Lead, Contract Compliance Specilaist-2

001 BlueCross and BlueShield of South Carolina; Columbia (SC); On-site; USD 110,000 - 160,000; Full time

Benefits offered by this job

Subsidized health plans

Dental and vision coverage

401k retirement savings plan with公司匹配

Job summary

BlueCross BlueShield of South Carolina seeks a senior compliance professional to research and interpret state and federal laws, coordinating with business units to ensure filings and standards meet regulatory requirements. The role involves monitoring privacy and security incidents, drafting and maintaining regulatory reports, and guiding divisions on evolving laws.

The ideal candidate has extensive compliance experience, strong analytical and negotiation skills, and the ability to liaise across

Qualifications

• 7 years compliance, audit and/or legal experience.
• 4 years experience in contract analysis, contracting, and preparations (may be concurrent).
• Experience interpreting and applying statutes, regulations, and agency bulletins.

Responsibilities

• Researches and interprets state and federal laws and regulations to respond to general and product-specific compliance questions.
• Coordinates with the business to ensure network requirements, standards, and filings comply.
• Monitors, tracks and coordinates privacy and security incidents including maintaining records and procedures.
• Drafts, files, and maintains products and regulatory reporting to ensure compliance in all jurisdictions.
• Coordinates market conduct and regulatory reporting activities.
• Issues guidance to business divisions on statutory and regulatory developments and assists with implementation.

Skills

Liaison with other areas

Analyzes information

Conducts audits

Drafts contracts

Leads negotiations

Education

Bachelor's degree in a related field

Tools

Microsoft Office

Job description

Summary

Researches and interprets states and federal laws and regulations necessary to respond to general and product specific compliance questions. Coordinates with the business to ensure network requirements, standards, and filings comply. Monitors, tracks and coordinates privacy and security incidents including maintaining records and procedures. Responsible for drafting, filing, and maintaining products and regulatory reporting to maintain compliance in all jurisdictions in which Company does business. Coordinates market conduct and regulatory reporting activities. Issues guidance to business divisions regarding statutory and regulatory developments while assisting with technical problems related to implementation of law and regulation.

Description

dentifies 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 statues, 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.

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.

Benefits

• 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.

Why Join Us?

Welcome Here's Your Smart Career Move Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we've been part of the national landscape, with our roots firmly embedded in the South Carolina community. Business and political climates may change, but we're stronger than ever. Our A.M. Best rating is A+ (Superior) - making us the only health insurance company in South Carolina with that rating. We're the largest insurance company in South Carolina … and much more. We are one of the nation’s leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!

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,