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# Network Compliance Manager, Principal

- **Company:** Blue Shield of California
- **Location:** El Dorado Hills, CA, United States (Remote available)
- **Experience:** Expert
- **Salary:** $137,720.0 - $206,690.0
- **Contract:** Permanent contract
- **Skills:** Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Computer Network Operations
- **Published:** October 18, 2026
- **Apply:** https://www.indeed.com/viewjob?jk=940951c820c00868

## About the Role

* Bachelor's degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree
 + 10 years of prior relevant experience
 + 5+ years of progressive experience in health plan compliance, required
 + DMHC experience and block transfer experience strongly preferred
 + Strong interpersonal and verbal and written communication skills
 + Works independently under limited supervision
 + Detail oriented and has the ability to deal with complexity, compressed timelines and shifting priorities
 + Advanced proficiency with MS Office products is required, including Word, PowerPoint and Excel.
 + CHC designation or another related credential preferred

## Description

* Develop and sustain positive relationships with state regulators, i.e. DMHC and CDI; DHCS; and plan partner LA Care, while acting as project contact with authority to exercise judgement in resolving concerns for the company
 * Operationalize the enactment of new and existing State requirements affecting Commercial, Medicare Advantage, and State-Sponsored Business
 * Manages all aspects of commercial and state-sponsored Block Transfer and Timely Access Report filings for State review, such as Transition Planning due to network provider terminations, and facilitation of related member notification processes
 * Assists other departments with compliance-related tasks, such as enrollee reassignments, Timely Access Reporting filings, Material Modification Filings, and other State filings
 * Manage compliance reporting, for commercial and state-sponsored business, e.g. Timely Access Reporting (TAR) and related analytical analysis; as well as presenting results to internal departments, committees, and external organizations
 * Develop and update policies and procedures relative to State filing requirements. Submits policies for review and responds to comments or objections.
 * Ensures compliance with State/Federal orders and finds solutions to ensure compliance that optimizes company operations relative to imposed conditions or undertakings
 * Provides guidance, direction, training and assistance as needed on matters related to regulators
 * Responsible for proactively improving upon existing processes and systems using significant conceptualizing, reasoning and interpretation. Results may serve as precedent for future decisions, Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.