BlueCross BlueShield of South Carolina

Lead Contract Compliance Specialist

Legal & Accounting
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in a job-related field or equivalent experience.
  • 7 years of compliance, audit, or legal experience.
  • 4 years of experience in contract analysis and preparations.
  • Ability to analyze information and conduct audits.
  • Experience acting as a liaison between departments and external partners.

Responsibilities

  • Identify and manage required regulatory filings and reports for compliance.
  • Research and interpret laws and regulations to resolve compliance questions.
  • Monitor external partner compliance with company guidelines and regulations.
  • Investigate potential compliance issues and liaise with relevant business divisions and agencies.
  • Support business units in the implementation of regulatory requirements.

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 programs.
  • National discounts for entertainment and leisure activities.
Full 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 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.

About BlueCross BlueShield of South Carolina

BlueCross BlueShield of South Carolina is a health insurance company that provides coverage to over 5 million people in South Carolina and beyond. The company was founded in 1946 and is headquartered in Columbia, South Carolina. BlueCross BlueShield of South Carolina offers a variety of health insurance plans, including individual and family plans, Medicare plans, and employer-sponsored plans. The company is committed to improving the health of its members and the communities it serves, with initiatives focused on wellness, disease prevention, and access to care. BlueCross BlueShield of South Carolina is a subsidiary of the Blue Cross Blue Shield Association, a national federation of 36 independent, community-based and locally operated Blue Cross Blue Shield companies.
Learn more about BlueCross BlueShield of South Carolina
Size
12,000 employees
Industry

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