Lead Contract/Compliance Specialist

Summary
 Job Description Summary
Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are 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, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!
Description
 

Position Purpose:

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.

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.

To Qualify for This Position, You'll Need:

Required Education:

• Bachelor's in a job related field

Degree Equivalency:

• Associates plus an extra 2 years of job-related work experience for a total of 9 required years' experience (please see required work experience)

OR

• 11 years job related work experience (please see required 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 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.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.

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 minorities, females, disabled individuals and 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 physical and mental disabilities.

If you need special assistance or an accommodation while seeking employment, please e-mail [email protected] or call 1-800-288-2227, 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.