Government Programs Compliance Specialist, Senior

Blue Shield of CA
United States, California, El Dorado Hills
4205 Town Center Boulevard (Show on map)
May 17, 2025
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 Government Programs Compliance Senior Manager. 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. Your Knowledge and Experience Requires a bachelor's degree or equivalent experience Requires at least 5 years of prior relevant experience Requires managed care health plan compliance department 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 Strong analytical, regulatory reporting, data reporting including risk assessment and mitigation Competent in Excel, SharePoint, PowerPoint Professional certifications and additional degrees a plus