Providence St. Joseph Healthposted 4 months ago
Full-time - Mid Level
Remote - Renton, WA
10,001+ employees
Management of Companies and Enterprises
About the position
The Compliance Specialist, Medicare at Providence Health Plan is responsible for ensuring regulatory compliance within the Medicare health plan business. This role involves evaluating state and federal laws, advising internal stakeholders, and serving as a subject matter expert on regulatory requirements. The position is fully remote for applicants residing in specific states and plays a crucial role in maintaining the health plan's legal and financial obligations.
Responsibilities
- Handle various aspects of regulatory compliance activities for the Medicare health plan business.
- Evaluate new and existing state and federal laws and regulations and contracts to advise internal customers.
- Represent the Regulatory Compliance, Risk Management, and Government Affairs Department in internal implementation processes.
- Serve as an internal subject matter expert regarding regulatory requirements and contractual obligations.
- Analyze legal and contractual obligations, and complex regulatory reporting requirements.
Requirements
- Bachelor's Degree or a combination of equivalent education and experience.
- 4+ years of relevant health care, health insurance, regulatory compliance, or legal experience, or experience in another regulated industry.
- 4+ years of experience in two of the following areas: process implementation and improvement, policy and procedure development, technical or legal writing, written customer communications.
Nice-to-haves
- 2+ years of experience analyzing legal and contractual obligations, and complex regulatory reporting requirements.
- Part D Compliance Medicare Experience.
Benefits
- 401(k) Savings Plan with employer matching
- Health care benefits (medical, dental, vision)
- Life insurance
- Disability insurance
