Jobs at BSC Industries, Inc.

Oversee complex audits and assessments of delegated healthcare entities, including provider groups, vendors, and IPAs. Review regulatory compliance with CMS, DHCS, DMHC, NCQA, and contractual requirements; investigate reporting, internal controls, claims, credentialing, and financial solvency. Lead corrective action oversight, special audits, regulatory responses, delegate education, technical assistance, policy development, audit tools, and staff training.

Owns the vision, strategy, and roadmap for internal platform products and shared technology capabilities. Leads complex platform outcomes, partners with engineering and architecture on scalability, security, resiliency, and cost decisions, defines KPIs and OKRs, drives adoption, manages cross-portfolio dependencies, ensures solution readiness, and mentors product managers.

Provides high-level administrative and analytical support to executive leadership. Responsibilities include complex calendar and meeting management, executive correspondence, board materials, stakeholder liaison work, issue analysis, reporting, cross-functional follow-up, travel coordination, expense reporting, and safeguarding confidential information.

Conduct Medicare Advantage and Part D compliance reviews, audits, risk assessments, and corrective action monitoring. Evaluate member and marketing materials for CMS and DHCS compliance, document risks and mitigation plans, communicate regulatory updates, support business inquiries, maintain audit calendars and compliance resources, and prepare analyses and recommendations for stakeholders. The role also supports risk and control calibration and participates in cross-functional projects.

Manages provider dispute resolution and No Surprise Billing operations across Commercial, Medi-Cal, and Medicare lines of business. Oversees onshore and offshore teams, inventory, compliance, audit readiness, cost management, process efficiency, training, and strategic initiatives. Partners with regulatory audit leadership and cross-functional teams to improve procedures, reduce dispute drivers, and ensure timely, accurate case resolution.

Design, develop, deploy, and support secure, scalable mobile applications and cloud-native solutions. Build React Native applications, integrate REST APIs, improve performance and reliability, and apply mobile security best practices. Drive automation, CI/CD, DevSecOps, incident management, observability, and cloud operations using AI-enabled tools and Infrastructure as Code. Collaborate with stakeholders and vendors, influence technical decisions, and continuously improve engineering practices and platform capabilities.

Designs, develops, deploys, and supports secure, scalable mobile applications and cloud-native solutions. Builds React Native applications and integrates native iOS or Android capabilities, REST APIs, authentication, secure storage, and performance optimization. Drives reliability through CI/CD, monitoring, automation, incident management, and DevSecOps. Coordinates integrations across platforms, applies AI-enabled development practices, and influences technical decisions while collaborating with stakeholders and vendors.

Leads operational and analytical workstreams for employee engagement, pulse, lifecycle, and onboarding listening programs. Responsibilities include survey administration, employee feedback analysis, reporting and dashboard development, data validation, process improvement, quality controls, stakeholder coordination, intranet communications, and maintenance of enablement materials. The role partners across People, Communications, Technology, and Workplace Experience teams to improve employee experiences and scale listening programs.

Leads formulary implementation and maintenance across Commercial, Exchange, and Medicare lines of business. Maintains drug databases, utilization management edits, procedures, reports, and regulatory documentation. Coordinates with internal departments and external pharmacy benefit vendors, validates claims, supports CMS submissions, develops formulary materials, and ensures configuration and operational workflows comply with business rules, audits, and state and federal regulations.

Leads formulary implementation and maintenance across Commercial, Exchange, and Medicare lines of business. Maintains formulary databases, utilization management edits, procedures, reports, and regulatory documentation. Coordinates with pharmacy claims adjudicators, vendors, analytics, benefits, compliance, communications, and other stakeholders. Validates claims, identifies system and workflow issues, supports CMS and state submissions, develops formulary materials, and ensures implementation complies with business rules and regulatory requirements.

Leads complex product implementation programs from intake through resolution, including requirements gathering, business cases, governance, prioritization, resourcing, risk mitigation, stakeholder coordination, and issue resolution. Advises Product leadership, coaches project managers, documents processes and solutions, reports program status, and improves operational workflows and standards across multiple business areas.

Design, develop, and enhance Oracle Fusion Financials solutions (GL, AP, Cash), build integrations (REST/SOAP, FBDI, OIC), troubleshoot production issues, support financial close processes, migrate or cross-train to Workday, document solutions, and mentor junior staff.

Lead design and delivery of scalable, secure full‑stack features and services. Build maintainable front-end and backend code, implement integrations and data models, enable cloud-native CI/CD workflows, use containers and IaC, and act as a technical leader influencing architecture and delivery across teams while leveraging AI-assisted tools.

Manage the full lifecycle of macOS workstations and iOS/Android mobile devices using JAMF and Microsoft Intune. Responsibilities include device enrollment, configuration, software deployment, patching, application enablement, security and SSO controls, third-level support, incident response, audit and disaster recovery participation, remediation, architecture and project engagement, and maintaining platform standards and documentation.

Performs month-end close activities, including journal entries, account reconciliations, accruals, balance-sheet fluctuation analysis, and financial reporting. Researches and resolves complex accounting discrepancies, supports audits, collaborates with IT and internal departments on system and data issues, and contributes to accounting requirements for new products and system implementations. Maintains accounting procedures and provides schedules, analyses, and ad hoc project support to management.

Supports healthcare commercial compliance oversight by validating regulatory mandate implementation, reviewing compliance artifacts, conducting audits, identifying execution gaps, recommending corrective actions, and preparing analyses for senior leadership. Advises cross-functional stakeholders on regulatory changes, researches complex compliance matters, and helps improve compliance processes, tools, reporting, governance, and audit readiness.

Oversee compliance with HIPAA, HITECH, CMIA, TCPA, and other privacy requirements. Lead privacy investigations, root-cause analysis, mitigation, corrective actions, and case documentation. Provide privacy guidance on projects, respond to inquiries, develop training and policies, support regulatory audits and reviews, and evaluate disclosures or third-party access to protected health information.

Leads enterprise growth strategy governance, strategic planning, portfolio prioritization, and performance management across markets and business units. Facilitates executive governance forums, develops roadmaps and operating plans, tracks risks and outcomes, coordinates cross-functional initiatives, builds business cases, and prepares executive- and board-level materials. Requires strong healthcare growth strategy experience, executive communication skills, and the ability to drive alignment and accountability across senior leaders.

Develop and maintain custom employer health plan designs and member documents for RFPs, renewals, and implementations. Apply knowledge of healthcare products, benefits, regulations, and mandates while collaborating with Sales and cross-functional stakeholders. Analyze and test web-based system requirements, support workflow improvements and change management, track quality and progress, coordinate peer processes, and guide continuous improvement for medium-complexity custom and self-funded products.

Leads an engineering team delivering secure, scalable, reliable technology solutions. Oversees planning through release, staffing, performance management, technical decision-making, risk resolution, stakeholder alignment, and delivery health. Partners with Product, Architecture, Security, Platform, QA, vendors, and business teams. Promotes cloud-native development, CI/CD, automation, testing, observability, maintainability, secure practices, and continuous improvement while fostering accountability, collaboration, communication, and team growth.