2,654 Compliance Programs jobs in the United States
POLICY DEVELOPMENT ANALYST, BUDGET OPERATIONS

Posted today
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As a UW employee, you have a unique opportunity to change lives on our campuses, in our state, and around the world. UW employees bring their energy and creative problem-solving skills to their work and are dedicated to building stronger minds and a healthier world. UW is committed to attracting and retaining a diverse staff. Your experiences, perspectives, and unique identities will be honored at the University of Washington. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.
Finance, Planning, and Budgeting (FPB) encompasses the major central financial, planning, and budgeting functions for the University of Washington, including:
- Finance & Budget Strategy
- Institutional Analytics & Data Support
- Policy, Planning & State Operations
- University Business Services
Reporting to the Budget Planning and Operations Lead Analyst, the Financial Analyst will play a crucial role in managing central fund commitments, supporting budget processes, and analyzing financial data to help leadership make informed decisions.
**DUTIES & RESPONSIBILITIES**
Financial and budgetary Operations
Process, record and track central fund commitments using BPO's Commitment Database
Collaborate with other financial analysts to submit regular and ad-hoc reporting to the State of Washington's Office of Financial Management and manage State funding
Support funding transfer journal entries and financial reconciliations
Assist with UW's annual budget process, including data entry in Workday Adaptive Planning, qualitative and quantitative analysis of unit entries and narrative submissions, and enterprise reporting and analysis
Utilize reporting tools to generate financial insights and support strategic decision-making
**Financial Data Management & Analysis**
Analyze data from UW's financial, payroll, and budget systems to address complex business questions
Ensure accuracy and consistency in financial reporting, aligning with business rules and data definitions
Assist in developing and refining budget reports to enhance operational efficiency and decision-making
Understand business needs and how data and budget reports support operations, using reporting tools to produce meaningful and actionable insights
**FDM Compliance & Project Support**
Review and approve FDM worktag requests in UW systems
Contribute to workflow enhancements and documentation improvements for the commitment database and other operational processes
Provide backup support to team members and assist with special projects as assigned
**REQUIRED QUALIFICATIONS**
Bachelor's degree in business, accounting, finance or related field to include 3 years of experience in financial analysis, budgeting, or similar role
Equivalent combination of education and experience from which comparable knowledge and skills have been acquired may substitute for degree
Excellent analytical skills with the ability to work independently on complex financial projects
Proficiency in Microsoft Office products and financial systems
Ability to undertake and produce complex analysis of data from a variety of sources with minimal supervision or guidance
Excellent communication skills
Demonstrated experience in working on diverse groups and teams; respects, values, and contributes to FPB and UW's commitment to diversity, inclusion, and equity.
**DESIRED QUALIFICATIONS**
Experience in Workday and/or Adaptive
Knowledge of UW finance operations, administrative systems, and reporting tools
Familiar with query development and financial reporting tool
Experience in conducting one-on-one training and training in a group setting
Demonstrates an understanding of business needs and operational priorities; leverages data and budget reports to support decision-making by utilizing reporting tools to generate meaningful and actionable insights
We encourage applicants to apply even if they do not feel they satisfy all of the skills listed above; we understand that it will take some time for the successful applicant to strengthen specific position skills where needed, to learn about the university systems, campuses, and vendor collaborators, to develop a deep understanding of the FPB environment itself. You will join a supportive team that will partner with you in these efforts; we are an open, ethical, highly engaged, and collaborative community based on trust, transparency, and mutual respect. We believe in the importance of quality of life, embracing diversity, making a difference, and having fun.
**Application Process:** A cover letter is required for this recruitment. Your application will not be considered unless you attach a cover letter. In your cover letter, please share more about your background and skills that are most relevant to this position.
**Compensation, Benefits and Position Details**
**Pay Range Minimum:**
$69,576.00 annual
**Pay Range Maximum:**
$82,500.00 annual
**Other Compensation:**
-
**Benefits:**
For information about benefits for this position, visit Shift (United States of America)
**Temporary or Regular?**
This is a regular position
**FTE (Full-Time Equivalent):**
100.00%
**About the UW**
Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world.
UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty.
