Program Integrity Administrator

Oregon Department of Human Services

. Provide strategic leadership for OHA’s statewide program integrity, fraud, waste, and abuse (FWA), and Medicaid compliance operations .

Posted 10/3/2026full-timeSalem • Oregon • United StatesMid-LevelSenior💰 $9,604 - $14,856 per monthWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Medicaid Program Integrity, Fraud, Waste, and Abuse (FWA) management, with a strong focus on compliance operations, strategic leadership, and data-driven decision-making. Proven ability to lead multidisciplinary teams, oversee complex investigations, and build partnerships with federal and state agencies.

Highest-signal resume keywords

Medicaid Program Integrity ManagementFraud, Waste, And Abuse (FWA) OversightStrategic Leadership And DirectionData Analysis And Risk AssessmentRegulatory Compliance Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Program Integrity OperationsFinancial AuditsCompliance AuditsData AnalyticsInvestigative TechniquesPerformance ManagementPolicy DevelopmentRisk AssessmentBudget OversightContract Management

Soft Skills

Effective CommunicationRelationship BuildingTeam LeadershipDecision-MakingStakeholder Engagement

Industry Keywords

Medicaid ComplianceFederal Oversight AgenciesOregon Department Of JusticeCMS LiaisonState AgenciesCommunity PartnershipsTechnical Advisory GroupsPerformance ObjectivesEmerging RisksOperational Insights

About the role

Key responsibilities & impact

Provide strategic leadership for OHA’s statewide program integrity, fraud, waste, and abuse (FWA), and Medicaid compliance operations
Set priorities, develop policies and performance objectives, and ensure OPI operations support OHA’s mission, strategic goals, and federal and state requirements
Lead a multidisciplinary team responsible for investigations, financial and compliance audits, data analytics, provider oversight, and Medicaid program integrity activities
Identify emerging risks and trends and strengthen detection and investigation strategies
Use data and operational insights to improve program integrity
Provide policy guidance to OHA leadership
Build and maintain partnerships across Oregon and at the federal level
Serve as OHA’s primary liaison with CMS, federal oversight agencies, the Oregon Department of Justice Medicaid Fraud Control Unit, the Secretary of State, state agencies, contractors, providers, and community and industry partners
Represent OHA in committees, task forces, and technical advisory groups
Provide consultation, education, and technical assistance on Medicaid compliance and program integrity
Oversee OPI’s budget, contracts, staffing, strategic planning, and performance management
Manage a complex portfolio of program integrity activities within OHA’s approximately $21 billion annual operation
Exercise significant independent decision-making authority
Report directly to the Chief Financial Officer

Requirements

What you’ll need

Five years of management experience; OR two years of management experience and a bachelor’s degree in a related field
Experience leading or managing Medicaid program integrity, regulatory compliance, fraud, waste, and abuse (FWA), audit, investigation, or oversight activities
Experience providing strategic direction, establishing priorities, developing performance objectives, and leading complex programs or multidisciplinary teams
Experience overseeing or conducting complex investigations, audits, risk assessments, data analysis, or activities addressing fraud, waste, abuse, overutilization, or compliance concerns
Experience working with federal, state, or local regulatory, oversight, law enforcement, or government entities
Experience using audits, research, analytics, performance measures, financial information, or other data to identify trends, assess risk, improve operations, and inform policy or management decisions
Ability to communicate complex regulatory, financial, operational, or compliance issues to executive leadership
Ability to build effective working relationships with diverse internal and external stakeholders
Employment contingent upon a criminal records check meeting OHA criteria
Must complete I-9 documentation and confirm authorization to work in the United States within three days of hire
Position does not provide visa sponsorship
Resume and complete supplemental questions required
Bachelor’s degree with a master’s degree preferred

Benefits

Comp & perks

Excellent, low-cost medical, vision, and dental coverage for you and your family
Optional life insurance, disability coverage, deferred compensation, and FSA options for health and childcare
11 holidays
3 personal days
Monthly sick leave
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
Hybrid/remote work flexibility
Reasonable accommodations under the ADA, including alternative formats of materials or language support