Compliance Analyst
Compliance Analyst
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Summary
Why should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but weve been part of the national landscape for more than seven decades 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 nations 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 allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy consider joining our team!
Position Purpose:
Researches resolves and tracks suspected compliance/privacy issues and provides guidance to management and employees. Conducts internal/external compliance audits and reviews of compliancerelated concerns. Provides information on compliance activities as needed.
Description
Logistics: CGS (cgsadmin) one of BlueCross BlueShields South Carolina subsidiary companies.
Location: This position is fulltime 40hours/week) MondayFriday in a typical office environment. You will work an 8hour shift scheduled during our normal business hours of 8:00AM5:00PM. It may be necessary given the business need to work occasional overtime. You may be required to travel between buildings. This role is located at 26 Century Blvd Suite ST610 Nashville TN 37214 or 17 Technology Center Columbia SC 29203.
What Youll 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 Youll Need The Following:
Required Education: Bachelors
Degree Equivalency: Degree Equivalency not applicable for the Celerian Group Bachelors degree required.
Required Experience: 4 years health insurance compliance or audit investigations or corporatelevel related experience.
Required Software and tools: Microsoft Office
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.
Work Environment: Typical office environment. Some travel may be required.
We Prefer That You Have The Following:
Familiar with Medicare
Strong organizational 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:
IC
Employment Type
Full-Time