**Our Commitment**
The University of Washington is proud to be an affirmative action and equal opportunity employer ( . All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, protected veteran or disabled status, or genetic information.
To request disability accommodation in the application process, contact the Disability Services Office at or .
Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law ( .
University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.
Senior Program Manager, Policy Development
Posted 1 day ago
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EXCEPTIONAL PROGRAMS COMPLIANCE SPECIALIST
Posted 10 days ago
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Classification: Administrative Location: District
Reports to: Director of Exceptional Programs FLSA Status: Exempt
Bargaining Unit: N/A (215 working days 7.5 hours per day)
Position Summary:
The Exceptional Programs Compliance Specialist is primarily responsible for ensuring that the Board of Education, Superintendent, and employees are following the rules and regulations of regulatory agencies including but not limited to the area of Special Education, Manifestations, Charter School Compliance in the area of Special Education while adhering to Taos Municipal Schools Policy and Procedures.
Supervision:
The Exceptional Programs Compliance Specialist works with a high level of independence and professional discretion under the general supervision of a designated district administrator. The Compliance Specialists work is governed, controlled, and evaluated by acceptable professional practice, school and district policies and regulations, provisions of Taos Municipal Schools district policies and procedures, direction of the supervisor, and performance standards and expectations as set forth in the collective bargaining agreement.
Duties and Responsibilities listed may include, but are not limited to the following:
1. Must maintain knowledge of all current statutes and regulations/ procedures related to Special Education, 504, Hearing Officer, Charter School Authorizer.
2. Responsible for planning, training, implementing, and monitoring a comprehensive system for auditing Special Education records, Manifestation Determination hearings, and Charter School records to ensure compliance with state and federal laws and regulations.
3. Works with Special Education teachers, IEP Specialists, Ancillary staff, and the Director of Exceptional Programs, Directors of Charter Schools, Counselors, Human Resources, Benefits Department, and Principals to ensure compliance with state and federal regulations and procedures.
4. Responsible for the training of District Case Managers on targeted goal setting and understanding of evaluative reports. Provides coaching to Case Managers to ensure proper training implementation during IEPs.
5. Conducts ongoing monitoring of the due process paperwork district wide ensuring that all aspects of IEPs, and Student Manifestation Determination meetings are properly documented following local, state, and federal procedures and regulations (to include but not limited to goal setting, excusal forms, accommodation and modifications implementation and documentation, assistive technology, progress notes, special programs logs, special consideration forms, justification notice, prereferral from etc.).
6. Addresses all areas of non-compliance and identifies strategies and procedures for district wide compliance and Charter School Compliance.
7. Coordinates and implements trainings for LEAs in district, attends IEP and Eligibility meetings in role of LEA as needed. Attends IEP meetings to audit school site LEA representation in meetings.
8. Responsible for implementing an educational program for parents and community on various aspects of the Special Education laws with a goal of fostering communication, understanding and trust between parents/community and school personnel.
9. Investigates complaints from students, parents, and staff in Special Education and any that may pertain to Child Find regulations.
10. Responsible for identifying potential areas of compliance vulnerability and risk; develops/implements corrective active plans for resolution of problematic issues and provides general guidance on how to avoid or deal with similar situations in the future.
11. Works in concert with district administrators to provide one-on-one and group training sessions for Special Education teachers, ancillary staff, classroom staff, counselors, charter school staff, and district school site administrators on compliance and procedural issues and special education technology.
12. Maintains, in conjunction with district technology staff, Tienet or approved Special Education software programs. Audits and monitors Tienet or approved software programs for data integrity and compliance with required reports
13. Assists in the preparation of local, state, and federal reports.
14. Works with Tienet or approved software program employees to assist in the development of procedures and suggests program modifications/improvements that meet with regulatory guidelines.
15. As needed, required to prepare weekly reports and submission of documentation to the Public Education Department or other regulatory agencies in fulfillment of any corrective action and/or audit deficiencies.
16. Attends state meetings representing district in gathering information on State Standards, Federal Regulations and pertinent information related to Special Education, Student Discipline and Charter School Authorization.
