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BlueCross BlueShield of South Carolina · 6 days ago

Contract Compliance Specialist

Columbia, SC

Full-time, Contract

Onsite

Mid, Senior Level

5+ years exp

BlueCross BlueShield of South Carolina is seeking a Contract Compliance Specialist responsible for drafting, filing, and maintaining contracts and policy documents while ensuring compliance with state and federal laws. This role involves assisting with contract interpretation and resolving compliance issues within the organization.

Financial ServicesHealth CareHealth InsuranceInsuranceMedical

Responsibilities

Drafts and revises contract filings to initiate formal approval process within the division. Ensures revisions comply 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 statutes 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

Qualification

Contract analysisRegulatory complianceAudit experienceMicrosoft OfficeMicrosoft AccessAnalytical skillsCommunication skillsProblem-solvingDecision makingAdaptability

Required

Bachelor's in a job related field

4 years job related work experience or Associate's and 2 years job related work experience

5 years experience compliance, audit and/or legal

2 years work experience in contract analysis, contracting, and preparations (may be concurrent)

Microsoft Office

Preferred

Ability to present information and respond to questions

Ability to effectively communicate both verbally and in writing to all level of the company

Excellent analytical or critical thinking and problem-solving capabilities

Sound decision making capabilities

Can work independently and successfully complete multiple projects simultaneously

Able to adapt to changing priorities with minimal notice

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

Knowledge of Microsoft Access or other database software

Benefits

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

Company

BlueCross BlueShield of South Carolina

Glassdoor3.6

For more than six decades, BlueCross BlueShield of South Carolina has been part of the national landscape. Our roots are firmly embedded in the state.

Founded in 1946

Columbia, South Carolina, USA

10001+ employees