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Director, Provider Compliance

salary Salary :

$141,045 - 205,025 yearly

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Number of Applicants

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000+

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Job Description - Director, Provider Compliance

Join a team that shares your calling 

At MultiCare, you’re more than just a job title — you’re part of a team built on trust that cares for each other, our patients and our communities. Belonging here means living our mission and values every day. If your purpose and passions align with ours, you’ll find a place to grow, do meaningful work and build a career you love in a community that feels like home. 

FTE: 1.0, Shift: Day, Schedule: Business Hours

Position Summary

The Director of Provider Compliance is responsible for the implementation of the comprehensive Provider Compliance Program. The role will advise leaders and team members on matters that contribute to adherence of regulatory matters impacting provider agreements and compensation. The leader will support business enablement and value creation while utilizing a predictive approach to risk management.

Responsibilities:

  • Develop and execute provider compliance program activities to include contract review and consultation, compensation audits and reviews, policy develop and education, and issue management.
  • Oversee the provider compliance program risk assessment process. Collaborate with leaders to implement appropriate monitoring activities to validate adherence to regulatory and contractual matters.
  • Participate in conversations to analyze and review compensation matters, (i.e., fair market value, payment practices, documentation, etc.).
  • Develop action plans in response to internal audits, external reviews and government inquiries.
  • Monitor and provide guidance for regulatory changes. Collaborate with appropriate leadership to ensure changes are implemented as necessary.
  • Oversee compliance with provider-based departments requirements.
  • Chair and/or participate in compliance committees.

Requirements:

  • Bachelor’s degree in accounting, finance, business, legal studies or related field required
  • Graduate degree in business, finance, health care management or related field or advanced certification preferred
  • Certification preferred (CHC, CPA, CIA, CFE)
  • Minimum eight (8) years of professional experience in compliance, auditing, legal, accounting or finance in the health care industry
  • Minimum five (5) years of experience in a supervisory or lead capacity

Why MultiCare? 

 

Rooted in the local community 

Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years. 

 

Growth and education 

Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in you. 

 

Well-being and support 

Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared in your work and life. 

 

Living our values 

Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other. 

 

Belonging for all 

Resource Groups and outreach programs help ensure every team member feels safe, seen, heard and valued. 

 

Pacific Northwest lifestyle 

Work and live where natural beauty, adventure and strong community connections are part of everyday life.

Pay and Benefit Expectations

We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $141,045.00 - $205,025.60 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align.

Associated benefit information can be viewed here.

Original job Director, Provider Compliance posted on GrabJobs ©. To flag any issues with this job please use the Report Job button on GrabJobs.
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