Compliance Specialist

1. Bachelor's degree from an accredited college or university. This qualification may be met with extensive relevant work experience; or equivalent combination of education and experience.
2. A minimum of three (3) years, five (5) years preferred, relevant professional work experience involving data gathering, analysis, and related information systems required. Experience within healthcare insurance and/or healthcare delivery system preferred.
3. Ability to research, interpret, understand, and apply technical directions, policies, and regulations via sound judgment and critical thinking required.
4. Knowledge of and proven proficiency in the use of Microsoft Office applications including extensive knowledge of Excel, Word, Outlook, and Power Point.
5. Ability to learn and effectively utilize multiple computer systems and reporting software used to fulfill job responsibilities.
6. Ability to manage multiple interim initiatives, priorities, and problems to achieve a larger objective required.
7. Ability to lead and direct collaborative teams, uniformity of design, and subject matter knowledge.
8. Ability to maintain poise and accurate work product in high-pressure situations requiring deadline driven work.
9. Ability to proofread documents and forms for spelling, grammar, formatting, and clarity. Knowledge and proficiency with English punctuation, grammar, and spelling.
10. Accurate data entry skills and attention to detail.
11. Ability to identify potential errors in data based on business rule application, uniformity of design, and subject matter knowledge.
12. Ability to communicate ideas and instructions clearly, concisely and consistently, both verbally and in writing, to different audiences.
13. Ability to make independent decisions based on facts, circumstances, and organizational needs.
14. Fine manual dexterity required. Ability to use a keyboard extensively.
15. Outstanding verbal and written communication skills including ability to provide telephone support to collaborate courteously and effectively with internal stakeholders, external parties, compliance and regulatory officials, practitioners, and the general public. Ability to be culturally sensitive and work with diverse populations.
16. Ability to maintain organizational, personnel related, and patient confidentiality. Knowledge of or ability to learn HIPAA privacy requirements.
17. Ability to be flexible and adaptable to changing priorities and assignments.
18. Ability to work independently and be results oriented. Ability to design general correspondences, memos, charts, tables, graphs, etc.
19. Ability to bend, reach, lift, pull, and carry up to 20 lbs regularly required.
20. Ability to speak and listen in person and on the phone required.
21. Demonstrated ability to work with multi-disciplinary groups, including those external to GHC-SCW, and to represent GHC-SCW in a professional manner.

The incumbent knows and abides by all Group Health Cooperative of South Central Wisconsin (GHC-SCW) organizational and departmental policies, sets personal standards and strives for high quality work in completing assignments, performs job duties in a timely manner, and represents the organization in a positive manner. The incumbent understands our Mission, Vision, and Common Values (stated below) and is committed to promote these values in behavior and attitude.

Our Mission Statement: We partner with members and the communities we serve to maximize health and well-being.

Our Vision: As a local, not-for-profit, member-owned Cooperative, we are the most trusted resource for lifelong health and well-being in the communities we serve.

Our Values

• We are a not-for-profit Cooperative
• We are member-centered
• We are equitable and inclusive
• We are quality-driven
• We are innovative
• We are community involved

We believe:

Healthcare is a human right.

In treating all people with dignity and respect.

There is strength in diversity.

Equity celebrates our humanity.

We are better together.

• Administration - 1265 John Q. Hammons Drive, 1265 John Q. Hammons Dr. , Madison, Wisconsin, United States of America