Hybrid Compliance and Ethics Program Specialist, Principal bei Blue Shield of California Group
Blue Shield of California Group · Oakland, Vereinigte Staaten Von Amerika · Hybrid
- Senior
- Optionales Büro in Oakland
Your Role
As a Principal Compliance Specialist, you will serve as a senior advisor and strategic driver within the Compliance and Ethics team, ensuring enterprise-wide adherence to the BSC Code of Conduct and the integrity of the Company’s compliance and ethics program. You will lead high-impact initiatives across business units, products, services, and operations, focusing on the design, implementation, and continuous improvement of preventive, detective, and corrective controls.
In this role, you will report to and partner closely with the Senior Manager, Compliance and Ethics, to shape and execute departmental priorities. You will provide guidance to the workforce on complex compliance matters—including Conflict of Interest, Gifts and Entertainment, Anti-Corruption, and other key policy areas—while advancing the compliance training and communications strategy. You will also contribute to enterprise-wide testing, auditing, monitoring, and reporting efforts, and play a critical role in identifying and remediating control deficiencies.
This position requires a high level of autonomy, strategic thinking, and cross-functional collaboration. You will be a trusted resource to senior leaders and stakeholders, helping to embed a culture of ethics and accountability throughout the organization. Our leadership model emphasizes growth at every level - personally, professionally, and financially - and we seek individuals who thrive on creative problem-solving, delivering results with integrity, and fostering continuous learning.
Responsibilities
Your Work
In this role, you will:
- Own and lead the enterprise-wide Code of Conduct training and awareness program, including developing strategy, designing content, delivering training, and measuring impact
- Proactively identify opportunities to enhance workforce engagement and understanding
- Drive enhancements to the Conflict-of-Interest disclosure program, including policy review, drafting, system improvements, and training
- Lead cross-functional collaboration and propose innovative solutions to strengthen program effectiveness
- Develop and implement compliance policies, procedures, and tools (e.g., FAQs, job aids, decision trees). Translate complex regulatory requirements into practical guidance and resources that support operational compliance
- Independently manage compliance projects and initiatives, including workplan development, stakeholder engagement, and execution. Anticipate risks, recommend corrective actions, and ensure timely delivery of high-quality outcomes
- Deliver presentations and reports to manager and leadership and diverse audiences, using advanced PowerPoint and Excel skills to communicate program performance, insights, and strategic recommendations
- Act as a strategic thought partner to the Senior Manager, Compliance and Ethics, contributing ideas, identifying gaps, and helping shape the department’s priorities and roadmap
- Support the management of the Corporate Compliance & Ethics communication portals including email box, web applications, helplines and hotlines
- Respond to complex inquiries regarding BSC's Code of Conduct, Compliance with Corporate Policies and Corporate Compliance & Ethics Program, including referrals to other compliance resource areas (e.g., Privacy, Special Investigations, Human Resources)
- Collaborate, as necessary, with other compliance resources (e.g., Privacy, IT Security, Human Resources, operational management) with respect to identified compliance issues
- Frequently provide guidance, coaching, and training to other employees across the company within area of expertise
- Be responsible for managing large, complex project initiatives of strategic importance to the organization, involving large cross-functional teams
- May direct the work of other individual contributors and/or function as a cross-functional team lead
Qualifications
Your Knowledge and Experience
- Requires a bachelor’s degree, Masters in relevant field or Juris Doctor preferred
- Requires a minimum of 10 years of prior relevant experience, and minimal to moderate experience in managed care setting, health care industry or related field
- Requires Certification in Healthcare Compliance (CHC) or Certified Ethics and Compliance Professional (CCEP)
- Strong experience in health care compliance and ethics program operations, regulatory compliance program management, including experience driving, leading, managing, implementing, and maintaining corporate compliance and ethics program projects from hotline enhancement and management to compliance program assessments and proactive workforce communication and training programs and initiatives
- Meticulous attention to detail, paired with strong organizational and time management capabilities, including the ability to manage multiple priorities and consistently meet deadlines in a dynamic environment
- Requires deep job knowledge and broad theoretical job knowledge typically obtained through advanced education combined with experience
- Typically viewed as an expert within the discipline
- Exceptional communication and presentation skills, with the ability to clearly and diplomatically translate complex regulatory requirements, healthcare laws, and sensitive information for diverse audiences across all levels of the organization
- Strong business acumen and analytical expertise, demonstrated through the ability to interpret data, identify risks, recommend corrective actions, resolve conflicts, and drive meaningful changes across compliance functions
- Strong presentation and technical skills, including proficiency in PowerPoint, Excel, and Word, to develop compelling training materials, reports, and strategic communications tailored to diverse audiences
About Company
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:
At Blue Shield of California and the Ascendiun Family of Companies, we believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility. As we continue to evolve our workplace model, our focus remains on creating spaces where our people can connect with purpose – whether working in the office or through a hybrid approach – by providing clear expectations while respecting the diverse needs of our workforce.
Two Ways of Working:
- Hybrid (Default): Work from a business unit-approved office at least two (2) times per month (for roles below Director-level) or once per week (for Director-level roles and above). Exceptions:
o Member-facing and approved out-of-state roles remain remote.
o Employees living more than 50 miles from their assigned offices are expected to work with their managers on a plan for periodic office visits.
o 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.
- On-Site: Work from a business unit-approved office an average of four (4) or more days a week.
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.
