Compliance Analyst

Posted 2025-04-24
Remote, USA Full-time Immediate Start

Are you an experienced professional looking for an opportunity to leverage your expertise in compliance? BlueCross BlueShield of South Carolina is searching for a Compliance Analyst to join our team and help safeguard our organization from regulatory and financial risks. The ideal candidate for this role will have a proven history of success in the compliance field and be well-versed in the regulations and standards that govern the healthcare industry. If you are a detail-oriented self-starter with excellent communication skills, this could be the perfect opportunity for you.To be considered for this role, you must have a Bachelor?s degree in Business, Accounting, or a related field, along with a minimum of three years of experience in the compliance field. You must also be able to demonstrate knowledge of healthcare laws and regulations, and possess a working knowledge of the payment systems and reimbursement methodologies used in the healthcare industry. Additionally, you must have excellent organizational and communication skills, with the ability to effectively interact with all levels of staff.If you?re looking for an opportunity to make an impact and take your compliance career to the next level, we encourage you to apply!

Responsibilities:

Ensure compliance with healthcare laws and regulations.

Monitor and evaluate payment systems and reimbursement methodologies used in the healthcare industry.

Develop and implement policies and procedures to ensure compliance with all applicable regulations.

Identify and analyze potential compliance risks and develop strategies to mitigate those risks.

Monitor and report on compliance activities and any changes to applicable regulations.

Provide guidance and assistance to staff on all compliance-related matters.

Train and educate staff on compliance issues.

Coordinate with other departments to ensure compliance with all applicable regulations.

Maintain up-to-date knowledge of all applicable healthcare laws and regulations.

Provide timely reports to management summarizing compliance activities.

BlueCross BlueShield of South Carolina is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

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