Lead, Contract Compliance Specilaist-2

BlueCross BlueShield of South Carolina
  • Columbia, South Carolina
    2 days ago

    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
     

    What You'll Need:


    • 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.

    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.


    What To Expect Next:


    After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.

    ctors, including experience, geographic location, and internal equity. 

     

     

    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

    mycareer.help@bcbssc.com

     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

    mycareer.help@bcbssc.com

     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. 

    Numbers & Facts

    LocationColumbia, South Carolina

    Skills

    • Affirmative Actionunmatched
    • Amusement Parksunmatched
    • Analysis Skillsunmatched
    • Auditingunmatched
    • Business Supportunmatched
    • Computer Securityunmatched
    • Contract Analysisunmatched
    • Contract Creationunmatched
    • Contract Managementunmatched
    • Corporate Complianceunmatched
    • Data Analysisunmatched
    • Dental Insuranceunmatched
    • Equal Employment Opportunity (EEO)unmatched
    • Federal Contractsunmatched
    • Federal Laws and Regulationsunmatched
    • Filmunmatched
    • Fitnessunmatched
    • Governmentunmatched
    • Government Regulationsunmatched
    • Health Planunmatched
    • Identify Issuesunmatched
    • Insurance Regulationsunmatched
    • Interpret Regulationsunmatched
    • Legalunmatched
    • Maintain Complianceunmatched
    • Materials Planningunmatched
    • Microsoft Officeunmatched
    • Needs Assessmentunmatched
    • Negotiation Skillsunmatched
    • Policy Implementationunmatched
    • Privacy Controlsunmatched
    • Problem Solving Skillsunmatched
    • Record Keepingunmatched
    • Regulationsunmatched
    • Regulatory Complianceunmatched
    • Regulatory Reportsunmatched
    • Regulatory Requirementsunmatched
    • State Laws and Regulationsunmatched
    • Statutory Lawsunmatched

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