DescriptionProvidence 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 a Compliance Specialist, Medicare who will:
Be responsible for handling various aspects of regulatory compliance activities for the Medicare health plan business
Evaluate new and existing state and federal laws and regulations and contracts in order to advise internal customers and advance the health plan's interests
Represent the Regulatory Compliance, Risk Management, and Government Affairs Department in internal implementation processes related to the health plan's legal obligations and new business initiatives
Serve as an internal subject matter expert to staff and leadership at PHP regarding regulatory requirements and contractual obligations
Be responsible for analysis of legal and contractual obligations, and complex regulatory reporting requirements
Impact PHP's legal and regulatory obligations as well as financial obligations to Providence Health Plan customers
Providence Health Plan welcomes 100% remote work for applicants who reside in one of the following States:
Oregon
Washington
California
Please note the following important detail regarding this role:
This position is affiliated with Providence Health Plan and will be tied to a location and compensation range in Beaverton, Oregon
Required qualifications for this position include:
Bachelor's Degree -OR- a combination of equivalent education and experience
4+ years of relevant health care, health insurance, regulatory compliance and 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
Preferred qualifications for this position include:
2+ years of experience analyzing legal and contractual obligations, and complex regulatory reporting requirements
Part D Compliance Medicare Experience
Why Join Providence Health Plan?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.About ProvidenceAt Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.The amounts listed 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.About the TeamProvidence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.Requsition ID: 322059
Company: Providence Jobs
Job Category: Compliance
Job Function: Legal/Compliance/Risk
Job Schedule: Full time
Job Shift: Day
Career Track: Business Professional
Department: 5018 COMPLI GOVERNMENTAL AFFAIRS OR REGION
Address: OR Beaverton 3601 SW Murray Blvd
Work Location: Murray Business Ctr Beaverton-Beaverton
Workplace Type: Remote
Pay Range: $37.10 - $58.73
The amounts listed 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.
