Compliance Regulatory Change Advisor

Job Description

• Utilize knowledge of the compliance and regulatory field to address multifaceted compliance/regulatory questions and problems.
• Research, investigate and evaluate compliance implementation initiatives and required remediation initiatives.
• Provide support to business areas by analyzing and recommending effective solutions to compliance issues to best meet business needs.
• Ensure overall compliance with new and existing  laws, regulations, obligations, Commercial & Medicare guidance and/or bid requirements as required of the Compliance Department
• Monitor operational metrics and indicators related to compliance performance and coordinates all activities related to non-financial, regulatory audits.
• Conduct risk assessments and/or audits and monitor business systems for compliance. Assure appropriate implementation and/or corrective action is taken to address risks and issues identified.
• Analyze and assess environment and compliance program needs. Recommend compliance programming and compliance initiatives to meet those needs.
• Develop and implement training and other communications for employees and external entities (e.g., producers and vendors).
• Perform review of operational policies for compliance and provide feedback to business areas.
• May design, develop and deliver benefit booklets and contracts to meet enterprise-wide project deliverables and initiatives.
• May perform compliance reviews of marketing materials for commercial and/or Medicare lines of business.
• When working with Medicare products, conduct oversight of compliance programs and activities of delegated entities and contractors supporting Medicare programs.

Hiring Requirements

• Bachelor's degree or advanced degree (where required)
• 3+ years of experience in related field.
• In lieu of degree, 5+ years of experience in related field.

Hiring Preferences

• Direct project management experience.
• Technology experience – learning and training people in new technology, contribute to system upgrades, interaction with teams to assist them.
• Direct experience in regulatory rule breakdown & assessment is strongly preferred.
• Direct experience in consultative/advisory role is strongly preferred.
• Ability to think creatively and strategically while handling difficult and complex issues. 
• Ability to work effectively and partner with varied business areas to solve business problems.
• Ability to work independently.
• Ability to successfully work on multiple priorities/projects within established time frames.
• Ability to set priorities and adapt to changing business needs.
• Strong research and analytical skills.
• Effective oral and written communication and presentation skills.
• Strong PC and Microsoft Office skills (MS Word, Excel, MS Project, Visio and PowerPoint).

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets,  licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. 

*Based on annual corporate goal achievement and individual performance.