AMVETS Jobs

Career Opportunities: Delegation Oversight Specialist- Auditor (24065)

Requisition ID 24065 - Posted 05/13/2024 - CareOregon - Full Time- Contingent - Portland - Multi Location (16)

Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin.

Job Title Delegation Oversight Specialist Job Code A499 Department Audit and Compliance Manager Title Delegation Oversight Manager Direct Reports n/a Exemption Status Exempt Management Status n/a Requisition # 24065 Pay and Benefits Estimated hiring range $63,200 - $76,470 / year, 5% bonus target, full benefits. www.careoregon.org/about-us/careers/benefits Posting Notes This is a fully remote, contingent position with an estimated assignment length of 6 months.

Job Summary This position is responsible for performing compliance monitoring of sub-contracted organizations, working collaboratively with departments across CareOregon.  Primary responsibilities include delegation oversight, process improvement, and reporting. Essential Responsibilities Delegation Oversight * Work at the guidance of and with input from the Regulatory Manager to interpret and apply complex regulations, laws, and guidelines and to evaluate delegated entities for compliance with contractual and regulatory requirements. * Work in coordination with the Delegation Oversight Committee, Quality Assurance Unit, Medical Directors, and other stakeholders throughout CareOregon. * Conduct pre-delegation and annual audits for new and existing delegated entities for compliance in areas outlined in delegated agreements; oversee any Corrective Action Plans (CAP) resulting from such reviews. * Ensure delegation expectations and standards are clearly understood by contractors. * Ensure the contractor performs the delegated activities in accordance with the agreement and regulatory requirements. * Develop, revise, and maintain all delegation audit tools and written agreements as necessary to comply with regulatory requirements. Process Improvement * Participate in the process of identifying ongoing opportunities for process improvement. * Act as a resource to health plan partners and identify training opportunities that result in improvement. * Participate in workgroup meetings related to regulatory expectations. Reporting * Prepare all audit reports including correspondence and corrective action plans to ensure that provider satisfies all requirements within allotted timeframes. * Maintain all documentation to support evidence of compliance with all delegation requirements. * Maintain responsibility for tracking, completion, and timely submission of required reports to CareOregon by subcontracted organizations. * Present audit findings to the Delegation Oversight Committee. Organizational Responsibilities * Perform work in alignment with the organization's mission, vision and values. * Support the organization's commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals. * Strive to meet annual business goals in support of the organization's strategic goals. * Adhere to the organization's policies, procedures and other relevant compliance needs. * Perform other duties as needed. Experience and/or Education Required * Minimum 2 years' experience in regulatory compliance and/or delegation oversight (Master's degree in law, health care, or related field may be considered in lieu of experience) Preferred *... For full info follow application link.

We are an equal opportunity employer.  We evaluate qualified applicants without regar d to race, color, religion, sex, national origin, disability, veteran status, and other protected characteristics.  The EEO is the Law poster is available here.