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Compliance and Ethics Program Specialist, Principal

Blue Shield of CA
United States, California, Oakland
601 12th Street (Show on map)
Aug 21, 2025

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.

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

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