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BlueCross BlueShield of South Carolina

Compliance Specialist

BlueCross BlueShield of South Carolina

Compliance Specialist handling investigations, reports, and vulnerability assessments in health compliance. Guiding management and employees, and conducting training for compliance awareness.

Posted 5/29/2026full-timeNashville • Tennessee • 🇺🇸 United StatesJuniorMid-Level💰 $19 - $34 per hourWebsite

About the role

Key responsibilities & impact
  • Responsible for conducting investigations, preparing reports, work papers, and performing vulnerability assessments to recognize and identify potential compliance issues.
  • Provides guidance to management and employees as needed.
  • Conducts annual vulnerability risk assessment audits for division.
  • Assists management in preparation and conduct of management control reviews.
  • Performs detailed investigations of allegations/compliance issues and maintains tracking and quality databases.
  • May develop, implement, and present ongoing training, and conduct periodic surveys and awareness initiatives.
  • May be required to submit regulatory reporting data according to government schedule.

Requirements

What you’ll need
  • Two years health insurance, Medicare, compliance or audit, investigations or corporate-level related experience.
  • Required Education: Bachelor's Degree.
  • Acts as liaison with other areas.
  • Analyzes information.
  • Conducts audits.
  • Drafts contracts.
  • Leads negotiation sessions.
  • Required Software and Other Tools: Microsoft Office.

Benefits

Comp & perks
  • 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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools
vulnerability assessmentscompliance auditsinvestigationsregulatory reportingdata analysiscontract draftingnegotiation
Soft Skills
guidancecommunicationleadershiporganizational skills