Administrator for Program Integrity

State of Oregon; Oregon; Hybrid; USD 1,286,000 - 1,990,000; Full time

Benefits offered by this job

Medical, vision, dental coverage

Competitive retirement benefits

Paid time off & holidays

Job summary

Oregon Health Authority seeks an experienced Administrator for Program Integrity to lead statewide Medicaid integrity, fraud detection, audits, and investigations. You will direct a multidisciplinary team, set strategic priorities, and ensure alignment with federal/state requirements while safeguarding Medicaid funds and promoting health equity.

The role emphasizes leadership, data-driven decision making, and collaboration with CMS, DOJ, and state agencies to strengthen program integrity and

Qualifications

• Five years of management experience; OR two years of management experience and a bachelor’s degree in a related field.
• Demonstrated experience leading Medicaid program integrity, regulatory compliance, FWA, audit, investigation, or oversight activities.
• Strategic direction, priorities, and performance objectives for complex programs or multidisciplinary teams.
• Experience working with federal/state regulatory, oversight, law enforcement, or government entities on compliance or audit matters.
• Data analytics or performance measures to identify trends, assess risk, and improve operations.

Responsibilities

• Provide strategic leadership for statewide program integrity, fraud, waste, and abuse (FWA) and Medicaid compliance operations.
• Lead a multidisciplinary team responsible for investigations, audits, data analytics, provider oversight, and program integrity activities.
• Set priorities, develop policies, and ensure budget, contracts, staffing, and performance management align with OHA goals.
• Build partnerships with CMS, federal agencies, state regulators, and healthcare stakeholders.
• Represent OHA in committees and advisory groups and provide guidance on Medicaid compliance and program integrity.

Skills

Medicaid program integrity

Regulatory compliance

Fraud, waste & abuse investigations

Data-driven management

Executive communication

Stakeholder engagement

Education

Bachelor's degree in related field

Job description

Initial Posting Date

10/02/2026

Application Deadline

11/01/2026

Agency

Oregon Health Authority

Salary Range

$9,604 - $14,856

Position Type

Employee

Position Title

Administrator for Program Integrity

This is a hybrid position offering significant work-from-home flexibility.

The Oregon Health Authority (OHA) is seeking an experienced leader to serve as the Administrator for Program Integrity within the Office for Program Integrity (OPI). This highly visible position provides strategic leadership for OHA’s statewide program integrity, fraud, waste, and abuse (FWA), and Medicaid compliance operations. Reporting directly to the Chief Financial Officer, the Administrator is responsible for setting priorities, developing policies and performance objectives, and ensuring OPI operations support OHA’s mission, strategic goals, and federal and state requirements.

The Administrator leads a multidisciplinary team responsible for investigations, financial and compliance audits, data analytics, provider oversight, and Medicaid program integrity activities. This role serves as OHA’s leading authority on Medicaid FWA and is responsible for identifying emerging risks and trends, strengthening detection and investigation strategies, and using data and operational insights to improve program integrity. The Administrator also provides policy guidance to OHA leadership and ensures that program integrity activities promote responsible stewardship of Medicaid funds while supporting equitable access to health care.

A significant part of this role involves building and maintaining strong partnerships across Oregon and at the federal level. The Administrator serves as OHA’s primary liaison with organizations including the Centers for Medicare & Medicaid Services (CMS), federal oversight agencies, the Oregon Department of Justice Medicaid Fraud Control Unit, the Secretary of State, other state agencies, contractors, health care providers, and community and industry partners. The position represents OHA in committees, task forces, and technical advisory groups and provides consultation, education, and technical assistance on Medicaid compliance and program integrity.

In addition to strategic and operational leadership, the Administrator oversees OPI’s budget, contracts, staffing, strategic planning, and performance management. The position manages a complex portfolio of program integrity activities within OHA’s approximately $21 billion annual operation and exercises significant independent decision-making authority. This is an opportunity for a collaborative and strategic leader to help protect public resources, strengthen the integrity of Oregon’s Medicaid system, and advance OHA’s commitment to health equity, transparency, accountability, and high-quality services for Oregonians.

For a full review of the position description, please Click Here

What We Are Looking For

Minimum Qualifications

• Five years of management experience; OR two years of management experience and a bachelor’s degree in a related field.

Desired Attributes

• Medicaid Program Integrity & Compliance: Demonstrated experience leading or managing Medicaid program integrity, regulatory compliance, fraud, waste, and abuse (FWA), audit, investigation, or oversight activities.

• Strategic Leadership: Demonstrated experience providing strategic direction, establishing priorities, developing performance objectives, and leading complex programs or multidisciplinary teams toward organizational goals.

• Fraud, Waste & Abuse Investigation: Experience overseeing or conducting complex investigations, audits, risk assessments, data analysis, or other activities designed to identify and address fraud, waste, abuse, overutilization, or program compliance concerns.

• State & Federal Regulatory Collaboration: Demonstrated experience working with federal, state, or local regulatory, oversight, law enforcement, or government entities on compliance, program integrity, audit, or related matters.

• Data-Driven Program Management: Experience using audits, research, analytics, performance measures, financial information, or other data to identify trends, assess risk, improve operations, and inform policy or management decisions.

