Audit and Compliance Analyst - Hybrid

Providence • Portland, OR

20h • Hybrid

About The Position

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.

Requirements

• 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.

Nice To Haves

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

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level