Government Programs Compliance Specialist, Experienced

Blue Shield of California; California (MO); Hybrid; USD 70,000 - 80,000; Full time

Job summary

Blue Shield of California Promise Health Plan is seeking an experienced Government Programs Compliance Medi-Cal Specialist, Experienced to support planning and identification of Medi-Cal requirements in response to ongoing or new regulatory changes.

You will help develop and maintain the department's audit calendars, assist with CMS/DMHC/DHCS audits, data collection and analyses, and ensure documentation and processes align with Blue Shield and Promise strategy.

Qualifications

• Bachelor's degree or equivalent experience.
• Minimum 3 years of prior relevant experience.
• Knowledge of Medi-Cal regulatory compliance standards and processes.
• Professional certifications (CHC-Certification in Healthcare Compliance) and additional degrees preferred.

Responsibilities

• Provide support for the planning and identification of Medi-Cal requirements within the department due to ongoing, newly enacted or revised regulatory requirements.
• Support the implementation of quality, repeatable and documented compliance processes and resolve low complexity requirements and process issues.
• Support maintenance and enhancements to the Medi-Cal Compliance tracking system(s) and/or application(s).
• Support Medi-Cal Compliance department activities including development & maintenance of the department audit calendar, external regulatory audit calendar, department mailboxes, intranet website, policies and procedures, and other items as needed.
• Be responsible for data collection, retention, and the development of low complexity analyses and reports.
• Assists with routine departmental functions and initiatives, as needed.
• Participates in multiple projects or initiatives within job area and other duties as assigned.
• Supports ongoing alignment with Blue Shield and Promise strategy and company objectives.

Skills

Medi-Cal compliance knowledge

Regulatory compliance

Data analysis

Education

Bachelor's degree

CHC Certification in Healthcare Compliance

Tools

Medi-Cal tracking system

Job description

Your Role

The Blue Shield of California Promise Health Plan Compliance team is responsible for the administration and oversight of an effective compliance program. The Government Programs Compliance Medi‑Cal Specialist, Experienced will report to the Government Programs Compliance Medi‑Cal Manager, Senior Manager. In this role you will be providing support for the planning and identification of Medi‑Cal requirements within the department due to ongoing, newly enacted, or revised federal or state regulatory requirements. This role also supports Medi‑Cal Compliance department activities e.g. development & maintenance of the department audit calendar, CMS, DMHC and DHCS audit calendar, corrective action plans, department mailboxes, intranet website, policies and procedures, and other items as needed.

Responsibilities

• Provide support for the planning and identification of Medi‑Cal requirements within the department due to ongoing, newly enacted or revised regulatory requirements
• Support the implementation of quality, repeatable and documented compliance processes and escape and propose resolution for low complexity requirements and process issues
• Support maintenance and enhancements to the Medi‑Cal Compliance tracking system(s) and/or application(s)
• Support Medi‑Cal Compliance department activities including development & maintenance of the department audit calendar, external regulatory audit calendar, department mailboxes, intranet website, policies and procedures, and other items as needed
• Be responsible for data collection, retention, and the development of low complexity analyses and reports
• Assists with routine departmental functions and initiatives, as needed
• Participates in multiple projects or initiatives within job area and other duties as assigned
• Supports ongoing alignment with Blue Shield and Promise strategy and company objectives

Qualifications

• Requires a bachelor's degree or equivalent experience
• Requires at least 3 years of prior relevant experience
• Requires knowledge of Medi‑Cal regulatory compliance standards and processes
• Professional certifications (CHC-Certification in Healthcare Compliance) & additional degrees preferred

About Us

As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.

At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.

To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.

Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community‑minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us!

Our Values

• Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
• Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
• Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.

Our Workplace Model

• For most teams, this means coming into the office two days per week.
• Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.
• For employees with medical conditions that may impact their ability to work in‑office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well‑being.

The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.

Physical Requirements

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Please click here for further physical requirement detail.

Equal Employment Opportunity

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.

Job Info

Job Identification : 20261726

Job Category : Legal and Compliance

Posting Date : 2026-09-09T18:55:27+00:00

Job Schedule : Full time

Locations :

• Oakland, CA, United States
• CA, United States

Pay Range for California : $33.99 to $50.98

Pay Range for Bay Area : $38.31 to $57.47

Note : Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate experience, location (California, Bay Area, or outside California), and current employee salaries for similar roles.

Role can be filled by a candidate requiring sponsorship : No