Special Investigations Unit Investigator

Job Listing ID:

4493864

Job Title:

Special Investigations Unit Investigator Application Deadline:

06/17/2026

Job Location:

Portland

Date Posted:

05/19/2026

Hours Worked Per Week:

40

Shift:

Day Shift Duration of Job:

Full Time, more than 6 months You may contact this employer directly. (Obtain the contact information to print or add to your jobs.)

Job Summary:

Essential Responsibilities ' Assist in the development and operation of an effective FWA program in accordance with CMS requirements, OHA/OHP requirements, and applicable laws with guidance from department leadership. ' Perform routine FWA investigations, audits, and corrective actions as assigned, including maintaining documents and providing routine updates; may assist senior investigator with more complex or advanced investigations. ' Prepare reports of audit findings; provide recommendations regarding improvements or corrective actions where a deficiency may exist. ' Prepare, proofread, and distribute correspondence, forms, and other information of a specialized and confidential nature. ' Respond to routine and ad hoc requests from external regulatory agencies as assigned, such as annual reviews, quarterly reports, and one-off requests. ' Prepare routine and ad hoc reports for internal and external leaders, committees, and governing body, including collecting, analyzing, and displaying data. ' Assist in developing and maintaining an organized, methodical documentation system for communicating, implementing, and administering new and existing FWA regulatory requirements. ' Review and recommend policy and procedure revisions that support the FWA/SIU program. ' Attend internal and external FWA and compliance-related meetings as assigned. ' Assist in providing effective FWA training and education to staff, both internal and external. ' Educate providers on appropriate documentation and coding. ' Participate in FWA program-related risk assessment and mitigation processes. ' Meet departmental metrics for key performance indicators. Experience and/or Education Required Minimum 2 years' experience in FWA, compliance and/or audit including in an operational setting within a highly regulated industry Preferred Oregon Medicaid experience or health plan experience CPC (Certified Professional Coder) or RHIT (Registered Health Information Technician) or CFE (Certified Fraud Examiner) 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. CareOregon is an equal opportunity employer.

Job Classification:

Compliance Officers Access our statewide or regional occupation report for more information about wages, employment outlooks, skills, training programs, related occupations, and more. Compensation

Salary:

$72,765.00 to $88,935.00 per Year Job Requirements

Experience Required:

 At least 2 years

Education Required:

None

Minimum Age:

N/A Gender:

N/A