Oregon Licensed Medicaid Compliance Consultant

Job Summary

To enhance the Medicaid Compliance Program in Oregon, the full-time Oregon Licensed Medicaid Compliance Consultant will manage compliance activities, develop reports, conduct investigations, and collaborate with internal and external stakeholders while working remotely.

Key responsibilities:

• Develop and implement compliance reports and strategic initiatives based on regulatory standards
• Conduct compliance investigations and provide recommendations for corrective actions
• Coordinate compliance efforts and ensure adherence to Medicaid program requirements

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, or related fields
• Experience in health plan compliance and operations
• Ability to work cross-functionally across departments
• Project management experience preferred