Medicaid Program Integrity Director (Hybrid/Remote)

State of Oregon; Salem (OR); Hybrid; USD 107.000 - 166.000; Vollzeit

Benefits dieser Stelle

Excellent benefits

Hybrid/remote options

Training and development

Zusammenfassung

The Oregon Health Authority seeks an experienced leader to serve as the Administrator for Program Integrity within the Office for Program Integrity. This role provides strategic leadership for Medicaid compliance, fraud, and audits, reporting to the CFO and guiding policy and performance.

You will oversee investigations, provider oversight, and data analytics; manage budgets and contracts; and build partnerships with CMS, DOJ, and state agencies to advance health equity and program efficiency.

Qualifikationen

• Experience leading Medicaid program integrity, regulatory compliance, and related investigations.
• Ability to set priorities, develop policies, and manage complex programs.
• Strong communication with executive leadership and external partners.

Aufgaben

• Lead Medicaid program integrity, investigations, audits, and data analytics.
• Oversee provider oversight, compliance activities, and risk management.
• Manage budget, contracts, staffing, and performance for OPI.
• Collaborate with CMS, DOJ, and state/federal agencies on compliance.

Kenntnisse

Medicaid Program Integrity &Compliance

Strategic Leadership

Fraud, Waste & Abuse Investigation

State & Federal Regulatory Cooperation

Data-Driven Program Management

Executive Communication & Stakeholder

Ausbildung

Bachelor’s degree in related field

Master’s degree preferred

Jobbeschreibung

The Oregon Health Authority seeks an experienced leader to serve as the Administrator for Program Integrity within the Office for Program Integrity. This role provides strategic leadership for Medicaid compliance, fraud, and audits, reporting to the CFO and guiding policy and performance.

You will oversee investigations, provider oversight, and data analytics; manage budgets and contracts; and build partnerships with CMS, DOJ, and state agencies to advance health equity and program efficiency.