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 reports, conduct investigations, and collaborate with stakeholders while working remotely.

Key responsibilities

• Develop compliance reports and conduct compliance investigations to ensure adherence to Medicaid regulations
• Coordinate the implementation of compliance efforts and assist in managing cross-functional projects
• Monitor regulatory changes and assess compliance gaps, recommending corrective actions as needed

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 preferred
• Proven ability to work cross-functionally across departments or business lines
• Project management experience is a plus