17. Serves as liaison for school district to local and state agencies in matters pertaining to Special Education, Manifestation Determinization meetings and Charter School Authorizer.
18. Consults with parents and families of students who are enrolled in Special Education and any students who may be eligible under Child Find regulations.
19. Collaborates with all other administrators and program managers in matters related to students with special needs, 504s, and Charter School Authorization.
20. Serves on various district/state committees as requested.
21. Assists in the adaptation of school policies and procedures including special education needs, 504 needs, Student Due Process needs, and Charter School Authorization.
22. Required to follow board policies and procedures and stay abreast of updates and changes.
23. Performs all other duties assigned.
Minimum Qualifications:
• Master's degree
• Valid teaching certification issued by NM PED (Special Education Preferred)
• Valid administrative certification issued by NMPED
• Ability to effectively communicate with parents, students, and staff verbally and in writing.
Physical and Environmental Requirements of the Position:
• The physical demand and work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• The employee must lift and/or move 25 to 50 pounds, and may assist, move, or restrain students with greater weight when required to intervene in student safety issues.
• While performing the duties of this job, the employee is frequently required to sit, lift, carry, move about, hear, and speak. Administrator may require performing extensive work at a computer display terminal.
• May be required to break up fights.
• While performing the duties of this job, the staff member may occasionally work in outside weather conditions and be exposed to wet and/or humid conditions, temperature fluctuations, fumes or airborne particles, toxic or caustic chemicals commonly used in instruction and/or cleaning. It may be expected that the individual could be exposed to blood or other potentially infectious materials during their duties. The teacher may be exposed to infectious disease as carried by students.
• The Administrator may be required to travel in school owned or leased vehicles while supervising and assisting students.
The information contained in this job description is for compliance with the American With Disabilities Act (A.D.A.) and is not an exhaustive list of the duties performed for this position. Additional duties are performed by the individuals currently holding this position and additional duties may be assigned.
Financial Programs Compliance Analyst
Posted 7 days ago
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Tommy's is looking for a Financial Programs Compliance Analyst to oversee the use and quality control of the data and dashboards corresponding with the company's financial programs. This role will work deep within financial transaction data auditing, investigating, and resolving issues using skills of accessing data and coding. The role will design and implement policies and systems that manage and protect company data, optimize data analytics practices, and comply with regulatory standards.
What Can Tommy's Offer You?
- Base pay and eligibility for annual profit-sharing bonus
- Full insurance package including Health, Dental, Vision, Life, Disability, Employee Assistance
- 401k match and complimentary financial planning services
- Paid time off and paid holidays
- Opportunity for continued education and tuition assistance
- Valuable learning and development program
- Significant ability to grow internally for motivated and strong performing team members
- Fun, energetic, family-oriented work culture with an emphasis on team member morale
- Growing nationwide brand / presence
Position Responsibilities:
- Own integrity and accuracy of transaction and revenue data coming from in-house Point of Sale system for member subscription packages, promotional programs, price changes, discounting and coupon codes, refunds, processing fees, etc.
- Identify sales variance between systems and resolve issues
- Analyze program data abuse/misuse resulting in high discounting
- Oversee store royalty payments, allocation and deployment managing/updating for custom royalty deals and monitoring for under reported revenues and underpaid franchise fees
- Monitor subscription revenue data for crossover location calculation and distribution
- Manage discounting and crossover for fleet program deals
- Oversee first charge process for newly opened stores to ensure successful function
- Establish and implement data governance strategies, policies, and procedures to ensure the integrity, availability, and accuracy of financial program data
- Partner cross-functionally with departments to gather, audit, or analyze data and provide accurate and effective company dashboards
- Monitor and assess data quality across various systems identifying areas for improvement, recommending solutions, and implementing measures to enhance data accuracy and consistency
- Other duties as assigned; duties and responsibilities may change at any time with or without notice.
