Sr. Director, Compliance and Ethics

Blue Shield of California; California; Hybrid; USD 202,000 - 303,000; Full time

Benefits offered by this job

Hybrid workplace

In-office two days per week

Job summary

Blue Shield of California seeks a Senior Director, Compliance & Ethics to lead the enterprise-wide program across affiliates, business units, products and services. You will guide preventive, detective and remedial controls, policies, training and investigations to uphold the Code of Conduct and regulatory standards.

Based in the Oakland area with a hybrid schedule, you will build teams, collaborate with HR, IT, Legal and Internal Audit, and report to the Chief Risk and Compliance Officer,

Qualifications

• Requires bachelor’s degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree
• Requires 12 years of legal, or health care compliance and ethics experience with increasingly progressive responsibility including Director-level Compliance experience
• Requires functional subject matter expertise in compliance investigations, compliance hotlines/reporting, compliance training and communications, anti-corruption/anti-bribery/anti-kickback, government contracting, exclusion lists, corporate ethics, business partner and third-party risk management, and applicable laws and regulations
• Requires 6 years of prior people management experience with direct responsibility for supervising, coaching, and evaluating direct reports
• Require Director-level, Deputy Chief Compliance Officer, and/or Federal Law Enforcement experience
• Requires excellent verbal and written communication and relationship building skills to effectively interact with senior management team, board members, providers, or federal and state regulators.
• Requires strong independent judgment, problem-solving, critical, and analytical thinking skills, including a “moral compass” and high integrity
• Juris Doctor (JD) from an ABA accredited law school and admission to practice law in one or more U.S. States (CA strongly preferred) preferred
• Certified Healthcare Certification (CHC) or Certified Compliance and Ethics Professional Certification (CCEP), and experience and knowledge of compliance or risk incident management software preferred
• Experience with writing and implementing policies and procedures, performing risk assessments, documenting controls and control gaps, remediating control gaps, and delivering and maintaining a robust and effective compliance and ethics program preferred

Responsibilities

• Lead, implement, and maintain an effective enterprise-wide Corporate Compliance and Ethics Program, including but not limited to managing compliance Whistleblower programs, anti-corruption programs, maintaining effective compliance policies and procedures, effective compliance training, awareness, and communications programs.
• Manage and conduct enterprise-wide compliance investigations. Maintain a clear, comprehensive, and integrated enterprise compliance investigation protocol. Oversee all internal and external hotline and compliance reporting channels. Prepare comprehensive investigation summary reports. Ensure proper corrective action and remedial measures are taken once investigations are completed.
• Build, develop, and lead teams of Compliance & Ethics professionals to ensure robust and effective, preventive, detective and remedial programs and controls throughout the Company’s operations.
• Lead and model collaborations with compliance resources across the Ascendiun Family of Companies (e.g., Human Resources Employee Relations, IT Security, Legal, Internal Audit) and operational areas to promote the C&E Program and encourage ethical behavior at all levels.
• Provide regulatory and compliance industry standards support and guidance, develop and implement enterprise-wide compliance policies, procedures, and develop training programs to effect compliance with legal and regulatory standards.
• Research, identify, review, and summarize new and existing regulations; maintain awareness of industry trends and regulatory actions; and communicate impact of these changes to the Ascendiun Family of Companies and the Chief Risk and Compliance Officer (CRCO).

Skills

Compliance leadership

Investigations

Policy development

Training and communications

Regulatory knowledge

Stakeholder collaboration

Education

Bachelor's degree or equivalent

Juris Doctor preferred

Job description

Job Description

As Senior Director, Compliance & Ethics at Ascendiun you will lead the enterprise-wide compliance and ethics program across all affiliates, business units, products, services and activities.

You will oversee preventive, detective and remedial controls; policies and procedures; workforce training and communications; testing, auditing, monitoring and reporting; and remediation of control deficiencies. Program areas include the Code of Conduct, compliance policies and investigations, anti-bribery, anti-kickback and anti-corruption, exclusion lists, conflicts of interest and other compliance and ethics initiatives.

Reporting directly to Ascendiun’s Chief Risk and Compliance Officer, you will primarily lead the enterprise-wide program and may take on additional responsibilities or support the Chief Compliance & Ethics Officer’s other initiatives as needed.

Responsibilities

Your Work

In this role, you will:

• Lead, implement, and maintain an effective enterprise-wide Corporate Compliance and Ethics Program, including but not limited to managing compliance Whistleblower programs, anti-corruption programs, maintaining effective compliance policies and procedures, effective compliance training, awareness, and communications programs.


• Manage and conduct enterprise-wide compliance investigations. Maintain a clear, comprehensive, and integrated enterprise compliance investigation protocol. Oversee all internal and external hotline and compliance reporting channels. Prepare comprehensive investigation summary reports. Ensure proper corrective action and remedial measures are taken once investigations are completed.


• Build, develop, and lead teams of Compliance & Ethics professionals to ensure robust and effective, preventive, detective and remedial programs and controls throughout the Company’s operations.


• Lead and model collaborations with compliance resources across the Ascendiun Family of Companies (e.g., Human Resources Employee Relations, IT Security, Legal, Internal Audit) and operational areas to promote the C&E Program and encourage ethical behavior at all levels.


• Provide regulatory and compliance industry standards support and guidance, develop and implement enterprise-wide compliance policies, procedures, and develop training programs to effect compliance with legal and regulatory standards.


• Research, identify, review, and summarize new and existing regulations; maintain awareness of industry trends and regulatory actions; and communicate impact of these changes to the Ascendiun Family of Companies and the Chief Risk and Compliance Officer (CRCO).

Qualifications

Your Knowledge and Experience

• Requires bachelor’s degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree


• Requires 12 years of legal, or health care compliance and ethics experience with increasingly progressive responsibility including Director-level Compliance experience


• Requires functional subject matter expertise in compliance investigations, compliance hotlines/reporting, compliance training and communications, anti-corruption/anti-bribery/anti-kickback, government contracting, exclusion lists, corporate ethics, business partner and third-party risk management, and applicable laws and regulations


• Requires 6 years of prior people management experience with direct responsibility for supervising, coaching, and evaluating direct reports


• Require Director-level, Deputy Chief Compliance Officer, and/or Federal Law Enforcement experience


• Requires excellent verbal and written communication and relationship building skills to effectively interact with senior management team, board members, providers, or federal and state regulators.


• Requires strong independent judgment, problem-solving, critical, and analytical thinking skills, including a \u201c\moral compass\u201d and high integrity


• Juris Doctor (JD) from an ABA accredited law school and admission to practice law in one or more U.S. States (CA strongly preferred) preferred


• Certified Healthcare Certification (CHC) or Certified Compliance and Ethics Professional Certification (CCEP), and experience and knowledge of compliance or risk incident management software preferred


• Experience with writing and implementing policies and procedures, performing risk assessments, documenting controls and control gaps, remediating control gaps, and delivering and maintaining a robust and effective compliance and ethics program preferred

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.

About Us

About Blue Shield of California

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

We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:

• 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.

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 : 20262217

Job Category : Legal and Compliance

Posting Date : 2026-10-23T14:37:58+00:00

Job Schedule : Full time

Locations :

Oakland, CA, United States

CA, United States

Pay Range for California : $201960.00 to $303050.00

Pay Range for Bay Area : $227664.00 to $341620.00

Role can be filled by a candidate requiring sponsorship : No