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Blue Shield of CA

Government Programs Compliance Specialist, Experienced

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Job Description

Government Programs Compliance Specialist, Experienced Blue Shield of CA United States, California, Oakland 601 12th Street (Show on map) Sep 09, 2026 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