Blue Cross of Idaho · 6 hours ago
Compliance Specialist II - Commercial Program
Meridian - Main
Full-time
Onsite
Mid Level
$78K/yr - $117K/yr
4+ years expBlue Cross of Idaho is seeking a Compliance Specialist to perform various compliance functions. The role involves regulatory analysis, auditing, compliance education, and advising business areas on compliance obligations.
Health InsuranceInsurance
Responsibilities
Regulatory analysis
Leading or coordinating compliance risk assessments
Auditing and monitoring of adherence to compliance requirements
Design and delivery of compliance education
Distribution of compliance communications
Coordination of policy authoring/updates
Advising business areas of their compliance obligations
Compliance issue resolution
Analyze and distribute new and updated regulatory requirements to pertinent business areas
Support and coordinate audits of Blue Cross of Idaho’s products and services
Coordinate the resolution of compliance issues that emerge
Develop training/education and communications for individual departments and the organization as a whole
Perform monitoring and auditing of adherence to program requirements
Maintains and applies knowledge of regulations and regulatory changes relevant to the industry and the organization – CMS, Department of Labor, Department of Insurance, and others
Supports and/or coordinates external audits of BCI undertaken by external government regulators
Acts as a subject matter expert for regulatory requirements pertaining to BCI commercial products
Ensures regulatory standards are applied to organizational policies and procedures by evaluating and communicating regulatory guidance to impacted business areas
Performs periodic risk assessments on operational areas with regulatory lines of business and contributes to monitoring and auditing workplans
Responds to compliance and privacy related questions, complaints, and incidences. Investigates and risk-ranks reported compliance issues. Works with business and process owners to develop corrective action plans that effectively remediate issues and prevent future occurrences
Facilitates or supports organizational compliance training on general compliance and other topics required by regulation
Conducts monitoring, auditing and surveillance of operational functions, reports results to business process owners, and takes compliance actions in response to findings. Analyzes monitoring and surveillance results that are reported to compliance by business areas
Works with business relationship owners and vendors to train, educate, mitigate compliance risks, and drive industry best practices
Performs other duties and responsibilities as assigned
Qualification
Required
4 years' health industry, internal audit, legal, compliance, or government programs (12 years of experience if candidate does not have Bachelor's degree)
Bachelor's Degree or equivalent work experience (Two years' relevant work experience is equivalent to one-year college)
Benefits
Paid time off
Paid holidays
Community service and self-care days
Medical/dental/vision/pharmacy insurance
401(k) matching and non-contributory plan
Life insurance
Short and long term disability
Education reimbursement
Employee assistance plan (EAP)
Adoption assistance program
Paid family leave program
Company
Blue Cross of Idaho
Blue Cross of Idaho operates as a health insurance company.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Sameer Sonalkar
SVP & CIO, Blue Cross of Idaho
Recent News
2025-07-28
2025-07-28
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