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Specialist, Contract Compliance III
Specialist, Contract Compliance IIIBlueCross BlueShield of South Carolina • Columbia, SC, US
Specialist, Contract Compliance III

Specialist, Contract Compliance III

BlueCross BlueShield of South Carolina • Columbia, SC, US
[job_card.30_days_ago]
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  • [job_card.full_time]
[job_card.job_description]

Contract Compliance Specialist

Responsible for drafting, filing, and maintaining contracts and policy documents issued to all division members and staying current on all state and federal laws that may impact said materials. Provides assistance / guidance to other areas with contract interpretation while assisting areas with technical problems related to contracts. Researches, tracks, and resolves suspected compliance / privacy issues. Researches and interprets state and federal insurance regulations pertaining to privacy and security and how each law relates to the business division.

The Contract Compliance Specialist is a full time position working 40 hours per week out of the Percival Road location in Columbia, SC.

What You'll Do :

  • 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.

What You'll Need :

Required Education : Bachelor's in a job related field Degree Equivalency : 4 years job related work experience or Associate's and 2 years job related work experience Required Work Experience : 5 years experience compliance, audit and / or legal. 2 years work experience in contract analysis, contracting, and preparations (may be concurrent). Required Software and Tools : Microsoft Office.

Preferred Skills and Abilities :

  • Ability to present information and respond to questions.
  • Ability to effectively communicate both verbally and in writing to all levels 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.
  • Our Comprehensive Benefits Package Includes The Following :

  • 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
  • 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 disabilities and 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 mycareer.help@bcbssc.com or call 800-288-2227, 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. Here's more information.

    Some states have required notifications. Here's more information.

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