Oregon Licensed Medicaid Compliance Consultant

Job Summary

To enhance the Medicaid Compliance Program, the full-time Oregon Licensed Medicaid Compliance Consultant will maintain compliance standards, conduct investigations, and develop reports while collaborating with internal and external stakeholders in a remote work environment.

Key responsibilities:

• Develop compliance reports and conduct investigations to ensure adherence to Medicaid regulations
• Coordinate compliance efforts and monitor performance against Medicaid compliance metrics
• Provide education and training on compliance issues to personnel as needed

Required qualifications:

• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or related field
• Minimum six years of experience in compliance, health care operations, audit, finance, or related fields
• Experience in health plan compliance and operations preferred
• Ability to manage projects and coordinate cross-departmental efforts
• Knowledge of regulatory compliance and ability to monitor regulatory changes