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Manager, Compliance – Clinical Program Services
Providence. Oversee and coordinate regulatory compliance, audit readiness, monitoring, reporting, and corrective action activities for the PACE program .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in regulatory compliance and audit readiness within the healthcare sector, with a strong focus on the PACE program and adherence to federal and state requirements. Proven ability to lead compliance initiatives, communicate effectively with leadership, and mitigate risks associated with regulatory oversight.
Highest-signal resume keywords
Regulatory Compliance ManagementHealthcare Audit ExperienceLeadership in Compliance ProgramsExperience with PACE and CMS AuditsBachelor's Degree in Healthcare or Related Field
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Regulatory ComplianceAudit ReadinessRisk MitigationCorrective Action PlansData ValidationHealthcare AdministrationQuality AssuranceFederal and State Regulatory RequirementsInternal and External AuditsInformation Security
Soft Skills
Effective CommunicationLeadershipCollaborationProblem-SolvingObjective Guidance
Certifications & Qualifications
Master's Degree or J.D. Preferred
Industry Keywords
PACE ProgramCMS OversightMedicareMedicaidQAPI StructuresAudit Universe DevelopmentState Administering Agency ReviewsCompliance CommitteesGoverning Body EngagementHealthcare Compliance
About the role
Key responsibilities & impact- Oversee and coordinate regulatory compliance, audit readiness, monitoring, reporting, and corrective action activities for the PACE program
- Administer compliance program activities
- Partner with executive, compliance, operational, and clinical leaders to identify and mitigate risk
- Sustain readiness for CMS and state oversight
- Support adherence to the PACE Program Agreement and applicable federal and state requirements, including 42 CFR Part 460
- Provide objective compliance guidance
- Validate regulatory submissions and audit data
- Communicate compliance performance to leadership, QAPI structures, and the governing body
Requirements
What you’ll need- Bachelor's Degree in Healthcare, Business Administration, Accounting, Finance, Management Information Systems, Compliance, or a related field, or equivalent education/experience
- 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
- Valid driver's license and auto insurance; compliance with all state driving laws and requirements
- Master's Degree or J.D. preferred
- Healthcare experience interpreting and operationalizing federal or state regulatory requirements preferred
- Experience with PACE, Medicare, Medicaid, CMS audits, State Administering Agency reviews, audit universe development, mock audits, corrective action plans, and regulatory submissions preferred
- Experience presenting compliance, audit, or quality information to executive leadership, QAPI committees, compliance committees, or a governing body preferred
Benefits
Comp & perks- Retirement 401(k) Savings Plan with employer matching
- Medical, dental, and vision health care benefits
- Life insurance
- Disability insurance
- Paid parental leave
- Vacation and holiday time off
- Time off for health issues
- Voluntary benefits
- Well-being resources
- Inclusive workplace where diversity is valued