Audit and Compliance Analyst *Hybrid*
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About The Position
Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team 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. Providence Health Plan is calling an Audit and Compliance Analyst who will handle various elements of program compliance, policy development auditing, monitoring and report development within the Health Care Services teams including Care Management and Utilization Management. The role involves working as a liaison for external delegated entities to provide operational support in addition to auditing and monitoring delegated functions. The Analyst will work with the Regulatory Compliance & Government Affairs department (RCGA) to evaluate state and federal regulations as they apply to Health Care Services and the various lines of business. Close collaboration with the Clinical Analytics and Information Systems teams is essential to develop, review and validate internal and external audit reports. The Analyst will assist teams with the review and interpretation of regulatory guidance and requirements as well as policy and procedure development. Additionally, the role requires working closely with business partners and delegates, providing monitoring and oversight of their activities as they relate to Providence Health Plans to ensure compliance with all regulatory requirements, accreditation standards for the National Committee for Quality Assurance (NCQA) and meeting all client Service Level Agreements (SLA's).
