Remote Insurance Compliance Jobs in Baltimore, MD

Resp & Qualifications

PURPOSE: 
The Corporate Compliance and Ethics Consultant will consult with the division and assist the Director, Compliance and Ethics with maintaining and improving the Corporate Compliance and Ethics Program to ensure its continuing overall effectiveness. The position will focus on integrity in all business transactions and compliance with the Code of Ethical Business Conduct, policies, and all laws and regulations that apply to CareFirst.  The Compliance and Ethics Consultant will utilize available software performing a variety of tasks to assist with the design, implementation, monitoring and improvement of the CareFirst Corporate Compliance and Ethics Program. The position will plan and lead the implementation of a variety of activities throughout the year to raise awareness of the importance of compliance and ethics. The Corporate Compliance and Ethics Consultant will interact with all levels of management.  This includes handling the personal, highly confidential information of executive-level management and board members.  This position represents CareFirst at industry conferences and presents best practices as assigned by the Director. 
ESSENTIAL FUNCTIONS:

• Maintains an awareness of corporate compliance and ethics practices, developments and trends, notably within a health insurance environment.  Consistently seeks opportunities to improve the Corporate Compliance & Ethics Program and develop a corporate culture of ethics and compliance. 
• Develops, procures, and delivers creative content and useful tools that assist management and associates in understanding their roles and responsibilities in acting ethically and complying with company policies including all laws and regulations that apply to CareFirst.
• Analyzes, develops and presents internal and board ready detailed reports of data collected from the annual ethics survey breaking down the results to reveal company and departmental trends. 
• Develops, reviews and revises Compliance and Ethics departmental SOPs as needed, but at least annually.
• Promotes an environment that supports CareFirsts core values serving as a role model for ethical behavior to foster a culture of compliance and ethical behavior.
• Creates, plans, coordinates, and implements activities for increasing the visibility and awareness of the Corporate Compliance & Ethics Program, including compliance and ethics week activities across the corporation as well as ongoing activities throughout the year to ensure associate awareness of compliance, ethics, values and privacy.  
• Acts as lead liaison with agencies and entities examining CareFirst to evaluate our Corporate Compliance and Ethics Program, gathers, collates, provides and submits documentation as requested/required.
• Develops, updates and maintains, with assistance from the CareFirst Web Administrator, the Compliance and Ethics intranet website. 
• Assists with the annual Conflict of Interest/Compliance Certification campaign and assists with tracking to completion all Conflict of Interest/Compliance Certification forms.
• Various duties as required to support the Corporate Compliance Officer, Director Compliance and Ethics, and the Corporate Compliance & Ethics Program.
  

QUALIFICATIONS:
Education Level: Bachelor's Degree

Experience: 8 years Advanced knowledge of ethical, corporate compliance with demonstrated ability to apply elements of the Federal Sentencing Guidelines for organizations.

Licenses/Certifications:

• Certified Compliance & Ethics Professional (CCEP) Certified Compliance and Ethics Professional (CCEP), Certified in Healthcare Compliance (CHC), or equivalent within 1 Year Required 
  

Knowledge, Skills and Abilities (KSAs)

• Knowledge of compliance program development and maintenance.
• Proficient in Microsoft Office applications.
• Strong research and analytical skills.
• Ability to work on multiple projects and shift priorities.

Salary Range: 80,640 - 160,160

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer.  It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Federal Disc/Physical Demand

Note:  The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position.  Occasional walking or standing is required.  The hands are regularly used to write, type, key and handle or feel small controls and objects.  The associate must frequently talk and hear.  Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship.

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