures, and/or systems ensuring the results are measurable improvements. This includes responsibility for system upgrades and system enhancements that require extensive system testing and documentation. Certifications ADA Requirements1.1 General Office Worker, Sedentary, Campus Travel - Someone who normally works in an office setting and routinely travels for work within walking distance of location of primary work assignment Security Requirements This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual. Segregation of Duties Segregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual. Worker TypeEmployee Employment TypeRegular Number of Openings Available1 Arkansas Blue Cross Blue Shield is an Equal Opportunity Affirmative Action employer and is subject to federal regulations pertaining to employment. Arkansas Blue Cross does not unlawfully discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, marital status, veteran status, or any other basis prohibited under federal, state or local laws governing non-discrimination in employment in every location in which the Company has facilities. Arkansas Blue Cross also provides reasonable accommodations for qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and any other state or local laws. You must apply using your Legal Name. Current Workers/Contingent Workers/Contractors: Apply with your existing worker account (Workday) from the enterprise network. (Do not apply from this site - apply internally only)

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