Manager Compliance - Clinical Program Services
- Portland, OR, United States
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Job details
- Posting language
- English
- Posted
Original job description
This is a hybrid position and requires residence in Washington (Seattle) or Oregon (Portland). The PACE Compliance Manager oversees and coordinates regulatory compliance, audit readiness, monitoring, reporting, and corrective action activities for the PACE program. The position administers compliance program activities and partners with executive, compliance, operational, and clinical leaders to identify and mitigate risk, sustain readiness for CMS and state oversight, and support adherence to the PACE Program Agreement and applicable federal and state requirements, including 42 CFR Part 460. The role provides objective guidance, validates regulatory submissions and audit data, and communicates compliance performance to leadership, QAPI structures, and the governing body. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence PACE Oregon and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required Qualifications:
- Bachelor's Degree in Healthcare, Business Administration, Accounting, Finance, Management Information Systems, Compliance, or a related field Or equivalent educ/experience
- Driving is a necessary as part of this role. Caregivers are required to comply with all state laws and requirements for driving. Caregivers will be expected to provide proof of driver license and auto insurance upon request. See policy for additional information.
- 6 years Progressive healthcare compliance, privacy, regulatory, quality, or audit experience.
- 4 years Leadership experience, which can be met by direct supervisory experience, lead experience, project management experience, or other related experience.
- Internal or external audit, healthcare administration, information security, accounting, finance, or related experience may substitute for a portion of compliance experience consistent with organizational standards.
Preferred Qualifications:
- Master's Degree in Business Administration, Healthcare Administration, Compliance, Public Administration, Public Policy, or a related field or,
- J.D.
- Healthcare experience, including experience interpreting and operationalizing federal or state regulatory requirements.
- Experience with PACE, Medicare, Medicaid, CMS audits, State Administering Agency reviews, audit universe development, mock audits, corrective action plans, and regulatory submissions.
- Experience presenting compliance, audit, or quality information to executive leadership, QAPI committees, compliance committees, or a governing body.
Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.
At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.