Oregon Licensed Medicaid Compliance Consultant

Job Summary

To enhance the Medicaid Compliance Program, the full-time Oregon Licensed Medicaid Compliance Consultant will manage compliance activities, develop functional procedures, monitor performance metrics, and conduct training for personnel, all while working remotely.

Key responsibilities

• Develop compliance reports and conduct compliance investigations to ensure adherence to Medicaid regulations
• Coordinate implementation of compliance efforts and assist in managing cross-functional projects related to compliance
• Provide subject matter expertise and support for regional program audit activity, including developing corrective actions based on audit findings

Required qualifications

• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or a related field
• Minimum six years of experience in compliance, health care operations, audit, finance, regulatory, or public policy development
• Experience in health plan compliance and operations preferred
• Strong analytical skills and knowledge of compliance management
• Ability to work cross-functionally and manage projects effectively