Medicare Advantage Delegation Program Consultant *Remote*
 Providence Health & Services | |
life insurance, parental leave, 401(k), remote work
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 United States, Washington, Walla Walla | |
 Jan 23, 2025 | |
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Description 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. Medicare Advantage is a strategic growth strategy for PH&S and Providence Health Assurance. This position will have regional responsibilities related to Oregon and Washington and other emerging markets. It will be managing and leading various enterprise-wide Medicare compliance-related initiatives and projects in relation to our delegated entities. The project work is multi-faceted requiring complex regulatory analysis and interpretation, the leading of multi-departmental work teams, external contracted entities, preparation and response to CMS audits, coordination of CMS filing required materials and managing multiple and ever changing CMS deadlines. The position serves as an internal consultant and subject matter expert to leadership and staff regarding compliance delegation oversight, regulatory obligations as well as Medicare-specific contracts, benefits, and policies as they relate to those delegated entities. The work of this position impacts PHA's legal and regulatory and financial obligations to CMS as well as our obligations to our Medicare members. Non-compliance can result in legal action, financial sanctions and/or financial recoveries. Providence Health Plan welcomes 100% remote work for applicants who reside in one of the following States:
Please note the following important detail regarding this role:
Required qualifications for this position include:
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 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: 340236 Company: Providence Jobs Job Category: Member Services Enrollment & Billing Job Function: Health Plans Services 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. | |