Government Programs Compliance Specialist, Senior
Job Description
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
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.
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