Blue Cross and Blue Shield Association logo

Government Programs Compliance Specialist, Experienced

Blue Cross and Blue Shield Association
  • Oakland, CA
  • Autofill and Review
10 days ago

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.

Numbers & Facts

LocationOakland, CA
IndustryInsurance
Company Size2,000 to 2,499 employees
Websitehttps://www.bcbs.com/about-us/careers

About Company

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry. We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Skills

  • Calendar Managementunmatched
  • Content Management Systems (CMS)unmatched
  • Corrective Actionunmatched
  • Federal Laws and Regulationsunmatched
  • Governmentunmatched
  • Government Reportingunmatched
  • Health Planunmatched
  • Intranetunmatched
  • Medi-Calunmatched
  • Regulatory Requirementsunmatched
  • State Laws and Regulationsunmatched

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