Oregon Medicaid Compliance Consultant

Job Summary

Maintaining and enhancing the Medicaid Compliance Program, the full-time Oregon Medicaid Compliance Consultant will advise regional staff on Medicaid requirements, develop compliance procedures, monitor performance metrics, conduct risk assessments, and provide training on compliance issues in a remote work environment.

Key responsibilities

• Develop compliance reports and conduct investigations by analyzing data and coordinating with stakeholders
• Assist in managing compliance projects and implementing compliance efforts by identifying requirements and monitoring adherence
• Provide subject matter expertise and support for regional program audit activities and corrective action development

Required qualifications

• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or related field
• Minimum six (6) years of experience in compliance, health care operations, audit, finance, or related fields
• Experience in health plan compliance and operations is preferred
• Project management experience and ability to work cross-functionally across departments
• Certification in Healthcare Compliance (CHC) or equivalent is a plus