IT Compliance and Process Governance Specialist at Blue Shield of CA in San Diego, California

Job Description:

Blue Shield of California's mission is to ensure all Californians have access to high-quality health care at a sustainably affordable price. We are transforming health care in a way that truly serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.

To fulfill our mission, we must ensure a diverse, equitable, and inclusive environment where all employees can be their authentic selves and fully contribute to meet the needs of the multifaceted communities we serve. Our comprehensive approach to diversity, equity, and inclusion combines a focus on our people, processes, and systems with a deep commitment to promoting social justice and health equity through our products, business practices, and presence as a corporate citizen.

Blue Shield has received awards and recognition for being a certified Great Place to Work, best place to work for LGBTQ equality, leading disability employer, one of the best companies for women to advance, Bay Area's top companies in volunteering & giving, and one of the world's most ethical companies. Here at Blue Shield of California, we are striving to make a positive change across our industry and the communities we live in - join us!

Your Role

The IT Shared Services team is responsible for delivery services, quality engineering, release, and change management. The IT Compliance and Process Governance Specialist will report to the Sr Manager of IT Process Governance. In this role you will be responsible to ensure IT Shared Services is audit ready and all the corrective action plans are remediated in a timely manner. In addition, you will help drive the flow of delivery with continuous process governance improvements. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Work

In this role, you will:

Have the following IT Process Governance responsibilities:

• Support and drive IT shared process governance forum in support of Business and IT roadmap initiatives.


• Produce and maintain a prioritized portfolio / backlog of process improvement opportunities.


• Share backlog with respective Process SMEs to inform prioritization and implementation of process refinement / changes


• Collaborate across Process SMEs, as needed, to ensure overall process workflows are optimally designed for delivery excellence


• Facilitate resolution of conflicts among key stakeholders (e.g., Portfolio Lead, Product Owner) and serve as an escalation point for process SMEs


• Manage processes maturity, including defining process KPIs, baselining and performance measurement

Have the following IT Compliance / Audit responsibilities:

• Proactively lead identification and scoping of impacts across IT Shared Services organizational units due to newly enacted or revised government regulations or industry standards; Blue Cross Blue Shield Association policies; and Covered California or other customer contractual requirements


• Work collaboratively and advise single or multiple teams across IT on the development of compliant solutions for newly enacted or revised policies and related controls


• Document final compliance solutions, identified risks and mitigation plans in a controlled document


• Monitor implementation to ensure on track, risks are identified, mitigation plans are developed; escalates as appropriate


• Support the implementation of quality, repeatable and documented compliance and risk management processes


• Conduct IT Policy adherence and Controls effectiveness verification, compliance assessments and risk assessments; where gaps are identified, validate quality, timeliness and progress of corrective action or mitigation plans


• Escalate and propose resolution for moderately complex control effectiveness, compliance, risk, and process issues


• Develop, prepare and present low to medium complexity analyses, reports and recommendations, to IT Policy and Controls, Compliance and Risk Management and other stakeholders


• Support day to day operations of IT Policy and Controls, Compliance and Risk Management


• Support other IT Policy and Controls, Compliance and Risk Management initiatives and projects and performs other duties as assigned


• Partner with other IT Compliance and Risk Management team members regarding technology risks


• Other duties as assigned

Your Knowledge and Experience

• Requires a college degree or equivalent experience and minimum 7 years of prior relevant experience


• Requires thorough experience in development of IT policy and associated control definitions. Includes experience in defining and designing and testing operational process and procedures, and associated documentation and artifacts


• Requires extensive experience in IT compliance and/or risk management and health care


• Requires excellent analytical and problem-solving skills


• Requires deep knowledge of job area typically obtained through advanced education combined with experience


• Typically, viewed as a specialist within discipline. May have broad knowledge of project management

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 be our authentic selves, listening and communicating effectively, and showing empathy towards others by walking in their shoes


• 
  Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals

Additional Information

• About Company:
  o About Blue Shield of California: For more than 80 years, Blue Shield has been dedicated to transforming health care by making it more accessible, cost-effective, and customer-centric. We are a not-for-profit, independent member of the Blue Cross Blue Shield Association with 7,500 employees, more than $21 billion in annual revenue and 4.5 million members. The company has contributed more than $500 million to the Blue Shield of California Foundation since 2002 to have a positive impact on California communities. Blue Shield is headquartered in Oakland, California with 21 additional locations including Sacramento, Los Angeles, and San Diego.
  o Our Benefits: At Blue Shield you can expect a comprehensive benefits program that offers choice and flexibility for our diverse workforce. These programs and resources include: Medical, Dental, and Vision plan benefits, 401(k) with employer match, paid time off (PTO), earned sabbatical time, paid nonprofit volunteer time, flexible work program, free online education, tuition reimbursement, a wellness reimbursement program, 12 weeks paid parental leave, and more.










• 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.
















• EEO Footer:
  o EEO Footer: 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. 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.
  o Accommodations: Blue Shield is committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, services, programs and activities. To request a reasonable accommodation prior to your interview, please contact RehabWest, Inc at (760)759-7500.











• Requisition ID: 21002KQ













• Posting Date: Sep 14, 2021











• Schedule: Full-time

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