Oregon Licensed Medicaid Compliance Consultant

Job Summary

To enhance the Medicaid Compliance Program, the full-time Oregon Licensed Medicaid Compliance Consultant will collaborate with regional staff to advise on Medicaid requirements, develop compliance procedures, monitor performance metrics, and conduct training while working remotely.

Key responsibilities:

• Develop compliance reports and conduct investigations to ensure adherence to Medicaid regulations
• Coordinate implementation of compliance efforts and monitor ongoing adherence to standards
• Collaborate with internal and external stakeholders to design and execute strategic compliance initiatives

Required qualifications:

• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or a related field
• Minimum of six years of experience in compliance, health care operations, audit, or a related field
• Experience in health plan compliance and operations preferred
• Strong project management skills with experience in cross-functional collaboration
• Knowledge of regulatory compliance and ability to analyze regulatory changes