Position Qualifications & Candidate Attributes:
- Bachelor's degree in finance, analytics, technology or related field
- 2+ years' of related experience within financial analytics, business intelligence, or data management
- Technical skills with SQL required, Python and Apache Spark preferred
- Excellent written and oral communication skills
- Process-oriented and strong collaborator with ability to communicate and manage well at all levels of the organization and across various departments
- Strong organizational and time management skills; ability to multitask and prioritize workload
- Highly adaptable with strong problem-solving and critical thinking skills; ability to exercise good judgment and make sound data-backed decisions
- High level of integrity and dependability with a strong sense of urgency and results-orientation
- Views customer care as high priority; exhibits a positive can-do attitude
- Displays a strong initiative and drive to identify gaps and fill them
Work Environment and Physical Demands:
This job operates in a professional office environment. Office hours are Monday through Friday from 8:00am - 5:00pm. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and operates primarily indoors with limited to no travel expectation.
To successfully perform the essential functions of this job, team member must be able to:
- Work and commute in all weather conditions
- Able to effectively communicate, listen, detect, converse with, discern, convey, express oneself and exchange information
- Able to walk, bend, twist, turn, stoop, climb steps, reach with hands, use hands to fingers
- Work in a fast-paced environment where they will often be multitasking
- Move about inside the office to access standard office equipment
- Constantly operate a computer and other office productivity machinery such as keyboard, copy machine and printer
- Remain in a stationary position 50%+ of the time, alternating between sitting and standing
- Ability to move and lift up to 30 pounds
Overview of Tommy Enterprises Companies:
Tommy's Express is a national franchise for outstanding car washes and car care services. Powered by industry leading technology and decades of experience and planning, Tommy's Express car washes deliver a cutting-edge car wash experience unlike anything you've encountered before. Our fully automatic washes feature advances including the easy-loading car wash dual belt conveyor, wide open car wash bay for natural lighting, advanced presoak and sealer services, and free high-power self-serve vacuums on site.
Tommy's Express Operations consists of a number of corporately owned Tommy's Express car wash locations across the country. This is a quickly growing operation with intentions to open or acquire 3-5 new locations per year through the launch of Tommy's Express Capital, a new private fund strategy.
Tommy Car Wash Systems ("TCWS") is the power behind our Tommy's Express equipment. TCWS is a team of passionate car wash professionals working to create opportunities for our partners to become the best car wash operators they can be. We provide modular building designs, robust stainless-steel car wash equipment, an advanced Wash Club license plate reader system, the Tommy Transporter belt, high performance wash detergents, and an industry-leading franchise opportunity. At Tommy Car Wash Systems, we have a solution for almost any size operator. Our team has assisted in the development of hundreds of some of the most successful car washes around the world. Together, Tommy's Express and Tommy Car Wash Systems make up the Tommy's Corporate brand, headquartered in Holland, MI.
Compliance Analyst, Corporate Programs
Posted today
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Job Description
Description:
Terra-Gen is a leading and growing developer, owner, and operator of utility-scale renewable energy projects – including battery energy storage systems (BESS), wind farms, solar PV facilities, and high-voltage transmission infrastructure. We are committed to delivering reliable, sustainable energy solutions across the U.S.
Reporting to the Senior Director, Compliance & Project Implementation, this full-time remote position is responsible for supporting and maintaining compliance with our corporate programs and training, including corporate and stakeholder reporting information.
We are seeking a self-driven candidate for a Compliance Analyst position with a commitment to compliance and sustainable processes. The successful candidate will demonstrate experience in corporate program compliance and strong analytical skills.
Terra-Gen’s corporate programs provide assurances of responsible sourcing and operations. This person will support in the implementation and reporting of Terra-Gen’s corporate programs, which includes the anti-human slavery, employee code of ethics, supplier code of conduct, and National Security Agreement (NSA) Awareness. This position will maintain standard operating procedures and programs. This position requires communication and interaction with all business functions; particularly Accounting, Asset Management, Procurement, Operations, and EH&S.
Job duties also include maintaining and compiling stakeholder data and reports, coordinating responses to external stakeholders, as well as providing support gathering information for the companywide greenhouse gas emissions reporting and supporting other compliance efforts as assigned.
This is a remote based role with a preference for a Southern California based person. This position is also expected to travel to the San Diego Office and/or other California worksites as requested.
