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CAREOREGON INC Special Investigations Unit in MILWAUKEE, Wisconsin

JOB REQUIREMENTS: Career Opportunities: Special Investigations Unit Investigator (24845) Requisition ID 24845 - Posted 02/22/2025 - Health Share of Oregon - Full Time - Permanent - Portland - Multi Location (18) Job Description Print Preview Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Special Investigations Unit Investigator Department Health Share of Oregon Exemption Status Exempt Requisition # 24845 Direct Reports N/A Manager Title Director of Compliance and Quality Oversight Pay & Benefits Estimated hiring range \$73,035 - \$89,265 / year, 5% bonus target, full benefits. www.careoregon.org/about-us/careers/benefits Posting Notes This is a fully remote role, but you must reside in 1 of the listed 9 states (Must be able to work (9-3P.M. PST - Flexible if in Central Time). Job Summary The Special Investigations Unit (SIU) Investigator position is responsible for administering the fraud, waste, and abuse (FWA) duties for Health Share of Oregon. This work includes delegation oversight of subcontracted entities corporate risk assessment and compliance education and technical assistance. Core work includes ensuring effective measures are in place and operating effectively to prevent, detect, and correct any instances of fraud, waste, and abuse. This includes performing fraud investigations and providing regular FWA reporting. Additionally, this position helps ensure that appropriate procedures are in place and followed consistently to safeguard its assets, verify the accuracy and reliability of data, and promote efficient and effective operations. This position develops, designs, implements, and oversees policies and processes to assess compliance with delegated FWA functions and assurance of provision of quality services to Health Share members. This... For full info follow application link. Health Share is an equal opportunity employer and employs personnel without regard to age, citizenship, color, creed, physical or mental disability, economic status, education, ethnicity, family responsibilities, gender identity and expression, genetic information, health status including HIV status, height, housing status, marital status, matriculation, national origin, physical appearance, race, religion, political affiliation, pregnancy, sex, sexual orientation, union membership, veteran status or other unlawful factors, with respect to recruiting, hiring, job assignment, promotion, discipline, discharge, compensation, training and other terms, conditions and privileges of employment and contracting. Health Share is committed to creating a diverse staff made of people who are dedicated, optimistic and committed to health equity from all segments of the greater Portland Region, and we encourage people of color, people with disabilities, LGBTQ+ people, women and nonbinary people, and Veterans to apply for consideration. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/D76BF27C630A491E

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