• Executive Communication & Stakeholder Engagement: Demonstrated ability to communicate complex regulatory, financial, operational, or compliance issues to executive leadership and build effective working relationships with diverse internal and external stakeholders.

Preference Statement

• Preference may be given to candidates with seven (7) or more years of management experience

• Bachelor’s degree with a master’s degree preferred

• Preference may be given to candidates who possess demonstrated knowledge, skills, and abilities in fraud investigation, program integrity, regulatory compliance, and legal or administrative proceedings, including experience representing an organization in court or other formal proceedings, negotiating with defendants or involved parties, establishing and documenting credible allegations of fraud, and communicating complex investigative or compliance matters to legal counsel, executive leadership, regulatory agencies, and other stakeholders.

• Candidates whose experience reflects substantial depth and breadth in the identified work areas, including multiple years of progressively responsible experience, may be most competitive for this position.

• While the minimum qualifications establish the baseline requirements for consideration, preference may be given to candidates who bring additional years of relevant experience and demonstrated progression in responsibility, scope, or complexity of work.

Application Guidance

Your candidate profile and application are your opportunity to showcase your skills and interest in this role. Submissions will be reviewed for clarity, consistency, and communication skills, and for alignment with the guidance provided in the below:

Submission Requirements

• Resume: Attach your current resume that clearly outlines your education and work experience relevant to this position.

• Supplemental Questions: Answer all supplemental questions completely and accurately.

• Final Check! Before submitting, confirm that all required materials are included, and your Workday Job History is current. The information in your application will be used to complete an Equal Pay Analysis to determine salary placement upon hire. Visit the Equal Pay Analysis Webpage for more information.

After You Apply

• Complete any pending tasks in Workday under “My Applications” prior to the application deadline.
• Check your email (including junk folder) and Workday inbox regularly for updates on your application.

Reminders

• Eligible veterans and Oregon National Guard servicemembers (current and former) who meet the qualifications of the position will be awarded candidate preference. To protect your information and ensure correct processing, please follow the instructions for submitting your Veterans’ Preference documentation.
• Please download and save a copy of this job announcement and linked position description, as it is not available after the application deadline.

About the Team & Benefits of Joining

We offer a workplace that balances productivity with enjoyment; promote an atmosphere of mutual respect, dedication, and enthusiasm. You will collaborate with a team of bright individuals to work with and learn from.

If you’re driven by the passion to do something meaningful that changes lives, the Oregon Health Authority is the place for you. We also offer a competitive benefits package including:

• Excellent, low-cost medical, vision, and dental coverage for you and your family.

• Optional benefits like life insurance, disability coverage, deferred compensation, and FSA options for health and childcare.

• Generous paid time off: 11 holidays, 3 personal days, monthly sick leave, and vacation accrual starting at 8 hours/month for sick and 10 hours/month for vacation.

• Potential eligibility for the Public Service Loan Forgiveness Program.

• Retirement security through Public Employees Retirement System (PERS)/Oregon Public Service Retirement Plan (OPSRP).

• Training and development opportunities to grow your career with the State of Oregon.

Additional Details

• This announcement is for a, fulltime, permanent, Management Service, Administrator for Program Integrity (Classification: Compliance and Regulatory Administrator 1 based in Salem, Oregon.
• This is a hybrid/remote position. “Review Section 4: Working Conditions” in the position description (linked above) for more information.
• Employment is contingent upon a criminal records check that meets OHA criteria at the time of hire and throughout employment.
• The salary listed is the non-PERS qualifying range. If the successful candidate qualifies for PERS, the salary range will increase by 6.95%. For more information, see the Classification and Compensation page.
• The State of Oregon does not request or require your age, date of birth, attendance or graduation dates from an education institution during the application process.
• This position does not provide visa sponsorship. Within three days of hire, you will be required to complete I-9 documentation and confirm authorization to work in the United States. OHA will use E-Verify to verify work authorization. If your employment eligibility depends on sponsorship now or in the future, you will not meet the requirements for this position.
• We evaluate candidates based on their own skills and experience. Unless explicitly approved, outside resources – including Artificial Intelligence (AI) tools – are not permitted during assessments or interviews. Use of unauthorized resources will disqualify a candidate from further consideration.

Contact Information

Recruiter: Barry Lein
Email: [e-mail]
Phone (text friendly): 503-440-6484

Accommodation Requests (ADA): OHA provides reasonable accommodations under the ADA, which may include alternative formats of materials or language support. If you need an accommodation to apply for this position or participate in the selection process, please contact the recruiter listed above.

Helpful Links & Resources

How to Set Job Alerts | Workday Applicant FAQ | Oregon Health Authority | Facebook | Instagram | LinkedIn | Veterans Resources | What You Need to Know to Get the Job

The Oregon Health Authority is an affirmative action and equal opportunity employer, committed to fair employment practices and pay equity for all employees. We do not discriminate based on protected class including race, sex, veteran status, disability, age, color, religion, national origin, marital status, or sexual orientation – and does not screen applicants based on current or past compensation. Salary is determined through a fair review of your education, experience, and training as it relates to the position.

OHA is an anti-racist organization working to eliminate health inequities and dismantle structural barriers that impact underserved communities. Join us in advancing our Strategic Plan and building a more equitable Oregon.