We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross.

Residency in or relocation to Louisiana is preferred for all positions.

POSITION PURPOSE

Perform oversight duties of Healthcare Reform Reporting functions and enterprise operational readiness as it relates to Healthcare Reform Activities and other regulatory guidance as assigned. Provide analytical, operational, and IT support and consulting services related to implementation of state and federal mandates.

NATURE AND SCOPE

• This role does not manage people

• This role reports to this job: DIRECTOR, TAX, SYS & FINANCIAL PROJECT

• Necessary Contacts: In order to effectively fulfill this position, the incumbent must be in contact with:All levels of internal personnel; providers, subscribers, external auditors, governmental agencies, other Blue Cross plans, and agencies/businesses as needed to obtain information needed.

QUALIFICATIONS

Education

• Bachelor's in Accounting, Computer Science, or a business related field required

• Four years of related experience can be used in lieu of a Bachelor’s degree.

Work Experience

• 4 years Audit, financial, governmental, or systematic reporting experience, with a strong working knowledge of risks, controls and the control environment required

• Financial reporting or public accounting experience preferred

Skills and Abilities

• Requires strong analytical and organizational abilities.

• A working knowledge of information technology concepts, practices, terminology, and standards, with ability to actively conduct and/or engage in hardware and software related discussions relative to assignments. Includes demonstrated ability to document technical matters and/or complex concepts in a manner that is meaningful to the intended recipients. Requires a broad knowledge of technology deployment management and control concepts.

• Must demonstrate the understanding of the project management process and have participated in large scale project implementation.

• Must have working knowledge of relative PC software. Requires a broad knowledge of information technology and control concepts and application knowledge of business systems.

• Strong written and verbal communication skills including excellent networking abilities required.

• Must be able to multi-task and work under deadlines.

• Must possess tenacity to pursue difficult and sensitive issues to an acceptable conclusion.

• Ability to earn and maintain respect from employees, peers, and managers required.

• Must have strong presentation skills and demonstrate the ability to transform complex issues into simple concepts.

Licenses and Certifications

• CPA, CISA or CIA preferred

ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS

• Ensure that mandated reporting, required under the ACA, is complete, timely and reasonable.

• As appropriate, prepare required reports, or format data collected for submission.

• Monitor various sources of information related to required mandates, including but not limited to:

• State and Federal communications, guidance, regulation and law.

• Federal Court Decisions related to Healthcare.

• BCBSA communications, guidance and mandates.

• Evaluate the impact and relevance of required mandates.

• Draft and distribute appropriate summaries to necessary BCBSLA staff members for determination of policy/procedures changes.

• Participate in the teams assigned to determine impact on existing or developing company operations and policies.

• Participate in team assigned to execute necessary changes to ensure controls are put in place and proper documentation is completed, as appropriate.

• Work closely with Project Manager(s), project staff, and business owners on implementation of requirements.

• Perform necessary internal training related to Healthcare Reform.

• Perform gap analysis in various business units as necessary.

• Recommend necessary controls or changes in existing control environment, when necessary.

Additional Accountabilities and Essential Functions

The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions

• Perform other job-related duties as assigned, within your scope of responsibilities.

• Job duties are performed in a normal and clean office environment with normal noise levels.

• Work is predominately done while standing or sitting.

• The ability to comprehend, document, calculate, visualize, and analyze are required.

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An Equal Opportunity Employer

All BCBSLA EMPLOYEES please apply through Workday Careers.

PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI)

Additional Information

Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account.

If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact recruiting@bcbsla.com for assistance.

In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free.

Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner.

Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.

JOB CATEGORY: Legal, Compliance & Audit