Oregon Licensed Medicaid Compliance Consultant

Job Summary

To enhance the Medicaid Compliance Program, the full-time Oregon Licensed Medicaid Compliance Consultant will conduct compliance activities, develop reports, and coordinate compliance efforts remotely while collaborating with internal and external stakeholders.

Key responsibilities:

• Conduct compliance investigations and develop corrective action plans based on findings
• Monitor regulatory changes and ensure adherence to compliance standards and policies
• Develop and summarize compliance reports, presenting key findings to management

Required qualifications:

• Bachelor's degree in Health Care Administration, Law, Public Health, Business, or a related field
• Minimum six years of experience in compliance, health care operations, or a related field
• Experience in health plan compliance and operations is preferred
• Project management experience is a plus
• Certification in Healthcare Compliance (CHC) or equivalent is advantageous