Manager Compliance - Clinical Program Services

Providence•Portland, OR
•Hybrid

About The Position

The PACE Compliance Manager oversees and coordinates regulatory compliance, audit readiness, monitoring, reporting, and corrective action activities for the PACE program. The position administers compliance program activities and partners with executive, compliance, operational, and clinical leaders to identify and mitigate risk, sustain readiness for CMS and state oversight, and support adherence to the PACE Program Agreement and applicable federal and state requirements, including 42 CFR Part 460. The role provides objective guidance, validates regulatory submissions and audit data, and communicates compliance performance to leadership, QAPI structures, and the governing body. This is a hybrid position requiring residence in Seattle, Washington, or Portland, Oregon. Driving is necessary as part of the role; caregivers must comply with state driving laws and requirements and provide proof of a driver license and auto insurance upon request. Providence describes its culture as patient-focused, whole-person care built on understanding, commitment, and mutual respect. Its benefits are designed to support employees and their families in staying well, growing professionally, and achieving financial security. Benefits may change when moving to another facility within the Providence family due to factors such as legal employer, FTE, union, location, time-off policies, and benefit-plan availability.

Requirements

  • Bachelor’s degree in healthcare, business administration, accounting, finance, management information systems, compliance, or a related field, or equivalent education/experience.
  • Six years of progressive healthcare compliance, privacy, regulatory, quality, or audit experience.
  • Four years of leadership experience, which may be met through direct supervisory experience, lead experience, project management experience, or other related experience.
  • Driving is necessary; comply with state driving laws and requirements and provide proof of driver license and auto insurance upon request.
  • Internal or external audit, healthcare administration, information security, accounting, finance, or related experience may substitute for a portion of compliance experience consistent with organizational standards.

Nice To Haves

  • Master’s degree in business administration, healthcare administration, compliance, public administration, public policy, or a related field, or a J.D.
  • Healthcare experience, including experience interpreting and operationalizing federal or state regulatory requirements.
  • Experience with PACE, Medicare, Medicaid, CMS audits, State Administering Agency reviews, audit universe development, mock audits, corrective action plans, and regulatory submissions.
  • Experience presenting compliance, audit, or quality information to executive leadership, QAPI committees, compliance committees, or a governing body.

Responsibilities

  • Oversee and coordinate regulatory compliance, audit readiness, monitoring, reporting, and corrective action activities for the PACE program.
  • Administer compliance program activities.
  • Partner with executive, compliance, operational, and clinical leaders to identify and mitigate risk.
  • Sustain readiness for CMS and state oversight.
  • Support adherence to the PACE Program Agreement and applicable federal and state requirements, including 42 CFR Part 460.
  • Provide objective compliance guidance.
  • Validate regulatory submissions and audit data.
  • Communicate compliance performance to leadership, QAPI structures, and the governing body.

Benefits

  • Benefits designed to support employees and their families in staying well, growing professionally, and achieving financial security.
  • Paid time-off and health and welfare benefit plan offerings are mentioned; availability may vary.
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