Compliance Specialist I/II at Bcidaho in Meridian, Idaho

Posted in Other 10 days ago.





Job Description:

Blue Cross of Idaho is seeking a Compliance Specialist to review organization's business practices against relevant rules and regulations and to partner with business areas to ensure pertinent regulations are followed. The Compliance Specialist will also partner with business areas to identify areas of non-compliance and to assist in the creation of a plan to implement corrections and confirm ongoing compliance.


We're seeking for a Specialist with:


Level I:


2 years' health industry, internal audit, legal, compliance, or government programs. Looking for familiarity or knowledge of HIPAA with strong preference for HIPAA experience in a health care or health plan setting.


Level II:


4 years' health industry, internal audit, legal, compliance, or government programs. Looking for familiarity or knowledge of HIPAA with strong preference for HIPAA experience in a health care or health plan setting.


Education: Bachelor's Degree or equivalent work experience (Two years' relevant work experience is equivalent to one-year college)


Your day may involve:


  • Maintaining and applying knowledge of regulations and regulatory changes relevant to the industry and the organization - CMS, IDHW, OCR and others.

  • Ensuring regulatory standards are applied to organizational policies and procedures by evaluating and communicating regulatory guidance to impacted business areas.

  • Performing periodic risk assessments of operational areas where regulations govern the work performed.



  • Contributing to monitoring and auditing workplans.



  • Responding to compliance and privacy related questions, complaints, and incidences.

  • Investigating and risk-ranking reported compliance issues then working with business and process owners to develop corrective action plans that effectively remediate issues and prevent future occurrences.

  • Facilitating organizational compliance training on general compliance and other topics required by rules and regulations.

  • Conducting monitoring, auditing and surveillance of operational functions, reporting results to business process owners, and leading compliance actions in response to findings.

  • Working with business relationship owners and vendors to train/educate staff, mitigate compliance risks, and drive industry best practices.

  • Performing other duties and responsibilities as assigned in support of the objective of achieving an effective compliance program.




We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
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