Oregon Medicaid Compliance Consultant

Job Summary

To enhance the Medicaid Compliance Program, the full-time Oregon Medicaid Compliance Consultant will develop compliance reports, conduct investigations, and collaborate with stakeholders to ensure adherence to regulatory requirements in a remote work environment.

Key responsibilities

• Develops compliance reports by evaluating compliance data and summarizing audit information
• Conducts compliance investigations by collecting and analyzing data, and providing corrective action recommendations
• Coordinates the implementation of compliance efforts by assessing current compliance states and identifying gaps

Required qualifications

• Bachelor's degree in Health Care Administration, Law, Public Health, Business, or a 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 project management experience
• Ability to work cross-functionally across departments and functions