Lead Contract Compliance Specialist

Palmetto GBA, LLC; Columbia (SC); Hybrid; USD 90,000 - 120,000; Full time

Benefits offered by this job

Subsidized health plans

Dental and vision coverage

401k retirement savings plan with公司 a

Job summary

Palmetto GBA, LLC in Columbia, SC, is seeking an experienced compliance professional to coordinate market conduct and regulatory reporting activities. The role involves researching state and federal insurance laws, drafting and filing required regulatory reports, and guiding business units through regulatory changes to maintain compliance across jurisdictions.

You will analyze data from internal and external partners, monitor third-party compliance, and propose remediation strategies while

Qualifications

• Bachelor's in a job related field.
• Degree Equivalency: 4 years job related work experience or Associate's and 2 years job related work experience.
• Required Work Experience: 7 years compliance, audit and/or legal experience.
• 4 years experience in contract analysis, contracting, and preparations (may be concurrent).

Responsibilities

• Identifies filings and reports required for regulatory compliance.
• Develops and submits filings to state insurance regulators.
• Manages data collection to ensure compliance across jurisdictions.
• Interprets statutes and agency bulletins to resolve regulatory questions.
• Reviews legislative changes for impact on business units.
• Supports divisions in implementing regulatory requirements.
• Monitors partner compliance with market conduct guidelines.
• Recommends remediation plans for identified issues.
• Investigates potential regulatory issues and liaises with agencies.

Skills

Liaison

Data analysis

Audits

Contract drafting

Negotiation

Education

Bachelor's in a job related field

Degree equivalency: 4 years related experience or Associate's + 2 years

Tools

Microsoft Office

Job description

Summary Coordinates market conduct and regulatory reporting activities. Researches and interprets state and federal insurance laws and regulations pertaining to marketplace activity, including privacy and security measures, and how these legal requirements relate to business operations. Responsible for drafting, filing, and maintaining regulatory reporting to establish and maintain compliance in all jurisdictions in which Company does business. Issues guidance to business divisions regarding statutory and regulatory developments while assisting with technical problems related to implementation of law and regulation. Researches, tracks, and resolves suspected compliance and privacy issues.

Description This is a full-time position reporting to 1301 Gervais St Columbia, SC 29201.

What You'll Do:

• Identifies filings, reports, and other submissions that are required for regulatory compliance in all jurisdictions in which the Company does business.
• Develops and submits required filings and reports to state insurance regulators on behalf of Company.
• Manages the identification, collection, and analysis of data and information from internal and external partners to establish compliance with laws and regulations governing market behavior in all applicable jurisdictions.
• Researches and interprets statutes, regulations, and agency bulletins to resolve applicable questions or issues regarding regulatory compliance.
• Reviews legislative changes and assists in determining potential impact to business units.
• Supports business divisions in their implementation of applicable regulatory requirements.
• Monitors external business partner compliance with Company market conduct guidelines and government regulations.
• Identifies necessary improvements and recommends remediation plans to resolve identified compliance issues.
• Investigates potential regulatory compliance issues and acts as liaison between compliance area, other business divisions, and government agencies in connection with such inquiries.
• May review business division materials and/or plan program materials for compliance and quality.

What You'll Need:

• Bachelor's in a job related field
• Degree Equivalency: 4 years job related work experience or Associate's and 2 years job related work experience.
• Required Work Experience: 7 years compliance, audit and/or legal experience.
• 4 years experience in contract analysis, contracting, and preparations (may be concurrent).

Skills and Abilities:

• Acts as liaison with other areas
• Analyzes information
• Conducts audits
• Drafts contracts
• Leads negotiates sessions

Required Software and Tools:

• Microsoft Office.

Office Environment:

• Typical office environment.

Our Comprehensive Benefits Package Includes The Following:

We offer our employees great benefits and rewards. You will be eligible to participate in the benefits at the first of the month following 28 days of employment:

• Subsidized health plans
• Dental and vision coverage
• 401k retirement savings plan with company match
• Life Insurance
• Paid Time Off (PTO)
• On-site cafeterias and fitness centers in major locations
• Education Assistance
• Service Recognition
• National discounts to movies, theaters, zoos, theme parks and more

What We Can Do for You:

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email [e-mail] or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-time basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.

Palmetto GBA is a healthcare service administrator and one of the nation’s largest providers of high-volume medical claims and transaction processing. We provide services and technology solutions to improve and streamline healthcare administration not only for government but also for corporate entities. We offer a wide range of services that require a diverse workforce and expansive areas of expertise from data analytics, administrative and workflow services to advanced systems. To help our associates succeed and reach their professional goal, we offer training classes and programs that help employees prepare for leadership positions and offer tuition assistance for education advancement. Palmetto GBA acknowledges associates’ hard work and dedication with awards and financial incentives.