ESSENTIAL DUTIES AND RESPONSIBILITIES (Other duties may be assigned as needed)
- Document and maintain standard operating procedures (SOPs) for each corporate program and related processes in the standardized template (e.g., corporate training processes, internal employee site maintenance, Modern Slavery, greenhouse gas, etc.).
- Execute corporate program implementation, including initiating annual review/refresh of policies and training materials, monitoring and tracking completion of requirements and training, maintaining and creating status reports as necessary and requested.
- Company Training – support training programs for corporate programs and compliance as assigned, includes providing communications and arranging training for employees (e.g., scheduling live-virtual trainings, assigning online trainings through the company’s learning management system (LMS), etc.), setting up training courses in the company’s LMS, assist with logistics of live virtual trainings (e.g., assisting with recordings, monitoring chat questions, collecting and recording attendance lists, etc.), monitoring and tracking training status and statistics for reminders and reporting.
- Monitors and produces status reports for requirements on all relevant corporate programs.
- Identify and resolve non-compliance/incomplete training and issues in a timely manner. Provide training reminders for overdue/incomplete trainings as needed. Report and update manager of status on a regular basis.
- Populate and update stakeholder reports by reporting deadlines. Draft responses to stakeholder requests for data or information for management review.
- Collect all necessary greenhouse gas information by the established timeframe to facilitate consultant completion of companywide greenhouse gas analyses and calculation. Update and communicate changes to asset portfolio as needed. Review draft reports for accuracy and issue report by deadline.
- Audit company policies against off-takers and contractors’ policies to identify and resolve gaps. Highlight and report discrepancies to management.
- Responsible Sourcing - identify appropriate certification and auditing/monitoring protocols to ensure that the supply base meets expectations and requirements in the areas of Supplier Code of Conduct, Human Rights/Labor, Safety/Health, Environment, Business Ethics.
- Supplier Modern Day Slavery/Supplier Code of Conduct – Maintain, track, resolve and report non-compliance issues with policy requirements to EHS management. Audit and request annual renewal certifications of the company’s suppliers/vendors.
- Execute employee acknowledgements and maintain status reports and records to ensure company meets expectations and requirements for Code of Ethics, Anti-Human Slavery, and NSA Awareness.
- Reviews procedures and monitoring tools to ensure the implemented procedures are in place, adequate, and working.
- Participate and/or support internal reviews and third-party company pre-qualification and due diligence audits, as requested.
- Track company activities and projects that support/enhance company sustainability efforts.
- Maintain record retention of related documents and certifications, and other special projects as assigned.
- FERC/Energy Markets Compliance – support monitoring and tracking of compliance reporting responses and recordkeeping, as needed.
- Other duties or projects, as assigned.
- May travel occasionally overnight.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
MINIMUM REQUIREMENTS
- A minimum of 3 years’ experience with 1-2 years’ experience in corporate program compliance, preferably in a power generation environment.
- Basic understanding of procurement process and requirements required
- Auditing experience a plus
- Highly professional and ethical team player who will always uphold the organization’s values and safety culture.
- Strong knowledge of Microsoft office suite, intermediate excel proficiency required (e.g., formulas, pivot tables, etc.). Experience with Microsoft Power Automate and/or macros a plus.
- Highly organized, attention to detail and committed to maintaining the company records.
- Strong time management skills and ability to manage multiple projects on tight timelines or changing priorities.
EDUCATION and/or EXPERIENCE, KNOWLEDGE –
- Bachelor’s degree in business, supply chain management, accounting, public policy, environmental science, or a related area of study.
- Experience supporting compliance functions, such as policies and procedures, training, and monitoring.
- Expert time management and multi-tasking skills; able to manage many projects simultaneously and meet deadlines.
- Self-motivated and able to work independently while multi-tasking and being capable of completing tasks with tight deadlines.
- Familiarity with supply chain compliance requirements, such as business ethics, modern-slavery requirements preferred.
COMMUNICATION SKILLS –
- Strong written and verbal communication skills, able to effectively communicate with vendors, off-takers, and internal personnel at all levels in a timely and clear manner.
REASONING ABILITY & DECISION-MAKING SKILLS
- Strong critical thinking, and analytical skills; able to gather, interpret, and utilize data to draw conclusions.
