About this opportunity
Blue Shield of CA lists this Compliance and Ethics Program Investigator, Consultant opportunity in lodi, California. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Your Role
The Compliance and Ethics team ensures adherence to the BSC Code of Conduct and owns and coordinates the Company's compliance and ethics program across the enterprise, including all business units, products, services, and activities. This includes the implementation and maintenance of proper preventive, detective and remedial programs and controls; the execution of relevant policies and procedures; training and educating the workforce; implementing an effective communications program; ensuring effective testing, auditing, monitoring, tracking, and reporting; and remediate control deficiencies.
As a Compliance and Ethics Investigator, Consultant, you will perform confidential internal investigations into allegations of misconduct, including sensitive matters related to fraud, violations of our Code of Conduct and corporate policies, conflicts of interest, misuse of company assets, and other legal, compliance, and regulatory concerns.
Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders who are energized by creative and critical thinking, building and sustaining high-performing teams, getting results in the right way, and fostering continuous learning.
Your Knowledge and Experience
Requires a bachelor's degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree
Requires 7 years of prior relevant experience in health care compliance, legal services, privacy, investigative services, or a related field
Requires deep and current knowledge of healthcare compliance legislation and regulations
Requires experience with Excel including the ability to create pivot-tables and use formulas and functions to perform analytics
Requires experience conducting internal investigations within a corporate or public entity
Requires experience working with senior leaders through investigations
Requires the ability to translate sensitive, complex investigation findings to diverse audiences
Requires experience managing multiple priorities and consistently meeting deadlines in a dynamic environment
Ability to exercise sound, independent judgment and operate effectively in ambiguous situations where policy, regulation, or precedent does not provide clear direction.
Certified in Healthcare Compliance (CHC) or Certified Compliance and Ethics Professional (CCEP) certification, or the ability to obtain certification within two years of employment, is preferred.
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Who can apply
Review the original listing for work authorization, qualifications and employer requirements.