Medicaid Program Integrity Lead (Hybrid)

Oregon Health Authority; Salem (OR); Hybrid; USD 107,000 - 166,000; Full time

Benefits offered by this job

Medical coverage

Vision coverage

Dental coverage

Life insurance

Disability coverage

Retirement plan

Job summary

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 role provides strategic leadership for statewide Medicaid program integrity, FWA, and Medicaid compliance operations, reporting to the Chief Financial Officer.

The Administrator leads a multidisciplinary team responsible for investigations, audits, data analytics, provider oversight, and Medicaid program integrity activities,

Qualifications

• Five years of management experience; OR two years of management experience and a bachelor’s degree in a related field.
• Experience in Medicaid program integrity, regulatory compliance, audits, investigations, or related oversight activities.

Responsibilities

• Provide strategic leadership for statewide Medicaid program integrity, fraud, waste, and abuse (FWA), and compliance operations.
• Oversee investigations, audits, data analytics, and provider oversight within OPI.
• Manage OPI budget, contracts, staffing, and performance management, reporting to the CFO.

Job description

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 role provides strategic leadership for statewide Medicaid program integrity, FWA, and Medicaid compliance operations, reporting to the Chief Financial Officer.

The Administrator leads a multidisciplinary team responsible for investigations, audits, data analytics, provider oversight, and Medicaid program integrity activities,