Senior Ethics and Compliance Specialist

Join our dynamic Corporate Compliance team at BlueCross BlueShield of Tennessee as a passionate and talented Senior Ethics and Compliance Specialist! If you have over five years of experience in providing regulatory guidance, technical and consulting support for ethical and compliance initiatives, especially for Medicare Advantage products, you could be the perfect match. Clinical experience is a bonus. In this role, you will also assist with pharmacy monitoring in alignment with CMS Audit Protocols. We're excited to meet individuals who are eager to make a difference!

Job Responsibilities

• Interpreting and disseminating regulatory, compliance and contractual requirements for operational business functions. 
• Monitoring and reviewing organizational procedures and policies to update compliance requirements.
• Leading the areas compliance program with the implementation of the approved monitoring workplan.
• Analyzing compliance issues, and providing solutions on regulatory, contractual, and compliance issues.
• Creating smooth cross departmental communication channels about ethics and compliance issues and solutions.

Job Qualifications

Education

• Bachelor's Degree or equivalent work experience required. Equivalent experience is defined as 4 years of professional work experience in a corporate environment

Experience

• 5 years - Operations and/or Compliance experience required

Skills\Certifications

• Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
• Demonstrated ability to interpret and translate regulatory and/or complex concepts into information meaningful to project team members and/or business personnel.
• Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
• Ability to work independently under general supervision and collaboratively as part of a team in a fast paced environment
• Must be a team player, be organized and have the ability to handle multiple projects
• Excellent oral and written communication skills
• Strong interpersonal and organizational skills
• Proven decision making and problem solving skills
• Strong analytical skills

• May be required to come to office once or twice a quarter.

• Clinical experience preferred.

Number of Openings Available:

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Applying for this job indicates your acknowledgement and understanding of the following statements:

BCBST is an Equal Opportunity employer (EEO), and all employees and applicants will be entitled to equal employment opportunities when employment decisions are made. BCBST will take affirmative action to recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.

Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:

BCBST's EEO Policies/Notices

BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

Tobacco-Free Hiring Statement

To further our mission of peace of mind through better health, effective 2017, BlueCross BlueShield of Tennessee and its subsidiaries no longer hire individuals who use tobacco or nicotine products (including but not limited to cigarettes, cigars, pipe tobacco, snuff, chewing tobacco, gum, patch, lozenges and electronic or smokeless cigarettes) in any form in Tennessee and where state law permits. A tobacco or nicotine free hiring practice is part of an effort to combat serious diseases, as well as to promote health and wellness for our employees and our community. All offers of employment will be contingent upon passing a background check which includes an illegal drug and tobacco/nicotine test.  An individual whose post offer screening result is positive for illegal drugs or tobacco/nicotine  and/or whose background check is verified to be unsatisfactory, will be disqualified from employment, the job offer will be withdrawn, and they may be disqualified from applying for employment for six (6) months from the date of the post offer screening results.

Resources to help individuals discontinue the use of tobacco/nicotine products include smokefree.gov or 1-800-QUIT-NOW.