Regulatory Compliance & Ethics Program Administrator III

Premera Blue CrossMountlake Terrace, WA
56dHybrid

About The Position

Our purpose, to improve customers' lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare. To better serve our customers, we are fostering a culture that emphasizes employee growth, collaborative innovation, and inspired leadership. We are dedicated to creating an environment where employees can excel and where top talent is attracted, retained, and thrives. As a testament to these efforts, Premera has been recognized on the 2025 America's Dream Employers list. Newsweek honored Premera as one of America's Greatest Workplaces , America's Greatest Workplaces for Inclusion , and America's Greatest Workplaces For Mental Well-Being , Forbes ranked Premera among America's Best Midsize Employers for the fourth time. Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: https://healthsource.premera.com/ . The Regulatory Compliance & Ethics (RC&E) Program Administrator actively supports Premera Blue Cross' regulatory affairs strategic goals through focused advocacy, detailed regulatory analysis and strategic consultation. Additionally, this role supports the implementation and oversight of Premera's Compliance & Ethics Program. In this dynamic role, the RC&E Administrator is an advocate on behalf of Premera with external stakeholders to support our corporate goals, and partners with Legislative Affairs and Legal to guide internal Premera teams on the implementation of new and changing laws and regulations.

Requirements

  • Bachelor's degree or four (4) years' work experience. (Required)
  • Four (4) years' experience working in the regulatory, compliance, legal public policy, or internal audit space or post graduate education in a related field and experience. (Required)
  • Strong interpersonal, written and presentation skills with ability to research and communicate complex, technical information in an accurate and easily understandable manner to all levels of employees, including leadership.
  • Knowledge of regulatory, compliance and/or legislative process.
  • Proven ability to analyze and evaluate legal and regulatory requirements.
  • Proven ability to effectively manage and prioritize multiple priorities and assignments of moderate complexity efficiently and effectively.
  • Proven ability to successfully negotiate and influence without authority in difficult situations.
  • Demonstrated strong analytical skills; proven ability to identify and question information that goes outside the norm.
  • Proven and effective problem-solving and decision-making skills.
  • Strong motivation to learn, willingness to be a team player, yet operate independently as required.

Nice To Haves

  • Certified Compliance and Ethics Professional (CCEP) (Preferred)
  • Prior healthcare or insurance background (Preferred)

Responsibilities

  • Assist in the assessment and analyzing of proposed and final regulations and other regulatory directives and support related company implementation efforts.
  • Plan and conduct compliance monitoring reviews as assigned to verify compliance with established policies and applicable regulations. This may involve independent sampling and testing to determine if applicable departments/functions are in compliance.
  • Assist in compiling data requests of functional areas in preparation for regulatory exams.
  • Work with business areas to ensure policies and procedures exist for key regulatory processes.
  • Oversee regulatory reporting and filing tracking of required submissions for both RCE and business areas.
  • Effectively interact with all levels of employees; possess a solid understanding of cross-organizational operations to provide thorough, accurate and timely analysis of regulatory and compliance questions in an easy to understand format.
  • Develop ongoing education, tools and resources for all levels of management and employees to allow for self-service research where requirements are straight-forward.
  • Complete monthly OFAC/Sanction Checks ensuring that any potential matches are thoroughly researched and investigated, consulting with Legal as needed.
  • Support the design and completion of departmental metrics to aid in monitoring performance.
  • Actively identify opportunities for improved efficiency in metric tracking and performance of key department initiatives such as the Office of Foreign Asset Control (OFAC)/Sanction screening, conflict of interest monitoring and resolution, required reporting, third party oversight, etc.
  • Prepare and distribute the quarterly Regulatory and Compliance Dashboard.
  • Continuously improve Regulatory Compliance & Ethics processes by using LEAN methodologies to streamline work and eliminate low value activities.
  • Perform other duties and special projects as assigned.

Benefits

  • Medical, vision, and dental coverage with low employee premiums.
  • Voluntary benefit offerings, including pet insurance for paw parents.
  • Life and disability insurance.
  • Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is vested after 3 years of service.
  • Wellness incentives with a wide range of mental well-being resources for you and your dependents, including counseling services, stress management programs, and mindfulness programs, just to name a few.
  • Generous paid time off to reenergize.
  • Looking for continuing education? We have tuition assistance for both undergraduate and graduate degrees.
  • Employee recognition program to celebrate anniversaries, team accomplishments, and more.
  • For our hybrid employees, our on-campus model provides flexibility to create your own routine with access to on-site resources, networking opportunities, and team engagement.
  • Commuter perks make your trip to work less impactful on the environment and your wallet.
  • Free convenient on-site parking.
  • Subsidized on-campus cafes make lunchtime connections with colleagues fun and affordable.
  • Participate in engaging on-site activities such as health and wellness events, coffee connects, disaster preparedness fairs and more.
  • Our complementary fitness & well-being center offers both in-person and virtual workouts and nutritional counseling.
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