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Providence Health & Services Program Manager - Accreditation & Compliance in Beaverton, Oregon

Description:

Providence St. Joseph Health is calling a Program Manager - Accreditation & Compliance to our location in Beaverton, OR.

In this position you will have the following responsibilities:

  • Responsible for the dissemination of regulatory and accreditation requirements to department teams responsible for implementation.

  • Maintain subject matter expertise in department regulations and standards.

  • Oversee daily operations of staff, including hiring, training, performance evaluations, terminations, and ongoing performance improvement and corrective action plans.

  • Maintain up to date knowledge of standards and works with department leadership to update/modify policies and programs to maintain compliance.

  • Design and conduct readiness audit processes to monitor accreditation and regulatory requirements.

  • Participate in regulatory and accreditation audits, site surveys and needed preparation of work teams, in the writing and compilation of required documentation and reports.

  • Responsible to ensure delegation agreements are in compliance with regulatory and accreditation standards and service agreements.

Qualifications:

Required qualifications for this position include:

  • Bachelor’s degree in business, health care or closely related field.

  • 5 years related experience working in or with a managed care organization or experience in a healthcare field.

  • Demonstrated track record in developing effective business relationships and working cooperatively with others.

  • 3 years in a leadership role, supervising direct reports or with team development skills.

  • Demonstrable project manager and/or program manager experience, including program planning, development and evaluation.

  • Experience working with medical groups.

  • Content expertise and knowledge of federal and state regulations related to managed care (e.g. Centers for Medicare and Medicaid Services, Oregon and Washington Insurance Divisions) and accreditation requirements for NCQA and URAC.

  • Ability to extrapolate necessary information to ensure compliance requirements are met.

  • Experience in technical policy & procedure writing as it relates to regulatory and accreditation standards.

  • Proficiency with Microsoft Office - Word, Excel, Visio, PowerPoint, Adobe Pro, SharePoint.

  • Ability to effectively communicate regulatory requirements to leadership and staff personnel.

  • Strong analytical skills incorporating quality improvement principles.

  • Excellent presentation and communication skills, both written and oral.

  • Ability to effectively lead through influence.

  • Ability to conduct oneself in a professional manner, and to develop harmonious working relationships with associates and other partner organizations.

Preferred qualifications for this position include:

  • Master's degree or a combination of education and experience that demonstrates the necessary skills and abilities required for the position.

  • Experience with CMS, Medicaid, NCQA, URAC accreditation and survey process.

  • Delegation or Vendor management experience.

  • Certification in project management.

About Providence in Oregon

As the largest healthcare system and largest private employer in Oregon, Providence offers exceptional work environments and unparalleled career opportunities.

The Providence Experience begins each time our patients or their families have an encounter with a Providence team member and continues throughout their visit or stay. Whether you provide direct or indirect patient care, we want our patients to feel that they are in a welcoming place where they can be comfortable and free from anxiety. Our employees create the Providence Experience through simple, caring behaviors such as acknowledging and welcoming each visitor, introducing ourselves and Providence, addressing people by name, providing the duration of estimated wait times and updating frequently if timelines change, explaining situations in a way that puts patients at ease, carefully listening to their concerns, and always thanking people for trusting Providence for their healthcare needs. At Providence, our quality vision is simple,

"Providence will provide the best care and service to every person, every time."

We offer a full comprehensive range of benefits - see our website for details

http://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate 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.

Schedule: Full-time

Shift: Day

Job Category: Quality/Risk/Safety (Non-Clinical)

Location: Oregon-Beaverton

Req ID: 224143

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