Healthcare Compliance Investigator & Risk Analyst

AllCare Health, Inc.; Grants Pass (OR); Remote; USD 36,000 - 41,000; Full time

Benefits offered by this job

Affordable healthcare

401(k) retirement

Wellness programs

Flexible scheduling

Job summary

AllCare Health is seeking a Compliance Specialist in Grants Pass, Oregon to support the enterprise-wide Corporate Compliance Program, investigate fraud, waste, and abuse, and assist the Chief Compliance Officer with program implementation and monitoring.

You will prepare investigation reports, coordinate with state and federal agencies, ensure HIPAA compliance, and help develop corrective actions while maintaining confidentiality and high professional standards.

Qualifications

• Bachelor's degree in criminal justice, fraud management, or healthcare administration preferred.
• Experience in criminal justice, fraud management, investigations, or healthcare administration (1–2 years).
• Knowledge of HIPAA, FWA and Compliance CFRs, Regulations and Statutes.

Responsibilities

• Investigations & Risk Management: Oversee investigative process for potential compliance violations and risk mitigation.
• Regulatory Guidance & Reporting: Act as subject matter expert on healthcare regulations including Stark Law and False Claims Act.
• Maintain knowledge of federal and state laws and participate in risk assessments and monitoring.
• Assist Chief Compliance Officer in developing risk-based compliance monitoring work plans.

Skills

Investigations

Data analytics

Regulatory knowledge

HIPAA compliance

Education

Bachelor's degree in criminal justice, fraud management, or healthcare administration

Tools

Microsoft Excel

Relias LMS

Word / PowerPoint

Job description

AllCare Health is seeking a Compliance Specialist in Grants Pass, Oregon to support the enterprise-wide Corporate Compliance Program, investigate fraud, waste, and abuse, and assist the Chief Compliance Officer with program implementation and monitoring.

You will prepare investigation reports, coordinate with state and federal agencies, ensure HIPAA compliance, and help develop corrective actions while maintaining confidentiality and high professional standards.