Providence · 7 hours ago
Audit and Compliance Analyst - Remote
United States
Full-time
Remote
Mid Level
$35.66/hr - $55.37/hr
3+ years expProvidence Health Plan is a comprehensive health care organization dedicated to patient-focused care. The Audit and Compliance Analyst will manage program compliance, policy development auditing, and monitoring within the Health Care Services teams.
Hospital & Health Care
Responsibilities
Handles various elements of program compliance, policy development auditing, monitoring and report development within the Health Care Services teams including Care Management and Utilization Management
Qualification
Required
Bachelor's Degree Business Administration, Healthcare Administration, or other related field. Or Consideration may be given for candidates who have comparable experience in lieu of a bachelor's degree
3 years Demonstrated successful experience working with administrative, policy and/or operational aspects of managed care
Proven track record of assessing program compliance and establishing auditing and monitoring protocols
3 years Experience in project management, data analysis and policy and procedure development
Experience with managed care regulatory compliance matters in one or more of the following lines of business (Medicare, Medicaid, Commercial)
1 year Experience in technical or operational policy & procedure writing as it relates to regulatory requirements and accreditation standards
Preferred
Experience with CMS and State Medicaid regulations and programs as they relate to Medical Management
Benefits
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
Company
Providence
Every day, 119,000 compassionate caregivers serve patients and communities through Providence St.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Brad Henry
Chief Executive Officer at Providence Willamette Falls Medical Center
Ranjit S. Hundal, MD, MBA, CPE, FACP, SFHM
Interim Chief Executive Officer
Recent News
2025-09-23
2025-09-13
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