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 local community. Through our wholly owned subsidiary, CGS Administrators, we are one of the nation’s leading administrators of government contracts. 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:
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. May be responsible for developing and presenting compliance training, updating/maintaining or approving program/training material, and responding to compliance related questions.

What You'll Do:

• Conducts annual vulnerability risk assessment audits for division. Assists management in preparation and conduct of management control reviews. Provides guidance to management and employees as needed.

• 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.

• Evaluates corrective action plans to ensure adequacy.

• Performs research and prepares reports and material as required.

To Qualify for This Position, You’ll Need:

Required Education:

• Bachelor's Degree.

Required Work Experience:

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

Skills and Abilities:

• Acts as liaison with other areas.
• Analyzes information.
• Conducts audits.
• Drafts contracts.
• Leads negotiates sessions

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 [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.