- Well-developed analytical and problem-solving skills
PHYSICAL DEMANDS -
Sedentary work. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. Repetitive motion. Substantial movements (motions) of the wrists, hands, and/or fingers. The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.
WORK ENVIRONMENT -
Position adaptable to hybrid work from office and remote.
Position expected to travel to the San Diego Office and/or other California worksites as requested.
Terra-Gen is an equal opportunity employer, drug-free workplace, and complies with Americans with Disabilities Act and related laws and regulations as applicable. All applicants are considered for all positions without regard to age, race, religion, color, sex, gender, sexual orientation, pregnancy, national origin, ancestry, physical/mental disability, medical condition, military/veteran status, genetic information, marital status, ethnicity, alienage, or any other protected classification, in accordance with applicable federal, state, and local laws.
All offers of employment are contingent upon successful completion of a pre-employment background check and drug screening. All qualified applicants with arrest or conviction records will be considered for employment in accordance with federal, state or local requirements such as the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. Employees must be authorized to work in the US and employment is contingent upon presentation of acceptable documents as evidence of identity and employment authorization, as detailed on Form I-9.
Terra-Gen provides a comprehensive benefits package that promotes employee ownership, employee health, performance, and success, which includes medical, dental, vision, short and long-term disability, life insurance, an employee assistance program, paid time off, paid holidays, and 401(k) retirement savings plan with employer match.
The posted compensation is the range that we in good faith anticipate relying on when setting wages for this position. We may ultimately pay more or less than the posted range and this range is only applicable for jobs to be performed in California. This salary range may also be modified in the future, depending upon skills, experience, education, and geographical location.
Government Programs Compliance Specialist, Consultant
Posted 2 days ago
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Job Description
Your Role
The Promise Medi-Cal Compliance team oversees and coordinates Blue Shield Promise Health Plan's (BSCPHP) compliance program. The Government Programs Compliance Specialist, Consultant will report to the Government Programs Compliance Senior Manager. In this role you will provide assistance with driving and managing the identification and scoping of impacts across cross-functional business areas due to ongoing, newly enacted, or federal and state regulatory requirements.
Your Knowledge and Experience
- Requires a college degree or equivalent experience
- Requires a minimum of 7 years of prior relevant experience
- Requires extensive experience in the compliance department for a managed care health plan
- Extensive and expert knowledge of Knox-Keene Act, California Code of Regulations Titles 22 and 28, and Code of Federal Regulations Title 42 regulatory compliance standards and processes
- Strong analytical and investigative skills including risk assessment, mitigation and corrective actions plans
- Experience working directly with the California Department of Health Care Services and the California Department of Managed Health Care
- Competent in Excel, PowerPoint, and SharePoint
- Professional certifications and additional degrees a plus
Government Programs Compliance Specialist, Consultant
Posted 2 days ago
Job Viewed
Job Description
Your Role
The Promise Medi-Cal Compliance team oversees and coordinates Blue Shield Promise Health Plan's (BSCPHP) compliance program. The Government Programs Compliance Specialist, Consultant will report to the Government Programs Compliance Senior Manager. In this role you will provide assistance with driving and managing the identification and scoping of impacts across cross-functional business areas due to ongoing, newly enacted, or federal and state regulatory requirements.
Your Knowledge and Experience
- Requires a college degree or equivalent experience
- Requires a minimum of 7 years of prior relevant experience
- Requires extensive experience in the compliance department for a managed care health plan
- Extensive and expert knowledge of Knox-Keene Act, California Code of Regulations Titles 22 and 28, and Code of Federal Regulations Title 42 regulatory compliance standards and processes
- Strong analytical and investigative skills including risk assessment, mitigation and corrective actions plans
- Experience working directly with the California Department of Health Care Services and the California Department of Managed Health Care
- Competent in Excel, PowerPoint, and SharePoint
- Professional certifications and additional degrees a plus
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Government Programs Compliance Specialist, Consultant
Posted 6 days ago
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Job Description
Your Role
The Promise Medi-Cal Compliance team oversees and coordinates Blue Shield Promise Health Plan's (BSCPHP) compliance program. The Government Programs Compliance Specialist, Consultant will report to the Government Programs Compliance Senior Manager. In this role you will provide assistance with driving and managing the identification and scoping of impacts across cross-functional business areas due to ongoing, newly enacted, or federal and state regulatory requirements.
