Plan Financial Program Mgr

Blue Cross Blue Shield Association
vision insurance, 401(k)
United States, D.C., Washington
1310 G Street Northwest (Show on map)
Feb 26, 2025
The hiring range for this role is: 107,666.00 - 150,995.00 This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate's position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.This job is also eligible for annual bonus incentive pay. We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees. Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. The role oversees and manages ongoing activities related to the development, implementation, maintenance, and administration of and adherence to the organization's processes, policies and procedures covering the compliance with Office of Personal Management CS1039 contract, federal and state laws, and health care reform. Manages and executes various activities related to Program compliance, audit, and training. Manages select projects for Program Assurance's compliance function. Responsible for the conception, development, delivery, and maintenance of FEP audit and compliance related resources for BCBS Plans. Utilizes key business relationships to provide information and analytic support to Plans to compliment and support FEP compliance efforts. Identifies and analyzes new developments in audit and compliance; educate Plans on key issues and BCBSA's work on their behalf to ensure continued compliance. Additionally, helps develop and manage Program Assurance audit and compliance program activities as directed. Audit Process Management: Oversee the annual FEP Program Assurance audit, ensuring timely completion and alignment with the Program Assurance Plan. Lead process improvements for audit findings and develop focus audit programs, presenting them to senior management. Participate in Plan audits and review staff work. Compliance Reporting: Develop tools to monitor and report compliance issues to the Office of Personnel Management and other executives. Conduct compliance gap and risk analysis, perform risk assessments, and coordinate monitoring activities. Ensure compliance with CS1039, FEHBAR, and Federal Acquisition Regulations. Process Improvement: Lead quality initiatives and projects related to the FEP audit program. Implement continuous audit monitoring techniques and manage audit tracking processes. Collaborate across BCBSA and FEPOC to complete system enhancements and close OIG audit findings. Self-Assessment Audits: Manage Plan self-assessment audits and support annual planning and execution. Update audit guides and provide training based on findings. Coordinate with various stakeholders on compliance matters. Project Oversight and Data Management: Oversee FEP cost data analysis and provide guidance on complex issues. Improve data quality and integrity through governance activities. Act as a liaison between FEPOC and Plans, understanding business systems and reporting tools. Education Bachelor's degree in accounting, business, finance or related field, or equivalent experience Preferred Certifications (CPA) Financial Services\Certified Public Accountant (CIA) Legal, Risk, Contracts & Governance\IIA - Certified Internal Auditor Required Experience 5 years related work experience, preferably in a healthcare or government-contracting environment Skills * Advanced knowledge of auditing, finance and compliance activities * Demonstrated leadership, management, negotiation, analytical, and problem-solving skills, as well as strong project management, interpersonal, and organizational skills * The ability to take complex compliance and audit issues, and seek resolution * Demonstrated ability to develop and maintain business relationships, as well as the ability to create strategies that support initiatives and translate these into action plans * Proficiency in Microsoft Word, Outlook, Excel and PowerPoint * Excellent written, oral and presentation skills * Strong interpersonal, presentation, public speaking, and communication (both oral and written) * Excellent analytical skills and have significant initiative, independent business judgment and a high degree of creativity which demonstrates capability to determine appropriate reality-based conclusions * Excellent organizational, project management, leadership, and strategic thinking * Relationship management skills at varying levels of Plan, FEPOC and BCBSA staff * Conceptual knowledge of federal guidelines, an effective audit program, Medicare regulations, and HIPAA/PPACA compliance and the relationship to compliance programs within the health care or government-contracting industry People Management No #LI-HYBRID