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Form of work
SalaryAll about us
You likely know us as an insurance company, but that’s just a portion of what we do. Hundreds of thousands of North Dakotans trust us to provide them with personalized service and unmatched access to care. It’s a mission we take seriously.
We also work with entities throughout the state to challenge the cost and complexity of health care in North Dakota. This uncompromising goal requires caring, innovative people who are ready and willing to help create a new level of health and well-being in North Dakota and beyond.
Work environment
This opportunity is eligible for a remote, hybrid, or in-office work arrangement. We empower our employees to find a work style that is best for them. Learn more at Life at Blue | BCBSND.
This position is eligible for internal and external applications.
Pay Information
Pay Level: 019
FLSA Category: Non-Exempt - Hourly
A day in the life
The Compliance and SIU Coordinator is responsible for performing operational support activities within the division such as coordination and support of audits and examinations, assisting with Compliance and investigations, conducting research, reviewing reports, and preparing correspondence. This position provides ongoing support to all areas within the division and provides various levels of support in alignment with business needs and strategic goals.
Your responsibilities will include
- Assists internal and external stakeholders during audit processes through the preparation and distribution of requested information.
- Provides support to the team by assisting with investigations, resolving reports that violate a company policy, procedure, practice or contractual agreement within the organization and coordination and tracking of regulations.
- Utilizes reports and databases to monitor department-related activities.
- Maintains accurate records, documentation, and evidence as it relates to basic fraud, waste, and abuse cases. Submits claims for adjustments in accordance with established processes and policies.
- Organizes and composes a variety of communication materials such as presentations, contracts, letters, assessments, etc. Reviews and proofreads a variety of documents and creates reports, charts, and other materials.
- Coordinates training sessions and curriculum with internal resources/subject matter experts who play an integral role in the facilitation of information.
- Performs research, collects data, and prepares information for special projects and initiatives within the division, as needed.
- Assists with maintaining workload within the division, when requested.
What you need to succeed
- Bachelor’s degree in Business, Healthcare, Legal, Auditing, Criminal Justice or related.
- At least 3 years of experience in project management, data analysis, audit, investigations, law, compliance, or related.
- Ability to analyze problems and communicate proposed solutions with a project management mindset.
- Pays close attention to the details of all work and strives for a high level of accuracy.
- Manages time effectively by utilizing the correct and most effective resources.
- Communicates well with stakeholders and team members.
- Ability to be flexible and adaptable in changing proprieties of the work.
Equivalent combination of education, experience or training determined to be acceptable by Human Resources may be substituted, unless regulated by contract or program standards
Benefits and perks
- Wellness incentives including well-being lifestyle spending accounts, employee assistance program and employee discounts.
- Encouraged paid time off including paid holidays and flexible holidays to use as you wish.
- 16 hours of paid volunteer time with a $200 donation to a charity of your choice upon completion of all volunteer hours.
- Employee recognition, community initiative events and yearly company outings.
- Workplace flexibility offering different options for working arrangements and the freedom to make time for important commitments.
- Our core benefits include health, dental, vision and life insurance, short-term and long-term disability and paid parental leave.
Equal opportunity employment
Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individual with Disabilities, as well as Sexual Orientation or Gender Identity.
For questions, please email careers@bcbsnd.com.
This job posting will be closed 2/27/2024 at 8:00 a.m. (CT). No further applications will be considered.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
