Audit and Compliance Analyst - Hybrid

Providence St. Joseph Health

Renton, WA

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JOB DETAILS

JOB TYPE

Full-time, Employee

SKILLS

Accreditation Standards, Analysis Skills, Auditing, Best Practices, Business Administration, Centers for Medicare and Medicaid Services (CMS), Community and Social Services, Customer Support/Service, Data Analysis, Diversity, Federal Laws and Regulations, Genetics, Health Plan, Healthcare, Healthcare Administration, Hospital, Legal, Maintain Compliance, Managed Care, Medicaid, Medicare, Operations Processes, Policy Development, Procedure Development, Program Evaluation, Project/Program Management, Regulatory Compliance, Regulatory Requirements, Risk, Social Work, State Laws and Regulations, Systems Administration/Management, Utilization Management

LOCATION

Renton, WA

POSTED

30+ days ago

Description

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 caregivers are not simply valued - they're invaluable. Join our team at Providence Health Plan Partners 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 Business Administration, Healthcare Administration, or other related field., Or Consideration may be given for candidates who have 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 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 experience in technical or operational policy & procedure writing as it relates to regulatory requirements and accreditation standards.

Preferred Qualifications:

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

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.

About Providence

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.

About the Team

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

Requsition ID: 417452

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: On-site

Pay Range: $35.66 - $55.37

The amounts listed 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 is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

About the Company

Providence St. Joseph Health

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