Regulatory Compliance Specialist

Location: This position is full-time (40-hours/week) Monday-Friday and will be REMOTE in South Carolina. You will work an 8-hour shift scheduled during our business hours of 8:00AM-5:00PM.

What You'll Do:

• 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.

To Qualify for This Position, 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:

• 5 years experience compliance, audit and/or legal.

• 2 years work experience in contract analysis, contracting, and preparations (may be concurrent)..

Required Skills and Abilities:

• 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.

Required Software and Tools:

• Microsoft Office.

What We Prefer You To Have:

• 7 years-healthcare program management, research and analysis, or legal.

• Ability to persuade, negotiate or influence.

• Ability to work independently with minimal supervision.

• Experience with RegED, Statistical modeling software, SERFF

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

• Tuition Assistance

• Service Recognition

• Employee Assistance

• 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. Management will conduct interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the required qualifications.

Pay Range Information:

Range Minimum

$43,470.00

Range Midpoint

$61,807.50

Range Maximum

$80,145.00

Pay Transparency Statement:

Please note that this range represents the pay range for this and other positions that fall into this pay grade. Compensation decisions within the range will be dependent upon a variety of factors, including experience, geographic location, and internal equity.

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 individuals with disabilitiesand protected 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 disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.comor call 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.

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

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