Manager Regulatory Affairs *Remote*

Providence Health & Services; Beaverton (OR); Remote; Full time

Job summary

A leading healthcare organization is seeking a Manager of Regulatory Affairs to oversee compliance and regulatory functions for Medicare Advantage and Medicaid. This remote position requires strong leadership skills and experience in regulatory affairs, ensuring adherence to state and federal regulations while supporting business operations.

Benefits

Comprehensive benefits package

401(k) Savings Plan with employer matching

Health care benefits (medical, dental, vision)

Paid time-off benefits

Qualifications

• 3 years experience in regulatory affairs, risk management, or healthcare.
• Master's Degree and J.D. preferred.
• 2 years management experience in compliance or similar functions.

Responsibilities

• Manage and develop a team for tracking regulations and compliance.
• Ensure successful implementation of regulatory requirements.
• Oversee state and federal filings and product lifecycle work.

Skills

Regulatory Compliance

Team Management

Risk Management

Education

Bachelor's Degree in Business Administration, Economics, Healthcare Administration

Job description

Description

Manager Regulatory Affairs Remote

This position is responsible for managing and developing a team tasked with performing timely tracking of new laws, regulations and sub regulatory guidance, and government contract requirements applicable to Providence Health Assurance's Medicare Advantage and Medicaid lines of business at the state and federal level. The team is responsible for interpretation and dissemination of applicable new laws, regulations, guidance, and contract terms. Responsible for ensuring the team conducts regulatory consulting and training for the business to ensure successful business implementation of and adherence to such laws, regulations and guidance. Oversees all required state and federal filings for which team is responsible and acts as a key participant in product lifecycle work to ensure successful product filings in existing and new service areas. Works closely with the Director, Regulatory Affairs to ensure successful management and development of Medicare and Medicaid regulatory affairs functions. Works closely with the Sr. Director, Compliance to ensure assist with transition to oversight under a "seven elements of an effective compliance program" structure.

MAJOR CHALLENGES:

1. Establishing oversight capacities sufficient to ensure a high-performing regulatory program, operating in tandem but separate from, the Medicare and Medicaid compliance functions.


2. Leading regulatory team through successful growth into new business geographies and corresponding regulatory environments


3. Conducting work that is viewed as a value-added management service versus an enforcement or administrative role.

Providence Health Plan 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 welcomes 100% remote work for applicants who reside in the following states:

• Washington


• Oregon


• California

Required qualifications:

• Bachelor's Degree in Business Administration, Economics, Healthcare Administration, or other related field And


• 3 years experience in regulatory affairs, risk management, litigation support, health care or health insurance or government relations

Preferred qualifications:

• Master's Degree


• J.D.


• 2 years Management experience in compliance or similar risk management functions


• 2 years health insurance

Salary Range by Location:

• California: Humboldt: Min: $63.50, Max: $100.26


• California: All Northern California - Except Humboldt: Min: $71.25, Max: $112.48


• California: All Southern California - Except Bakersfield: Min: $63.50, Max: $100.26


• California: Bakersfield: Min: $60.92, Max: $96.18


• Oregon: Non-Portland Service Area: Min: $56.79, Max: $89.66


• Oregon: Portland Service Area: Min: $60.92, Max: $96.18


• Washington: Western - Except Tukwila: Min: $63.50, Max: $100.26


• Washington: Southwest - Olympia, Centralia & Below: Min: $60.92, Max: $96.18


• Washington: Tukwila: Min: $63.50, Max: $100.26


• Washington: Eastern: Min: $54.21, Max: $85.59


• Washington: Southeastern: Min: $56.79, Max: $89.66

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.

About Providence

At 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 Team

Providence 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: 365082

Company: Providence Jobs

Job Category: Government Affairs

Job Function: Legal/Compliance/Risk

Job Schedule: Full time

Job Shift: Day

Career Track: Leadership

Department: 5018 GA OTHER OR REGION

Address: OR Beaverton 3601 SW Murray Blvd

Work Location: Murray Business Ctr Beaverton-Beaverton

Workplace Type: Remote

Pay Range: $see posting - $see posting

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.