Oregon Medicaid Compliance Consultant

Job Summary

To enhance the Medicaid Compliance Program in the Northwest Region, the full-time Oregon Medicaid Compliance Consultant will maintain compliance with state regulations, conduct risk assessments, and provide training to staff while working remotely.

Key responsibilities

• Develop compliance reports and conduct investigations to ensure adherence to Medicaid regulations
• Collaborate with internal and external stakeholders to implement compliance initiatives and monitor performance metrics
• Coordinate the development and execution of corrective actions in response to audit findings

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