Lead Contract Compliance Specialist

001 BlueCross and BlueShield of South Carolina; Columbia (SC); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Health insurance

401k retirement plan

Paid Time Off (PTO)

Life Insurance

On-site cafeterias and fitness centers

Job summary

BlueCross BlueShield of South Carolina seeks a senior regulatory compliance professional to coordinate market conduct and regulatory reporting across jurisdictions. You will research state and federal insurance laws, draft filings, and guide business units on regulatory developments to ensure compliant operations.

The role reports to the Columbia, SC office and requires strong analytical, auditing, and contracting experience, with proven collaboration across teams and regulators.

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.
• 7 years compliance, audit and/or legal experience.
• 4 years experience in contract analysis, contracting, and preparations (may be concurrent).
• Acts as liaison with other areas, Analyzes information, Conducts audits, Drafts contracts, Leads negotiates sessions
• Microsoft Office proficiency.

Responsibilities

• Identifies filings, reports, and other submissions required for regulatory compliance in all jurisdictions where the Company does business.
• Develops and submits required filings and reports to state insurance regulators on behalf of the Company.
• Manages collection and analysis of data from internal and external partners to ensure compliance with laws and regulations.
• Researches statutes, regulations, and agency bulletins to resolve questions about regulatory compliance.
• Reviews legislative changes and assesses potential impact to business units.
• Supports business divisions in implementing applicable regulatory requirements.
• Monitors external partner compliance with market conduct guidelines and government regulations.
• Identifies improvements and recommends remediation plans for identified issues.
• Investigates potential regulatory compliance issues and liaises with regulators as needed.

Skills

Regulatory knowledge

Auditing

Contracting

Liaison skills

Data analysis

Microsoft Office

Education

Bachelor's degree in a related field

4 years related work experience or 2 years with an Associate's

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.

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

• Required Education: 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.

Equal Employment Opportunity Statement 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-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

Equal Employment Opportunity Statement 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. 4748 0 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

Veterans Welcome!

BlueCross is a strong supporter of our veterans, and many service men and women have joined our ranks. We’ve found the dedication, work ethic and job skills that serve well in the military excel in many of our lines of business, and we proudly have veterans filling positions in Human Resources, Information Technology, Customer Service, Operations, General Services and more. Through our government contracts, we also have employees serving at Shaw Air Force Base, the Naval Health Clinic in Charleston, the Naval Hospital in Beaufort and in our hometown of Columbia, S.C., at Ft. Jackson. If you are a full-time employee in the National Guard or Reserves, we will even cover the difference in your pay if you are called to active duty.

Join Us If you're ready to join in a diverse company with secure, community roots and an innovative future, apply for a position now!