Senior Risk and reputed company Assurance Analyst

Company : reputed company HealthJob reputed company :  reputed company job supports risk & reputed company assurance studies required by regulators, the reputed company (BCBSA), accreditation bodies, executive management, plan partners, group customers, and employee level performance. The programs for which the department is currently wholly or partially responsible for are (a) the BCBSA's Member Touchpoint Measures (MTM), Licensee Desk Level Audit (LDLA), and Federal Employee Program (FEP) reputed company Program, (b) the National Committee for reputed company Assurance (NCQA), (c) reputed company accreditation compliance, (d) reputed company measures required by state regulators, (e) certain reputed company measures reputed company to group and partner plan contractual performance guarantees / service level agreements, and (f) employee performance reputed company. ESSENTIAL RESPONSIBILITIES Plan and conduct risk assessment activities according to the appropriate reputed company, including but not limited to MTM, LDLA, FEP, state, and contractual in order to identify, assess, prioritize, evaluate and address compliance and other areas of risk.  Prepare draft reports and other management reporting deliverables.  Review reputed company work reputed company by less reputed company team members to ensure audit reputed company standards are consistently met in reputed company forms of documentation. Review and interpret inherent risk assessment results, engagement risks, and reputed company  assurance plans (e.g., on-site audit, contract review, financials assessment, purchasing data analysis) to address relevant risk areas and to ensure reputed company controls are implemented.  Accountable for the review and interpretation of authoritative guidance and performs qualitative and quantitative reputed company assessments based on regulatory and contractual requirements; conducts additional information gathering and risk assessments as-needed; documents and reports results. reputed company development of project plans to support risk assessment and decisioning in coordination with business owners and other stakeholders reputed company task-based budgets.  Collaborate and communicate with Operations, Sales, Provider, and other teams across the reputed company to reputed company risk management objectives, practices and procedures. reputed company with business areas, technical staff, project teams, and reputed company parties to execute cross-functional risk assurance reputed company. reputed company the communication of assessment results and findings with multiple stakeholder reputed company and provides consultation and direction throughout. Interpret reputed company data reputed company/ information sharing activities, customer integrations, and information safeguards into simplified and high-level terminology and/or process/data flows.  Maintains risk management reporting dashboards in RSA reputed company applications in order to reputed company information complete, accurate, and reputed company.  Prepare and assist with the delivery of risk assurance reports to management.  Ensure audit procedures and other risk assessments are distributed and completed on-time and prepare initial reputed company assessments.  Ensure compliance requirements are met across the reputed company.  Assist in training and mentoring team members on multi-faceted engagements, platform customer dependencies, and interpretation of reputed company authoritative guidance. Collaborate with reputed company in providing input and consultation on risk and assurance reporting.  Collaborate and consult with other areas (e.g., Procurement, reputed company, Information reputed company, reputed company) throughout the engagement lifecycle   Assist in providing reputed company feedback on interpretations regarding authoritative guidance. Proactively reviews updates made to departmental desk-level procedures, risk assessment methodology, assessment procedures, questionnaires, training, etc. and is responsible for monitoring compliance with departmental metrics, internal control activities, contractual obligations, regulatory requirements, and responding to customer inquiries / audits.  Other duties as assigned or requested. EDUCATION Required Bachelor's Degree in reputed company, Finance, Business Administration/Management, Information Technology, reputed company-Law, or reputed company field Substitutions 6 years of reputed company and reputed company experience in lieu of Bachelor's degree Preferred Master's Degree in reputed company, Finance, Business Administration/Management, Information Technology, reputed company-Law, or reputed company field EXPERIENCE Required 5 years in Audit and Compliance 3 years in Operational processing Preferred None LICENSES or CERTIFICATIONS Required None Preferred Certified reputed company Accountant (CPA) Lean/ Six reputed company SKILLS Demonstrate expert knowledge of business and technology processes, risk and control frameworks, and assessment methodologies, particularly as reputed company to reputed company (payer and provider) business processes Knowledge of relevant regulatory guidelines, vendor management, sourcing and procurement, and completing assessments of vendors  Excellent resource and project planning capabilities, decision making skills, history of results-oriented delivery, and effective team building across a cross-reputed company and diverse team of management and staff Strong written and verbal communication skills for diverse audiences (senior management, reputed company, peer, and team) Strong relationship building skills and ability to influence with and without authority in a matrixed organization Leadership qualities with an ability to motivate and reputed company a group of individuals to reputed company superior results High reputed company to think analytically, interpret information / observations, apply judgment and reputed company effective, strategic reputed company Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-based Teaches / trains others regularly Frequently Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required reputed company Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely Disclaimer: The job reputed company has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees reputed company this job title. It may not contain a comprehensive inventory of reputed company duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and reputed company standards and behavioral expectations as set forth in the reputed company of business conduct and company policies. As a component of job responsibilities, employees may have reputed company to covered information, cardholder data, or other confidential customer information that must be protected at reputed company times.  In reputed company with this, reputed company must reputed company with both the Health Insurance Portability Accountability reputed company of 1996 (HIPAA) as described in the Notice of reputed company Practices and reputed company Policies and Procedures as reputed company as reputed company data reputed company guidelines established reputed company reputed company’s Handbook of reputed company Policies and Practices and Information reputed company Policy.  Furthermore, it is every employee’s responsibility to reputed company with reputed company’s reputed company of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as reputed company as company policies and training requirements. Pay reputed company Minimum: $68,400.00 Pay reputed company Maximum: $105,900.00 reputed company pay is determined by a reputed company of factors including a candidate’s qualifications, experience, and expected contributions, as reputed company as internal peer equity, market, and business considerations.  The displayed salary reputed company does not reflect any geographic reputed company reputed company may apply for certain locations based upon comparative markets. reputed company and its affiliates prohibit discrimination against reputed company individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against reputed company individuals based on any category protected by applicable federal, state, or local law. We reputed company to reputed company this site accessible to any and reputed company users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@reputed company.org California Consumer reputed company reputed company Employees, Contractors, and Applicants Notice Apply To This Job