"Alerted.org

UPMC Health Plan has an exciting opportunity for a Supervisor, Compliance position. This will be a full time position working Monday through Friday daylight hours and will be a hybrid position consisting of working from home and may require in office on occasion.

The Compliance Supervisor shall be primarily responsible for administering UPMC Insurance Services Division Policy and Procedure review, approval, and maintenance processes. The Compliance Supervisor shall work closely with Compliance Program Operations Leadership and key stakeholders. Looking for someone with strong leadership skills.

Responsibilities:

+ Responsible for the development of UPMC Insurance Services Division policy and procedure process, and overall policy communication to Compliance Program Operation Leadership for the following responsibilities:

+ Mentors the Policy & Procedure Team to work with all departmental liaisons to enforce all deadlines and other requirements related to the submission, review, access, and maintenance of policies and procedures.

+ Supervises the maintenance of all policies and procedures in an organized and thoughtful manner including the preservation of former versions of such policies and procedures.

+ Expert working knowledge of the policies and procedures which includes developing and modifying according to regulatory and operational standards through collaboration and direct partnership with stakeholders.

+ Oversee the internal quality verifications to ensure compliance with the established corporate Policy and Procedure on policy management.

+ Develops, implements, and executes training programs and/or improvement initiatives for Policies and Procedures, group and individual trainings.

+ Responsible for the training, orientation, leadership and ongoing guidance management of the CCEO Policy and Procedures Team.

+ Provides assistance to the Compliance Program Operations Leadership team on other training initiatives, including but not limited to training resources, Annual Mandatory, Compliance Foundation Training program, and Code of Conduct.

+ Develop Policy and Procedure reporting process and standards utilizing the policy Software.

+ Oversee the quality review of SharePoint website and policy software for accuracy and validity of Compliance related information and access permissions.

+ Supports the Compliance Program Operations, Compliance & Ethics team in management of the ISD Board Member document collection (Conflict of Interest and Biographical Affidavits), preservation, tracking and overall coordination and partnership with key stakeholders, internal and external.?

+ Responsible for oversight of accurate and timely reporting CCEO topics (Policies and procedures, Regulatory Reporting and Board documentation) when related to audit requests and licensing needs.

+ Supports the Compliance Program Operations Compliance & Ethics team in management of the Regulatory Reporting function, tracking and overall coordination and partnership with key stakeholders, internal and external.

+ Effectively lives, models, communicates and supports the values of UPMC and UPMC Health Plan.

+ Work on other compliance related projects as required by CCEO Leadership.

+ Bachelor's degree is required.

+ 5-7 years of experience in the insurance industry and/or managed care programs is required.

+ Previous supervisory experience preferred.

+ Excellent written and oral communication skills and ability to critically review government regulations and policies and procedures.

+ Proficiency in Microsoft Word product and ability to learn new and master software as needed.

+ Must be self-motivated and capable of meeting deadlines. Strong, management, problem solving, and organizational skills required. **Licensure, Certifications, and Clearances:** **UPMC is an Equal Opportunity Employer/Disability/Veteran**