Director, Mandates Control

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.

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

 

Your Knowledge and Experience
 

 

• Requires at least 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
• Requires a Juris Doctorate (JD), MBA or graduate degree in healthcare administration, policy or related field
• 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