Compliance Analyst

at  BlueCross BlueShield of South Carolina

Summary
Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, 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 that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!
Description
Position Purpose:
Research, resolves, and tracks suspected compliance/privacy issues and provides guidance to management and employees. Conducts internal/external compliance audits and reviews of compliance-related concerns. Provides information on compliance activities as needed.
Logistics:
This position has the potential to be 2 days remote and 3 days onsite in Columbia, SC, after an initial training period in-house (which is undefined in terms of length). Please note this is subject to change based on employee performance and/or business need.

What You’ll Do:

• Conducts ongoing, internal and external, compliance reviews and audits ensuring compliance with applicable contract provisions and government regulations and identifies all necessary improvements. Provides guidance to management and employees as needed. May investigate and make recommendations from a compliance standpoint.
• Analyzes federal and state regulations and guidance to determine impact to business. Initiates and monitors Corrective Action Plans necessary to accomplish and sustain compliance.
• Generates and submits data and reporting on compliance activities as needed to government and regulatory agencies. Interacts with regulatory officials as necessary.
• Reviews program materials for compliance and quality. This may include member materials, marketing documents, and training curricula. May act as liaison with external organizations.

To Qualify for This Position, You’ll Need:

Required Education:

• Bachelor’s

Degree Equivalency:

• Associates plus an extra 2 years of job-related work experience for a total of 6 required years’ experience (please see required work experience)

OR

• 8 years job related work experience (please see required work experience)

Required Work Experience:

• 4 years health insurance, compliance or audit, investigations, or corporate-level related experience.

Required Skills and Abilities:

• Ability to effectively communicate verbally and in writing to all levels of the organization.
• Excellent analytical or critical thinking and problem-solving skills.
• Ability to make sound decisions and work independently.
• Ability to exercise confidentiality and discretion.
• Strong attention to detail.
• Knowledge of federal, state, and local laws.

Required Software and Tools:

• Microsoft Office.

What We Prefer You Have:

• Strong knowledge and/or experience with regulatory compliance and the operational process associated.
• Some Auditing exposure.
• Health Insurance background.

Work Environment:

• Typical office environment. Some travel may be required.

What We can Do for You:

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
• Wellness program and healthy lifestyle premium discount
• Tuition assistance
• Service recognition
• Employee Assistance
• Discounts to movies, theaters, zoos, theme parks and more

What to Expect Next:
After submitting your application, our recruiting team members will review your resume to ensure your meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. If the qualifications required proof of semester hours, please attach your transcript to your application.
Management will be conducting interviews with the most qualified candidates, with prioritization give to those candidates who demonstrate the preferred qualifications.
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 mycareer.help@bcbssc.com 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

• Conducts ongoing, internal and external, compliance reviews and audits ensuring compliance with applicable contract provisions and government regulations and identifies all necessary improvements. Provides guidance to management and employees as needed. May investigate and make recommendations from a compliance standpoint.
• Analyzes federal and state regulations and guidance to determine impact to business. Initiates and monitors Corrective Action Plans necessary to accomplish and sustain compliance.
• Generates and submits data and reporting on compliance activities as needed to government and regulatory agencies. Interacts with regulatory officials as necessary.
• Reviews program materials for compliance and quality. This may include member materials, marketing documents, and training curricula. May act as liaison with external organizations