Manager Compliance - Clinical Program Services

Providence; Portland (OR); Hybrid; USD 110,000 - 150,000; Full time

Benefits offered by this job

Hybrid work option

Job summary

Providence PACE Oregon is seeking a Compliance Manager to oversee regulatory compliance, audit readiness, monitoring, reporting, and corrective action activities for the PACE program. The role partners with executive, compliance, operational, and clinical leaders to identify and mitigate risk and sustain readiness for CMS and state oversight.

You will provide guidance, validate submissions and audit data, and communicate performance to leadership, QAPI structures, and the governing body,

Qualifications

• Bachelor's degree or equivalent experience in a related field.
• 6 years progressive healthcare compliance, privacy, regulatory, quality, or audit experience.
• 4 years leadership experience or equivalent.
• Driving is required; valid license and auto insurance may be requested.

Responsibilities

• Oversee regulatory compliance for the PACE program and align with 42 CFR Part 460.
• Coordinate audits, monitoring, reporting, and corrective action activities.
• Partner with executives, compliance, operational, and clinical leaders to mitigate risk and sustain readiness for CMS and state oversight.
• Validate regulatory submissions and audit data; communicate performance to leadership, QAPI structures, and governing body.

Skills

Regulatory compliance

Audit coordination

Leadership experience

Communication with leadership

Education

Bachelor's Degree in Healthcare, Business Administration, Accounting, Finance, MIS, Compliance, or related field

Master's Degree in Healthcare Administration, Compliance, Public Policy, or related field

J.D.

Job description

This 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.

Providence caregivers are not simply valued - they’re invaluable. Join our team at Providence PACE Oregon 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.

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.

Why Join Providence?

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.

Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.