Regulatory and Compliance Consultant

Join our team and do meaningful work that improves people’s lives. Our purpose—to improve customers’ lives by making healthcare work better—is far from ordinary. At Premera, you’ll drive real change by transforming healthcare. We’re 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 better serve our customers. This commitment has earned us recognition as one of the best companies to work for.

About the role

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, you’ll advocate on behalf of Premera with external stakeholders to support our corporate goals and partner with Legislative Affairs and Legal to guide internal teams on implementing new and changing laws and regulations.

Responsibilities

• 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 regulatory implications, serving as the subject matter expert on defined regulatory and compliance matters.
• Formulate and carry out strategies to advocate for Premera’s interests 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.
• Prepare written reports to document findings and work with the Compliance team to issue Corrective Action Plans.
• Interact with all levels of management, adapting communication style to ensure comprehension; 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, distributing and collecting comments, and drafting 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 increase trust in Regulatory Compliance & Ethics as a proactive problem-solving partner.
• 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 documents to 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 for process improvements based on observations of trends, issues, and obstacles.
• Continuously improve Regulatory Compliance & Ethics processes 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.

Requirements

• 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 postgraduate education in a related field and experience. (Required)
• Willingness and ability to obtain Certified Compliance & Ethics Professional (CCEP) 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 successfully negotiate 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 acting as a consultant to the business.
• Demonstrated expert analytical skills; ability to identify and question information outside the norm and determine root causes to assist management in developing effective corrective action plans.
• Ability to efficiently and effectively handle and prioritize multiple complex assignments involving multiple functional areas and vendors while ensuring high-quality outcomes.
• Strong motivation to learn, willingness to be a team player, yet operate independently as required.
• Proven ability to review the work of others and provide constructive, effective feedback.

Benefits

Our comprehensive total rewards package provides support, resources, and opportunities to help employees thrive and grow. Our total rewards reflect our commitment to your health and well-being, offering a broad array of physical, financial, emotional, and community benefits, including:

• Medical, vision, and dental coverage with low employee premiums.
• Voluntary benefit offerings, including pet insurance.
• Life and disability insurance.
• Retirement programs, including a 401K employer match and a pension plan vested after 3 years of service.
• Wellness incentives with a wide range of mental well-being resources for you and your dependents, including counseling services, stress management programs, and mindfulness programs.
• Generous paid time off to reenergize.
• Tuition assistance for both undergraduate and graduate degrees.
• Employee recognition program to celebrate anniversaries, team accomplishments, and more.
• For hybrid employees: on-campus model providing flexibility to create your own routine with access to on-site resources, networking opportunities, and team engagement.
• Commuter perks to reduce environmental impact and save money.
• Free convenient on-site parking.
• Subsidized on-campus cafes for affordable lunchtime connections.
• Engaging on-site activities such as health and wellness events, coffee connects, disaster preparedness fairs, and more.
• Complementary fitness & well-being center offering both in-person and virtual workouts and nutritional counseling.
• On-site games like shuffleboard and ping pong for brain breaks.

Pay

The salary range for this role is $101,900.00 - $173,200.00 (National Plus Salary Range, used in higher cost of labor markets including Western Washington and Alaska). The pay will vary based on factors such as geographic location, market conditions, and specific skills and experience. We generally target up to and around the midpoint of the range.

Workforce Classification: Hybrid