Contract Compliance Specialist

BlueCross BlueShield of South Carolina•Columbia, SC

2d•Onsite

About The Position

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.

Requirements

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

Nice To Haves

Preferred Work Experience: 7 years-healthcare program management, research and analysis, or legal.
Preferred Skills and Abilities:
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.
Preferred Software and Other Tools: Knowledge of Microsoft Access or other database software.

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.