The Compliance Manager handles day-to-day regulatory compliance issues. researching resolving and tracking suspected compliance issues. This role provides guidance to management and employees on compliance issues as well as negotiates privacy agreements and performs various internal audits.

What Youll Do

• Assists in developing implementing and monitoring compliance plans for one or more of the following; Medicaid Health Insurance Portability and Accountability Act (HIPAA) privacy National Committee for Quality Assurance (NCQA) confidentiality requirements and branding requirements. Develops and performs internal compliance audits and investigates compliance issues. Ensures all reports filed to regulatory agencies are correctly completed and filed in a timely manner.

• Maintains current knowledge of applicable federal and state laws. Monitors pending privacy and security laws industry standards related news and articles. Investigates and/or assists in the investigation of incidents and complaints and oversees the mitigation and resolution implemented. Conducts and/or reviews risk analysis of reported unauthorized disclosures.

• Tracks and follows-up on all compliance issues including electronic maintenance. Prepares responses to inquiries from corporate compliance officials attorneys and regulatory agencies. Prepares and maintains business associate agreements as well as other required records. Creates specialized incident reports as requested.

• Works with legal counsel to ensure the corporation maintains appropriate forms and procedures and seeks legal advice on subjects as necessary. May serve as Compliance 360 administrator.

• Provides training and development of staff through mentoring and feedback.

Required Education: Bachelors

Required Work Experience

5 years-health insurance industry audit/compliance contract administration investigation or-corporate level related experience. 2 years-demonstrated leadership experience in management/supervisory role equivalent military experience in grade E4 or above (may be concurrent) or at least 5 years experience in a lead role.

Required Skills and Abilities

Comprehensive knowledge of laws policies procedures and practices regarding privacy and security of protected health information including HIPAA and HITECH. Strong interpersonal skills and ability to work professionally with persons at all levels. Ability to maintain effective working relationships. Ability to communicate clearly/effectively in oral and written form. Ability to handle sensitive matters on a confidential basis. Strong presentation interviewing organizational skills with strong attention to detail. Ability to exercise confidentiality and discretion. Excellent analytical critical thinking and problem-solving abilities. Demonstrated organizational and time management skills with strong attention to detail. Highly effective verbal and written communication skills. Ability to use discretion exercise good judgment and make sound decisions. Ability to demonstrate leadership and work with minimal supervision.

Required Software and Tools: Microsoft Office.

Our Comprehensive Benefits Package Includes The Following:

We offer our employees great benefits and rewards. You will be eligible to participate in the benefits at 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
• 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.

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 or call 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. Heres moreinformation.

Some states have required notifications. Heres 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 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 or call 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. Heres moreinformation.

Some states have required notifications. Heres more information.