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Manager Compliance - Clinical Program Services

Job Description - Manager Compliance - Clinical Program Services

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.



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