Blue Shield of California

Healthcare Compliance Specialist

Blue Shield of California

Irvine, CA, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

Blue Shield of California is seeking an experienced, reliable, and detail-oriented Healthcare Compliance Specialist to join our team. In this role, you will be responsible for ensuring that Blue Shield of California complies with relevant healthcare regulations and laws.The ideal candidate should have at least five years of experience in healthcare compliance, preferably in the insurance industry. You must be able to quickly familiarize yourself with relevant regulations and be comfortable working with a wide range of departments. An in-depth understanding of healthcare compliance principles is a must.Your excellent communication skills and ability to collaborate with cross-functional teams will be essential for success in this role. You should also have strong organizational and problem-solving skills, as well as the ability to work independently and manage multiple projects at once.If you have the qualifications, knowledge, and skills necessary to excel in this role, we invite you to apply and join a team dedicated to helping our members achieve their best health.

Responsibilities:

  1. Ensure compliance with relevant healthcare regulations and laws for Blue Shield of California.
  2. Quickly familiarize yourself with relevant regulations and be comfortable working with a wide range of departments.
  3. Provide excellent communication with cross-functional teams.
  4. Have strong organizational and problem-solving skills.
  5. Ability to work independently and manage multiple projects at once.
  6. Monitor and track changes in healthcare regulations and laws.
  7. Develop and implement policies and procedures to ensure compliance.
  8. Collect and analyze data to identify compliance risks.
  9. Train and educate staff on compliance matters.
  10. Prepare compliance reports and provide updates to management.
Where is this job?
This job is located at Irvine, CA, USA
Job Qualifications
  • Knowledge Of Healthcare Compliance Regulations

  • Excellent Interpersonal And Communication Skills

  • Proven Analytical And Problem-Solving Capabilities

  • Strong Understanding Of The Business Operations Of Blue Shield Of California

  • Ability To Develop And Implement Compliance Policies

  • Ability To Identify Areas Of Non-Compliance

  • Ability To Work Collaboratively With Staff And Stakeholders

  • Experience In Developing And Managing Healthcare Compliance Programs

Required Skills
  • Documentation

  • Insurance

  • Training

  • Quality

  • Negotiation

  • Auditing

  • HIPAA

  • Reporting

  • Compliance

  • Analysis

  • Regulatory

  • Risk

  • Policies

  • Procedures

  • Investigations

Soft Skills
  • Communication

  • Leadership

  • Time management

  • Interpersonal Skills

  • creativity

  • Critical thinking

  • Organizational skills

  • Teamwork

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Healthcare Compliance Specialist in Irvine, CA, USA is between $65,000 and $90,000 per year. This range is based on the salaries of current job postings for the position in the area.

Additional Information
Blue Shield of California is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedJune 12th, 2023
Apply BeforeMay 22nd, 2025
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About Blue Shield of California

Blue Shield of California is a health plan provider founded in 1939 and based in Oakland, California. The organization serves over 4 million health plan members and nearly 65,000 physicians across the state. Blue Shield of California was founded by the California Medical Association.

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