Compliance Analyst

Logistics: CGS (cgsadmin.com) - one of BlueCross BlueShield's South Carolina subsidiary companies.

Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-5:00PM. It may be necessary, given the business need to work occasional overtime. You may be required to travel between buildings. This role is located at 26 Century Blvd, Suite ST610, Nashville, TN 37214 or 17 Technology Center, Columbia, SC 29203.

What You'll Do:

• Conducts ongoing, internal and external, compliance reviews and audits ensuring compliance with applicable contract provisions and government regulations, and identifies all necessary improvements.

• Provides guidance to management and employees as needed.

• May investigate and make recommendations from a compliance standpoint.

• Analyzes federal and state regulations and guidance to determine impact to business.

• Initiates and monitors Corrective Action Plans necessary to accomplish and sustain compliance.

• Generates and submits data and reporting on compliance activities as needed to government and regulatory agencies.

• Interacts with regulatory officials as necessary.

• Reviews program materials for compliance and quality. This may include member materials, marketing documents, and training curricula.

• May act as liaison with external organizations.

To Qualify For This Position, You'll Need The Following:

• Required Education: Bachelor's

• Degree Equivalency: Degree Equivalency not applicable for the Celerian Group, Bachelor's degree required.

• Required Experience: 4 years health insurance, compliance or audit, investigations, or corporate-level related experience.

• Required Software and tools: Microsoft Office

• Required Skills and Abilities: Ability to effectively communicate verbally and in writing to all levels of the organization. Excellent analytical or critical thinking and problem solving skills. Ability to make sound decisions and work independently. Ability to exercise confidentiality and discretion. Strong attention to detail. Knowledge of federal, state, and local laws.

• Work Environment: Typical office environment. Some travel may be required.

We Prefer That You Have The Following:

• Familiar with Medicare

• Strong organizational skills

Our Comprehensive Benefits Package Includes The Following:

We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.

• 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

What We Can Do for You:

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.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.

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

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 minorities, females, disabled individuals and 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 physical and mental disabilities.

If you need special assistance or an accommodation while seeking employment, please e-mail mycareer.help@bcbssc.com or call 1-800-288-2227, 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.