Job DescriptionThis is a hybrid position and requires residence in Washington (Seattle) or Oregon (Portland).
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.
Required Qualifications:- Bachelor's Degree in Healthcare, Business Administration, Accounting, Finance, Management Information Systems, Compliance, or a related field Or equivalent educ/experience
- Driving is a necessary as part of this role. Caregivers are required to comply with all state laws and requirements for driving. Caregivers will be expected to provide proof of driver license and auto insurance upon request. See policy for additional information.
- 6 years Progressive healthcare compliance, privacy, regulatory, quality, or audit experience.
- 4 years Leadership experience, which can be met by direct supervisory experience, lead experience, project management experience, or other related experience.
- 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.
Preferred Qualifications:- Master's Degree in Business Administration, Healthcare Administration, Compliance, Public Administration, Public Policy, or a related field or,
- 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.
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.
