Government Programs Compliance Medi-Cal Specialist, Experienced

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.

Your Knowledge and Experience

• 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