Audit and Compliance Analyst - Remote

Overview

Audit and Compliance Analyst - Remote. The HCS Audit and Compliance Analyst handles various elements of program compliance, policy development auditing, monitoring and report development within the Health Care Services teams including Care Management and Utilization Management. Providence Health Plan caregivers are not simply valued – they’re invaluable. This position offers 100% remote work for candidates residing in Oregon, Washington, or California.

• Handle various elements of program compliance, policy development auditing, monitoring and report development within Health Care Services teams including Care Management and Utilization Management.

• Bachelor's Degree in Business Administration, Healthcare Administration, or other related field, or comparable experience in lieu of a bachelor’s degree.
• 3 years of demonstrated successful experience working with administrative, policy and/or operational aspects of managed care.
• Proven track record of assessing program compliance and establishing auditing and monitoring protocols.
• 3 years of experience in project management, data analysis and policy and procedure development.
• Experience with managed care regulatory compliance matters in one or more of the following lines of business:
  Medicare, Medicaid, Commercial.
• 1 year of experience in technical or operational policy & procedure writing as it relates to regulatory requirements and accreditation standards.

• Experience with CMS and State Medicaid regulations and programs as they relate to Medical Management.

• California:
  Humboldt — Min: $37.17, Max: $57.71
• California:
  All Northern California - Except Humboldt — Min: $41.70, Max: $64.75
• California:
  All Southern California - Except Bakersfield — Min: $37.17, Max: $57.71
• California:
  Bakersfield — Min: $35.66, Max: $55.37
• Oregon:
  Non-Portland Service Area — Min: $33.24, Max: $51.61
• Oregon:
  Portland Service Area — Min: $35.66, Max: $55.37
• Washington:
  Western - Except Tukwila — Min: $37.17, Max: $57.71
• Washington:
  Southwest - Olympia, Centralia & Below — Min: $35.66, Max: $55.37
• Washington:
  Tukwila — Min: $37.17, Max: $57.71
• Washington:
  Eastern — Min: $31.73, Max: $49.27
• Washington:
  South Eastern — Min: $33.24, Max: $51.61

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” We provide best-in-class benefits and foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Our 120,000 caregivers 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.

Our best-in-class benefits are 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.

Providence offers a comprehensive benefits package including a retirement 401(k) with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits, voluntary benefits, and well-being resources. Applicants in the Unincorporated County of Los Angeles:
Qualified applications with arrest or conviction records will be considered in accordance with local Fair Chance Ordinances and the California Fair Chance Act.

Providence Shared Services provides a variety of functional and system support services across our family of organizations. We are focused on supporting our Mission by delivering a robust foundation of services and expertise.

Providence is proud to be an Equal Opportunity Employer. We are committed to a workplace free from discrimination and harassment and value diversity.

Requisition : 412963

Company: Providence Jobs

Job Category: Compliance

Job Function: Legal/Compliance/Risk

Job Schedule: Full time

Job Shift: Day

Career Track: Business Professional

Department: 5018 HCS ADMINISTRATION OR REGION

Address: OR Portland 4400 NE Halsey St

Work Location: Providence Health Plaza (HR) Bldg 1-Portland

Workplace Type: Remote

Pay Range: see posting