Director, Mandates Control

Job Description

Your Role

The Director of the Mandates Control Group (MCG) will oversee the team responsible for analyzing new laws and regulations and their implications for affected business areas, reporting directly to the Vice President and Deputy General Counsel. In this role, you will manage the intake process for new mandates, ensuring a smooth handoff to the project management team. Additionally, you will prepare and present reports to the Deputy General Counsel, business executive leaders, and Senior Leadership, as well as provide updates for the Board.

Responsibilities

Your Work

In this role, you will:

• Provide strategy, leadership, direction and oversight for day-to-day operations of the Mandates Control Group at Blue Shield and Promise Health Plan
• Develop processes and provide direction and oversight to ensure mandate impacts are appropriately scoped and selected compliant options are legally compliant, fiscally responsible and operationally sustainable
• Develop processes to ensure impacted business units and stakeholders, business impact statements, identified risks and mitigation plans are documented in a controlled document
• Advise business areas on mandate compliant options
• Ensure implementation timing, risks and benefits are identified, escalated and mitigated
• Serve as an escalation point for at risk or non-compliant mandates
• Ensure compliance is met or corrective action plans are implemented to close identified gaps
• Provide visibility and transparency for mandates implementation & compliance status
• Drive a mandates compliance culture, where non-compliance with mandates is non-negotiable and 100% mandates compliance is achieved and sustained
• Ensure ongoing alignment with Blue Shield CA and Promise Health Plan strategy and company objectives, as well as interdependencies across business units
  
  

Qualifications

Your Knowledge and Experience

• Requires a college degree or equivalent experience and minimum 10 years of prior relevant experience, inclusive of significant compliance or regulatory experience in a healthcare/managed care environment
• Requires 6 years of management experience
• Juris Doctorate (JD), MBA or graduate degree in healthcare administration, policy or related field is preferred.
• Requires extensive managerial level experience in legal services and health care, policy or privacy
• Requires demonstrated ability to conduct and interpret quantitative and qualitative analyses
• Requires demonstrated ability to influence and work collaboratively with diverse business areas to design legally compliant, operationally effective, fiscally responsible and operationally sustainable solutions to legislative and/or regulatory issues
• Requires broad management knowledge to lead project teams in one department/function or large centralized function
• Requires business acumen, strategic thinking, financial analytical skills and decision-making skills
• Requires in-depth knowledge of Blue Shield of California and Promise Health Plan mission, vision and strategy and healthcare industry environment
  
  

About The Team

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 isa 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:
• Member-facing and approved out-of-state roles remain remote.
• Employees living more than 50 miles from their assigned offices are expected to work with their managers on a plan for periodic office visits.
• 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.