Delegation Oversight Specialist- Auditor

CareOregon; Wisconsin; Remote; USD 60,000 - 80,000; Full time

Job summary

CareOregon is seeking a Delegation Oversight Specialist - Auditor to perform compliance monitoring of subcontracted organizations. This fully remote position focuses on delegation oversight, process improvement, and reporting, requiring strong regulatory compliance and audit skills.

Qualifications

• At least 2 years’ experience in regulatory compliance or delegation oversight.
• 1 year experience plus a bachelor's degree in healthcare or related field.

Responsibilities

• Interpret and apply complex regulations and evaluate delegated entities for compliance.
• Conduct audits and oversee corrective actions.
• Prepare audit reports and corrective plans timely.

Skills

Regulatory compliance

Delegation oversight

Effective communication

Stakeholder engagement

Audit skills

Problem-solving

Confidentiality

Education

Bachelor's degree in healthcare or related field

Tools

MS Office

Job description

Delegation Oversight Specialist- Auditor

Join to apply for the Delegation Oversight Specialist- Auditor role at CareOregon.

This is a fully remote role; candidates must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin.

Job Details

• Title: Delegation Oversight Specialist - Auditor
• Requisition: 24998
• Exemption Status: Non-exempt
• Management Level: n/a
• Manager Title: Delegation Oversight Manager
• Department: Audit and Compliance
• Pay Range: $30.83/hr - $37.69/hr, 5% bonus target, full benefits

Job Summary

This position performs compliance monitoring of subcontracted organizations, focusing on delegation oversight, process improvement, and reporting.

Responsibilities

Delegation Oversight

• Interpret and apply complex regulations and evaluate delegated entities for compliance.
• Coordinate with various stakeholders across CareOregon.
• Conduct audits and oversee corrective actions.
• Ensure clarity of delegation expectations and compliance.
• Develop and maintain audit tools and agreements.

Process Improvement

• Identify and implement process improvements.
• Support training and participate in regulatory workgroups.

Reporting

• Prepare audit reports and corrective plans timely.
• Maintain accurate compliance records.
• Track and report on delegated organizations’ compliance.
• Present findings to the Oversight Committee.

Organizational Responsibilities

• Align work with organizational mission and values.
• Support diversity, equity, and inclusion initiatives.
• Meet business and strategic goals.
• Adhere to policies and perform additional duties as needed.

Minimum Requirements

• At least 2 years’ experience in regulatory compliance or delegation oversight, OR
• 1 year experience plus a bachelor's degree in healthcare or related field.

Preferred Qualifications

• Experience in managed care, Oregon Health Plan, or CMS.

Knowledge, Skills, and Abilities

• Understanding of health plan functions and delegation.
• Proficiency with MS Office tools.
• Effective communication and stakeholder engagement skills.
• Ability to interpret federal and state regulations.
• Audit skills, report writing, problem-solving, and confidentiality.
• Self-motivated with the ability to prioritize and manage stress.

Working Conditions

• Remote work environment.
• No direct patient contact.
• Occasional travel may be required.

CareOregon encourages candidates of color and veterans to apply. We are committed to diversity and inclusion. Visa sponsorship is not available.