Compliance Specialist
Compliance Specialist
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Job Description
Summary
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.
Description
Logistics: CGS (cgsadmin) one of BlueCross BlueShields South Carolina subsidiary companies.
Location: This position is fulltime 40hours/week) MondayFriday working a HYBRID schedule 3 days in office 2 days remote) at our Nashville TN or Columbia SC location. You will work an 8hour shift scheduled during our business hours of 8:00AM5:00PM with occasional shift changes to meet business contractual needs.
SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act SCA. Under the McNamaraOHara Service Contract Act (SCA) employees cannot opt out of health benefits. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date.
What Youll 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 Youll Need the Following:
Required Education: Bachelors degree
Required Work Experience: Two years health insurance Medicare compliance or audit investigations or corporatelevel related experience.
Required Software and tools: Microsoft Office
Required Skills and Abilities: Acts as liaison with other areas. Analyzes information. Conducts audits. Drafts contracts. Leads negotiates sessions.
We Prefer That You Have the Following:
Ability to manage multiple tasks with varying deadlines
Detail oriented
Strong communication skills
Ability to foster productive relationships with internal and external stakeholders
Strong Excel skills
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)
Onsite 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 EVerify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.
Some states have required notifications. Heresmore 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 email or callext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a casebycase basis.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
