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:

Responsible for drafting, filing, and maintaining contracts and policy documents issued to all division members and staying current on all state and federal laws that may impact said materials.  Provides assistance/guidance to other areas with contract interpretation while assisting areas with technical problems related to contracts. Researches, tracks, and resolves suspected compliance/privacy issues.  Researches and interprets state and federal insurance regulations pertaining to privacy and security and how each law relates to the business division.

Logistics:

This position is full-time (40 hours-5 days a week) and has the potential to be 3 days remote with 2 days in office, after an initial training period. Please note this is subject to change based on employee performance and/or business need.

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.

Required Education:

• Bachelor's degree in a job related field.

Degree Equivalency:

• Associates plus an extra 2 years of required work experience

OR

• 4 extra years of required work experience (listed below)

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.

• Ability to persuade, negotiate or influence.

• Ability to work independently with minimal supervision.

Required Software and Tools:

• Microsoft Office Suite, Word, Excel.

Preferred Work Experience: 

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

Preferred Skills and Abilities:

• Ability to persuade, negotiate or influence. Ability to work independently with minimal supervision.

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Preferred Software and Other Tools: 

• Knowledge of Microsoft Access or other database software.

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.