Regulatory and Compliance Consultant

Workforce Classification: Hybrid Join Our Team: Do Meaningful Work and Improve People’s Lives  Our purpose, to improve customers’ lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare. Premera is committed to being a workplace where people feel empowered to grow, innovate, and lead with purpose. By investing in our employees and fostering a culture of collaboration and continuous development, we’re able to better serve our customers. It’s this commitment that has earned us recognition as one of the best companies to work for.  Learn more about our recent awards and recognitions as a greatest workplace. Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog:  https://healthsource.premera.com/ . The Senior Regulatory Compliance Consultant actively supports Premera Blue Cross' Regulatory Compliance & Ethics program through focused advocacy, detailed regulatory analysis and strategic consultation. In this dynamic role, the Senior Regulatory Compliance Consultant is an advocate on behalf of Premera with external stakeholders to support our corporate goals, as well as partners with Legislative Affairs and Legal to guide internal Premera teams on the implementation of new and changing laws and regulations. What you’ll do: Assess, analyze, and track regulatory agency activities and work with the business to develop the Company’s advocacy position in response. Advise the business on the implications, serving as the subject matter expert regarding defined regulatory and compliance matters. Formulate and carry out strategies to advocate for Premera’s interests and in furtherance of Premera’s long term goals with regulators, government entities, private entities, and interest groups. Assist the business and third parties with the implementation of new and changing laws and regulations. Manage inquiries and exams from state and federal regulators. Develop and mature relationships with regulators to serve as the “face” of Premera. Act as an internal consultant to identify key regulatory and compliance issues and recommend informed, actionable and realistic solutions based on regulatory/policy/compliance research. Where needed, prepare written reports to document findings and work with the Compliance team to issue Corrective Action Plans. Effectively interact with all levels of management, altering communication style where needed to ensure comprehension; possess extensive understanding of cross-organizational operations to provide thorough, accurate and timely analysis of regulatory and compliance questions in an easy-to-understand format. Take a lead role on the company's Advocacy Committee and, in that capacity, distribute and collect comments, and draft consolidated responses to regulatory agencies concerning proposed regulations. Serve as the regulatory and/or compliance expert and strategic thinking partner on cross-departmental workgroups; build relationships across the company to ensure visibility of regulatory and compliance impacts and issues and increase trust in RCE as a partner for proactive problem-solving. Develop ongoing education, tools and resources for all levels of management and employees to allow for self-service research where requirements are straight-forward. Create tools and other educational documents to help explain complex topics. Advise and collaborate with employees at all levels to promote a culture of ethical behavior and compliance. Evaluate and provide recommendations to leaders across the company for process improvements based on observations of trends, issues and obstacles. Continuously improve Regulatory Compliance & Ethics processes by using LEAN methodologies to streamline work and eliminate low value activities. Proactively anticipate the impact of the changing business environment and adjust processes as necessary. Perform other duties as assigned. What you’ll bring: Bachelor's degree or four (4) years' work experience. (Required) Six (6) years’ experience working in the regulatory, compliance, legal, public policy, or internal audit space or post graduate education in a related field and experience. (Required) Willingness and ability to obtain Certified Compliance & Ethics Professional designation within one year of hire. (Required) Certified Compliance and Ethics Professional (CCEP) (Preferred) Juris Doctorate (JD) (Preferred) Prior healthcare or insurance background (Preferred) Advanced degree in a related field (Preferred) Prior experience advocating directly with regulatory agencies at the state/federal level (Preferred) Effective interpersonal, written and presentation skills with ability to research and communicate complex, technical information in an accurate and easily understandable manner to all levels of employees, including leadership. Ability to adapt communication style in order to improve effectiveness when needed while successfully negotiating difficult or complex situations. Knowledge of Washington, Alaska and federal health plan laws and regulations, including the Affordable Care Act. Proven ability to effectively collaborate with stakeholders both internally and externally to independently represent Premera’s interests and/or demonstrated experience monitoring regulatory environments focusing on compliance requirements. Exceptional ability to analyze and evaluate complex legal and regulatory requirements while also being able to act as a consultant to the business. Demonstrated expert analytical skills; proven ability to identify and question information that goes outside the norm and to identify the root cause behind findings to assist management in the development of effective corrective action plan. Demonstrated ability to efficiently and effectively handle and prioritize multiple complex assignments often in