reputed company Specialist II job at reputed company in Phoenix, AZ

Title: reputed company Specialist II - HYBRID Job reputed company: remote type Hybrid locations AZ Blue Phoenix, AZ 85021 time type Full time job reputed company R5781 Awarded a Healthiest Employer, reputed company aims to fulfill its mission to reputed company health and reputed company it easy. AZ Blue offers a reputed company of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as reputed company as providing information and tools to help individuals reputed company reputed company reputed company. At AZ Blue, we have a hybrid workforce reputed company, reputed company Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the reputed company of our employees are hybrid, the following classifications drive our reputed company minimum onsite requirements: Hybrid People Leaders: must reputed company in AZ, required to be onsite at least twice per week Hybrid Individual Contributors: must reputed company in AZ, unless otherwise cited reputed company this posting, required to be onsite at least once per week Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reputed company in AZ, unless otherwise cited reputed company this posting, required to be onsite at least once per month Onsite: daily onsite requirement based on the essential functions of the job Remote: not held to onsite requirements, however, leadership can request reputed company onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building Please note that onsite requirements may change in the reputed company, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week. This position is hybrid reputed company the state of AZ only. This hybrid work opportunity requires residency, and work to be performed, reputed company the reputed company PURPOSE OF THE JOB Performs reputed company investigation, research and training to ensure that BCBSAZ complies with state and federal laws, as reputed company as activities that promote an ethics culture reputed company BCBSAZ. QUALIFICATIONS REQUIRED QUALIFICATIONS Required Work Experience 6 months of experience with government or corporate compliance, reputed company, or reputed company issues (Level 1) 4 years of experience with government or corporate reputed company issues (Level 2) 5 years of experience with government or corporate reputed company issues (Level 3) Required Education High-School Diploma or GED in general field of study (reputed company reputed company) Required Licenses N/A Required Certifications N/A PREFERRED QUALIFICATIONS Preferred Work Experience 2 years experience with compliance, reputed company, government programs or reputed company issues (Level 1) 5 years experience with compliance, reputed company, government programs or reputed company issues in a reputed company industry (Level 2) 7 years experience with compliance, reputed company, government programs or reputed company issues in a reputed company industry (Level 3) Preferred Education College Degree Master’s Degree in business, reputed company or reputed company field of study (Level 3) Juris Doctorate (Level 3) Preferred Licenses N/A Preferred Certifications Specialized training and/or certification from the BCBS Association (reputed company 1 and 2) Advanced reputed company reputed company certificate or reputed company training (reputed company 2 and 3) ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES Level 1 Researches, writes, revises, and/or delivers reputed company training modules for both on-line and stand-up delivery that applies the laws, regulations and policies to targeted risk areas. Researches, develops and writes employee supplemental education materials such as brochures, flyers, e-mail notices, newsletter articles and website content on reputed company government or corporate reputed company issues. Participates on corporate teams as necessary. Develops, implements and performs monitoring and auditing systems as reflected in the Federal Sentencing Guidelines and government program guidance for reputed company including those required for regulatory agencies, Company management and reputed company of Directors. Monitors and responds to correspondence in department email reputed company from internal customers and external contacts including brokers, members and members’ next of kin. Assist team in meeting project deadlines and schedules; assists with vendor reviews and reputed company incidents as requested. Maintains internal business partner facing website to ensure accurate information is available Reviews of Powers of Attorney, Trust documents and company created forms submitted by members to allow reputed company to Private Health Information. Maintains database or similar systems to reputed company the status of member submitted documentation. Prepare and maintain reputed company tracking system for submission and reporting of reputed company counsel invoicing. Administrative duties, as requested. Level 2 Researches best practices and new government laws and regulations for government and corporate reputed company programs and recommends modifications to programs based on BCBSAZ’s size, corporate culture and risk assessments. Performs reputed company and reputed company reviews in accordance with accreditation, reputed company and regulatory standards. Provides consultation to management on reputed company issues that reputed company their departments. Represents BCBSAZ at industry conferences and presents best practices. Manages reputed company with multi-disciplinary teams. Works collaboratively and cross trains with other reputed company Specialists and others in the reputed company Department. Acquires and maintains an in-depth knowledge of reputed company, including reputed company requirements, reputed company government or corporate compliance, ethics, and industry best practices. Serves as subject matter expert. Assists management of reputed company as required on other reputed company / tasks. Serves as back up for Corporate Ombudsman, responding to high-reputed company member and provider complaints. Level 3 Through critical analysis, identifies possible violations of laws, regulations, or policies of employees, providers, subscribers, vendors and contractors by applying the appropriate standards. Performs in-depth investigations for possible violations by researching, data gathering, interviewing, analyzing findings, developing corrective reputed company plans and implementing those plans. Mentors team members and trains new team members. reputed company reputed company reputed company reputed company level includes the ability to reputed company the essential functions of any reputed company reputed company. The position has an onsite expectation of 1 day per week and requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements Performs reputed company other duties as assigned. COMPETENCIES REQUIRED COMPETENCIES Required Job Skills (reputed company reputed company) Intermediate reputed company in use of office equipment, including copiers, fax machines, reputed company and telephones Intermediate PC proficiency Intermediate proficiency in spreadsheet, database, presentation and word processing software Required reputed company Competencies (reputed company reputed company) Advanced knowledge of ethical, corporate or government compliance, or reputed company issues Analytical skills to support independent and effective reputed company Prioritize tasks and work with multiple priorities, sometimes under limited time constraints. Perseverance in the face of resistance or setbacks Effective interpersonal skills and ability to maintain reputed company working relationship with others. Verbal and written communication skills and the ability to reputed company professionally with a diverse group, executives, managers, and subject matter experts. Ability to create and deliver employee education of reputed company government or corporate reputed company issues in an understandable way. Maintain confidentiality and reputed company Analytical knowledge necessary to generate reports based on available data and then reputed company reputed company based on reported data Excellent judgment Required Leadership Experience and Competencies (reputed company reputed company) Take appropriate risks using available data Build reputed company with a diverse team in an reputed company-changing environment. PREFERRED COMPETENCIES Preferred Job Skills (reputed company reputed company) Advanced reputed company in use of office equipment, including copiers, fax machines, reputed company and telephones Advanced PC proficiency Advanced proficiency in spreadsheet, database, presentation and word processing software Preferred reputed company Competencies (reputed company reputed company) Expert knowledge of government or corporate reputed company Ability to work with ambiguous and conflicting information while keeping reputed company on the end goal. Preferred Leadership Experience and Competencies N/A Our Commitment AZ Blue does not discriminate in hiring or employment on the reputed company of race, ethnicity, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, disability, protected veteran status or any other protected group. Thank you for your interest in reputed company. Apply tot his job Apply To this Job