BlueCross BlueShield of South Carolina

Regulatory Compliance Specialist

BlueCross BlueShield of South Carolina

full-time

Posted on:

Origin:  • 🇺🇸 United States • Hawaii, North Carolina, South Carolina, Vermont

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Salary

💰 $49,447 - $94,737 per year

Job Level

Mid-LevelSenior

About the role

  • Drafts and revises contract filings to initiate formal approval process within the division
  • Ensures compliance of revisions with corporate and/or legal requirements
  • May participate in negotiations with state regulators to ensure all parties agree on final contract documents
  • Researches and interprets statues and regulations, and bulletins to answer applicable questions or issues regarding regulatory compliance
  • Reviews legislative changes and assists in determining impact to division contracts
  • Incorporates necessary revisions into the workplace by facilitating the implementation of regulatory requirements
  • Coordinates resources to ensure all division materials are legally compliant with state and federal regulations
  • May review department materials and/or plan program materials for compliance and quality
  • Ensures all documents are properly placed on both internal and external websites in an accurate and timely manner
  • Acts as liaison with compliance area, other divisions, and government agencies
  • Ensures compliance with applicable contract provisions and government regulations
  • May conduct internal and external compliance reviews and audits
  • Identifies necessary improvements
  • Investigates and resolves compliance issues

Requirements

  • 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
  • 5 years experience compliance, audit and/or legal
  • 2 years work experience in contract analysis, contracting, and preparations (may be concurrent)
  • Ability to present information and respond to questions
  • Strong customer service orientation
  • Ability to effectively communicate both verbally and in writing to all level of the company
  • Excellent analytical or critical thinking and problem solving capabilities
  • Ability to make sound decisions
  • Ability to work independently and successfully complete multiple projects simultaneously
  • Microsoft Office