Special Investigations Unit Manager

Job Listing ID:

4480689

Job Title:

Special Investigations Unit Manager Application Deadline:

05/27/2026

Job Location:

Portland

Date Posted:

04/28/2026

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 Fraud, Waste and Abuse Management Manage the development and operation of an effective fraud, waste, and abuse program in accordance with CMS requirements and the Federal Sentencing Guidelines with guidance from department leadership, including: Recommendation and implementation of FWA policies and the FWA annual plan Periodic reporting to the organization's Internal Compliance Committee and governing Board of Directors Effective training and education Establishment and maintenance of effective lines of communication at all levels of the organization (to include a non-compliance reporting hotline) Development and oversight of effective system for routine FWA monitoring, auditing and identification of compliance risks Collaboration with other departments to ensure compliance issues are reported to appropriate channels for investigation and resolution Clear and specific policies, procedures and standards relating compliance monitoring activities. Ensure the timely completion of the annual FWA work plan and evaluate the corresponding work performed by department staff. Perform and manage FWA investigations conducted by CareOregon staff, affiliates, and business partners. Complete and file all required Medicare and Medicaid filings and/or responses for FWA. Manage the development of sufficient and accurate monthly FWA dashboards and corresponding summaries used to identify and monitor current compliance and trending of all FWA matters including case details and metrics. Identify potential areas of FWA vulnerability and risk; partner with department leadership in developing and implementing corrective action plans for resolution of problematic issues and provide general guidance on how to avoid or deal with similar situations in the future. Provide input into strategic planning and budget planning for the department. Employee Supervision Manage team and recommend team direction and goals in alignment with the organizational mission, vision, and values. Identify work and staffing needs to meet work expectations; recruit and hire, using an equity, diversity, and inclusion lens. Plan, organize, schedule, and monitor work; ensure employees have information and resources to meet job expectations. Lead the development, communication, and oversight of team and individual goals; ensure goals, expectations, and standards are clearly understood by staff. Train, supervise, motivate, and coach employees; provide support toward employee development. CareOregon is an equal opportunity employer.& #8239; The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.

Job Classification:

First-Line Supervisors of Police and Detectives Access our statewide or regional occupation report for more information about wages, employment outlooks, skills, training programs, related occupations, and more. Compensation

Salary:

$111,690.00 to $136,510.00 per Year Job Requirements

Experience Required:

 At least 5 years

Education Required:

Associates

Minimum Age:

N/A Gender:

N/A