Compliance Specialist

Summary Position Purpose: Responsible for conducting investigations, preparing reports, work papers, and performing vulnerability assessments to recognize and identify potential compliance issues. Provides guidance to management and employees as needed. May be responsible for developing and presenting compliance training, updating/maintaining or approving program/training material, and responding to compliance related questions. Description Logistics: CGS (cgsadmin.com), – one of BlueCross BlueShield's South Carolina subsidiary companies. Location: This position is full-time (40-hours/week) Monday-Friday working a HYBRID schedule (3 days in office, 2 days remote) at our Nashville, TN or Columbia, SC location. You will work an 8-hour shift scheduled during our business hours of 8:00AM-5:00PM, with occasional shift changes to meet business contractual needs. SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). Under the McNamara-O'Hara Service Contract Act (SCA), employees cannot opt out of health benefits. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date. What You’ll Do: Conducts annual vulnerability risk assessment audits for division. Assists management in preparation and conduct of management control reviews. Provides guidance to management and employees as needed. Performs detailed investigations of allegations/compliance issues, and maintains tracking and quality databases. May develop, implement, and present ongoing training, and conduct periodic surveys and awareness initiatives. May be required to submit regulatory reporting data according to government schedule. Evaluates corrective action plans to ensure adequacy. Performs research and prepares reports and material as required. To Qualify for This Position, You'll Need the Following: Required Education: Bachelor’s degree Required Work Experience: Two years health insurance, Medicare, compliance or audit, investigations or corporate-level related experience. Required Software and tools: Microsoft Office Required Skills and Abilities: Acts as liaison with other areas. Analyzes information. Conducts audits. Drafts contracts. Leads negotiates sessions. We Prefer That You Have the Following: Ability to manage multiple tasks with varying deadlines Detail oriented Strong communication skills Ability to foster productive relationships with internal and external stakeholders Strong Excel 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. 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 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. If you don’t have an account with us and don’t see the dream job you are looking for, click on the link above to Join Our Talent Community by submitting your resume and contact information and we will reach out if we find a good fit. Welcome CGS Administrators provides a variety of services, under contracts with the Centers for Medicare and Medicaid Services (CMS) for beneficiaries, health care providers, and medical equipment suppliers in 33 states, supporting the needs of more than 20 million Medicare beneficiaries nationwide. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! Want to work for a growing company with an innovative eye towards the future? Join us today!