Government Programs Compliance Specialist, Senior

Your Role

The Promise Medi-Cal Compliance team oversees and coordinates Blue Shield Promise Health Plan’s (BSCPHP) compliance program. The Government Programs Compliance Specialist, Senior will report to the Director, Government Programs Compliance. In this role you will be providing assistance with driving and managing the identification and scoping of impacts across cross-functional business areas due to ongoing, newly enacted, or federal and state regulatory requirements.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Knowledge and experience

• Requires a bachelor’s degree or equivalent experience
• Requires at least 5 years of prior relevant experience
• Knowledge and understanding of Knox-Keene Act, California Code of Regulations Titles 22 and 28, and Code of Federal Regulations Title 42 regulatory compliance standards and processes
• Requires health plan experience, Medi-Cal experience preferred
• Strong analytical, regulatory reporting, data reporting including risk assessment and mitigation
• Competent in Excel, SharePoint, PowerPoint
• Professional certifications and additional degrees a plus

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.