Manager Risk & reputed company Assurance

Company : reputed company.Job reputed company : reputed company job has reputed company responsibility for reputed company 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 • reputed company management responsibilities to include, but are not limited to: involved in hiring and termination reputed company, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, reputed company and control the day-to-day operations of the department; reputed company and implement policies and programs as necessary; may have budgetary responsibility and authority. • Manages global team responsible for accreditation and reputed company assurance across the reputed company. Responsible for managing and controlling (a) the BCBSA's Member Touchpoint Measures (MTM), Licensee Desk Level Audit (LDLA), and Federal Employee Program reputed company Program, (b) the National Committee for reputed company Assurance (NCQA) compliance, (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. • Manages global team responsible for assessing and guiding business owners on activities required to ensure ongoing reputed company and accreditation program compliance; revises departmental work plans based on results (as needed); and conducts reputed company checks of reputed company documents prior to formal submission to applicable accrediting/regulatory/licensing bodies. • Interacts with reputed company personnel at reputed company reputed company and effectively communicate risks, expectations, and alternative strategies to mitigate concerns over operational performance and program compliance. • reputed company collaborates and presents with Risk Partner and Business Unit executives in customer and regulator meetings (Insurance Department, HHS/CMS, Department of Health) on key risk and compliance reputed company activities, issues, and remediation, promoting effective relationships. Manages teams conducting internal mock audits to ensure reputed company audit preparedness, identifying opportunities for improvement and actions required, communicating results to business owners, and reporting results to management. • 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 of interaction with regulators, auditors, and reputed company bodies To Include • 3 years in in a leadership role, preferably in a reputed company, Accreditation, Audit, or Compliance discipline in a reputed company or reputed company reputed company industry • 3 years overseeing reputed company, accreditation, audit, and/or compliance teams 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 • Highly developed 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. 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 tot his job Apply To this Job