Oregon Licensed Medicaid Compliance Consultant

Job Summary

To enhance the Medicaid Compliance Program in Oregon and Washington, the full-time Oregon Licensed Medicaid Compliance Consultant will manage compliance activities, develop functional procedures, conduct risk assessments, and provide training on compliance issues while working remotely.

Key responsibilities:

• Develop compliance reports by evaluating data and summarizing audit information and potential risks
• Conduct compliance investigations, including data analysis and interviews, to identify corrective action steps
• Coordinate the implementation of compliance efforts by assessing current compliance states and creating necessary policies and procedures

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, or regulatory development
• Experience in health plan compliance and operations preferred
• Proven ability to work cross-functionally across departments
• Project management experience is a plus