Regulatory and Compliance Consultant

Senior Regulatory Compliance Consultant Workforce Classification: Hybrid 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 and develop and mature relationships with regulators to serve as the “face” of the company. Act as an internal consultant to identify key regulatory and compliance issues and recommend informed, actionable and realistic solutions based on regulatory, policy and compliance research; 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, 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 the Regulatory & Ethics function 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 straightforward; create tools and other educational documents to explain complex topics and advise employees 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 years’ work experience. (Required) Six years’ experience working in the regulatory, compliance, legal, public policy or internal audit space or post‑graduate education in a related field. (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 the ability to research and communicate complex, technical information accurately and understandably to all levels of employees, including leadership; ability to adapt communication style to improve effectiveness and negotiate difficult situations. Knowledge of Washington, Alaska and federal health plan laws and regulations, including the Affordable Care Act. Proven ability to collaborate with stakeholders both internally and externally to independently represent the company’s interests and/or demonstrate experience monitoring regulatory environments focusing on compliance requirements. Exceptional ability to analyze and evaluate complex legal and regulatory requirements while also acting as a consultant to the business. Demonstrated expert analytical skills and proven ability to identify and question information that goes outside the norm, identify the root cause behind findings and assist management in developing effective corrective action plans. Demonstrated ability to efficiently and effectively handle and prioritize multiple complex assignments often involving multiple functional areas and vendors while ensuring high‑quality outcomes in all work products. Strong motivation to learn, willingness to be a team player, yet able to operate independently as required. Proven ability to review the work of others and give constructive and effective feedback. Benefits Medical, vision and dental coverage with low employee premiums. Voluntary benefit offerings, including pet insurance for paw parents. Life and disability insurance. Retirement programs, including a 401K employer match and a pension plan vested after three years of service. Wellness incentives and a wide range of mental‑well‑being resources for employees and dependents, including counseling services, stress management programs and mindfulness programs. Generous paid time off. Tuition assistance for both undergraduate and graduate degrees. Employee recognition program to celebrate anniversaries, team accomplishments and more. Hybrid employees have access to on‑campus resources, networking opportunities, team engagement and commuter perks to reduce environmental and financial impact; free convenient on‑site parking; subsidized on‑campus cafes; opportunities to participate in health and wellness events, coffee connects, disaster preparedness fairs and more; a complementary fitness and well‑being center offering both in‑person and virtual workouts and nutritional counseling; on‑campus activities such as shuffleboard or ping‑pong games. Equal Employment Opportunity Premera is an equal‑opportunity/affirmative‑action employer. Premera seeks to attract and retain the most qualified individuals without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, gender or gender identity, sexual orientation, genetic information or any other protected characteristic under applicable law. Salary Range National Plus Range: $101,900.00 – $173,200.00. This range is used in higher cost‑of‑labor markets, including Western Washington and Alaska. The pay for this role will vary based on geographic location, market conditions and specific skills and experience. Compensation will be discussed during the interview process. #J-18808-Ljbffr Premera Blue Cross