Program Integrity PERM Audit Coordinator

Oregon Health Authority; Salem (OR); Hybrid; USD 70,000 - 90,000; Full time

Benefits offered by this job

Hybrid work arrangement

Competitive benefits package

Training and development opportunities

Public Service Loan Forgiveness (PSLF)

Job summary

Oregon Health Authority is seeking a Program Integrity PERM Audit Coordinator to conduct audits of Medicaid providers and oversee the PERM cycle coordination, ensuring compliance with federal and state requirements.

The role emphasizes strong analytical skills, communication, and commitment to health equity within a hybrid/remote work arrangement in Salem, Oregon.

Qualifications

• Bachelor’s degree and two years of auditing experience, or equivalent substitutions as described.
• Transcripts must be submitted for required courses.
• Oregon Governmental Auditor (Entry) training may substitute for one year of experience.

Responsibilities

• Audit providers in Oregon's Medicaid program to detect fraud, waste, and abuse.
• Coordinate the PERM cycle communications with CMS, federal contractors, state staff, and providers.
• Ensure compliance with federal, state, and agency rules and regulations.

Skills

GAO Yellow Book auditing standards

Audit techniques

Interviews and communication

Evidence collection and workpapers

Computer assisted auditing techniques

Risk analysis and internal controls

Oral and written communication

Diversity and equity awareness

Microsoft Office Suite

Analytical reasoning

Education

Bachelor's degree in business-related field

Auditing experience, 2+ years

Tools

Microsoft Office

Job description

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

If this opportunity aligns with your strengths, background, and commitment to fostering inclusivity, we encourage you to apply! At Oregon Health Authority (OHA), we value diversity and encourage applicants from all backgrounds and experiences to help us build a stronger, more equitable future for all.

Opportunity Awaits, Apply Today! – Program Integrity PERM Audit Coordinator

This position is part of the Program Integrity Audit Unit in the Office for Program Integrity which reports directly to the Chief Financial Officer of the Fiscal Operations Division of OHA. The mission of the OPI is to ensure program integrity of the Medicaid program through auditing, investigations, research and policy development.

In this role, you will conduct audits of providers participating in Oregon’s Medicaid program. The audit function is designed to detect, identify, and deter medical program fraud, waste, and abuse, and to monitor and ensure provider compliance with federal, state, and agency rules and regulations. In addition, this position serves as the state coordinator for the federal Payment Error Rate Measurement (PERM) cycle, leading all phases of each three-year cycle and facilitating all communication and coordination among CMS, federal contractors, state staff, and Medicaid and CHIP providers.

Because this work directly affects Oregon’s Medicaid funding and impacts over one million diverse beneficiaries, the role requires strong analytical skills, excellent communication, independent judgment, and a demonstrated understanding of health equity and PIAU’s mission.

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

What We Are Looking For

Minimum Qualifications: These qualifications must be reflected in your application for consideration.

A Bachelor's degree in a business-related field, such as business administration, public administration, finance, economics, computer science, etc., AND two years of auditing experience.

OR

Twenty quarter hours of college courses in a business or financial field such as the areas listed above AND two additional years of auditing experience may substitute for the degree.

Successful completion of the duties and training as an Oregon Governmental Auditor (Entry) will substitute for one year of auditing experience.

Transcripts must be submitted for all required or related courses.

Desired Attributes: The following are desired attributes that we have identified as key to success for this role at OHA. These are the attributes we are looking for in our top candidate. If you have any of these, please let us know in your application.

• Experience in using Generally Accepted Governmental Auditing Standards as prescribed by the U.S. Government Accountability Office, also referred to as the Yellow Book.
• Skill in auditing techniques:
• reviewing and analyzing accounting records and program data;
• collecting evidence, documenting work papers appropriately and identifying audit exceptions;
• conducting interviews, inquiry, and communication with auditee personnel at various administrative levels;
• developing computer assisted auditing techniques;
• analyzing and evaluating the results of statistical samples to support audit findings.
• Experience in risk analysis for evaluation of internal and management controls.
• Experience within the Dental or Behavioral Health field.
• Experience in provider healthcare billing.
• Holds certification in a coding or auditing discipline.
• Skill in oral and written communications, preparing clear and concise reports and effectively communicating problems and recommendations in support of audit findings.
• Skill in presenting audit findings (e.g., graphs, charts, etc.).
• Skill in researching compliance and operational issues and State or Federal regulations applicable to the organizational unit under review.
• Strong analytical, independent judgement and excellent customer service skills.
• Ability to manage multiple audits and other projects and be able to organize and prioritize work to meet deadlines and have flexibility and work demand tolerance.
• Must be proficient in Microsoft Office products such as Outlook, Word, Excel, Teams and PowerPoint.
• Experience in creating and maintaining a work environment that is respectful and accepting of diversity among team members and the people we serve
• Preference may be given to applicants with experience in the dental or behavioral health fields. However, all candidates meeting several of the desired attributes outlined below are encouraged to apply.

Application Guidance

Submission Requirements

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:

• 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.

About The Team & Benefits Of Joining

We offer a workplace that balances productivity with enjoyment; promotes 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.
• 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.
• This announcement is for multiple fulltime, permanent, SEIU represented, Program Integrity PERM Audit Coordinator (Classification: Governmental Auditor 2 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 for further consideration.

Contact Information

Recruiter: Barry Lein

Email: [e-mail]

Phone (text friendly): 503-440-6484

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

Helpful Links & Resources

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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.