Your Knowledge and Experience
- Requires a college degree or equivalent experience
- Requires a minimum of 7 years of prior relevant experience
- Requires extensive experience in the compliance department for a managed care health plan
- Extensive and expert knowledge of Knox-Keene Act, California Code of Regulations Titles 22 and 28, and Code of Federal Regulations Title 42 regulatory compliance standards and processes
- Strong analytical and investigative skills including risk assessment, mitigation and corrective actions plans
- Experience working directly with the California Department of Health Care Services and the California Department of Managed Health Care
- Competent in Excel, PowerPoint, and SharePoint
- Professional certifications and additional degrees a plus
#J-18808-Ljbffr
Government Programs Compliance Specialist, Consultant
Posted 6 days ago
Job Viewed
Job Description
Your Role
The Promise Medi-Cal Compliance team oversees and coordinates Blue Shield Promise Health Plan's (BSCPHP) compliance program. The Government Programs Compliance Specialist, Consultant will report to the Government Programs Compliance Senior Manager. In this role you will provide assistance with driving and managing the identification and scoping of impacts across cross-functional business areas due to ongoing, newly enacted, or federal and state regulatory requirements.
Your Knowledge and Experience
- Requires a college degree or equivalent experience
- Requires a minimum of 7 years of prior relevant experience
- Requires extensive experience in the compliance department for a managed care health plan
- Extensive and expert knowledge of Knox-Keene Act, California Code of Regulations Titles 22 and 28, and Code of Federal Regulations Title 42 regulatory compliance standards and processes
- Strong analytical and investigative skills including risk assessment, mitigation and corrective actions plans
- Experience working directly with the California Department of Health Care Services and the California Department of Managed Health Care
- Competent in Excel, PowerPoint, and SharePoint
- Professional certifications and additional degrees a plus
#J-18808-Ljbffr
Government Programs Compliance Specialist, Consultant
Posted 10 days ago
Job Viewed
Job Description
Your Role
The Promise Medi-Cal Compliance team oversees and coordinates Blue Shield Promise Health Plan's (BSCPHP) compliance program. The Government Programs Compliance Specialist, Consultant will report to the Government Programs Compliance Senior Manager. In this role you will provide assistance with driving and managing the identification and scoping of impacts across cross-functional business areas due to ongoing, newly enacted, or federal and state regulatory requirements.
Responsibilities
Your Work
In this role, you will:
- Provides assistance with driving and managing the identification and scoping of impacts across cross-functional business areas due to ongoing, newly enacted, or federal and state regulatory requirements
- Work collaboratively and advises diverse business areas across the enterprise on the development of legally compliant solutions for newly enacted or revised Medi-Cal requirements
- Support the implementation of quality, repeatable, and documented CMS, DMHC and DHCS regulatory compliance processes
- Conduct decision-making guided by resource availability and functional objectives
- Conduct audits of complex issues independently
- Conducts calibration of risk and controls with business units supporting the Medi-Cal line of business
- Escalates and proposes resolution for low to moderately complex CMS, DMHC and DHCS regulatory and process issues
- Develops, prepares, and presents low to complex analyses, reports, and recommendations on Medi-Cal requirements to department management
- Supports day-to-day operations of the Medi-Cal Compliance department
- Supports other Medi-Cal Compliance department initiatives and projects
Your Knowledge and Experience
- Requires a college degree or equivalent experience
- Requires a minimum of 7 years of prior relevant experience
- Requires extensive experience in the compliance department for a managed care health plan
- Extensive and expert knowledge of Knox-Keene Act, California Code of Regulations Titles 22 and 28, and Code of Federal Regulations Title 42 regulatory compliance standards and processes
- Strong analytical and investigative skills including risk assessment, mitigation and corrective actions plans
- Experience working directly with the California Department of Health Care Services and the California Department of Managed Health Care
- Competent in Excel, PowerPoint, and SharePoint
- Professional certifications and additional degrees a plus
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.
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 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.