Jobs at CareOregon

Lead analytics and quality improvement work for a regional payer: perform complex data analysis, build dashboards (Tableau), guide regulatory reporting, lead projects and analysts, provide QI technical assistance, and coordinate cross-departmental initiatives to meet clinical performance metrics and compliance.

Lead and manage planning and operations for the provider network, overseeing strategic plan deployment, project portfolio, network adequacy, regulatory compliance, stakeholder engagement, and operational improvements. Develop monitoring systems, reporting, communications, and meeting infrastructure; collaborate with data analysts and cross-functional teams to implement process improvements and ensure efficient provider engagement.

Perform QA reviews of HRSN/rent-assistance benefit allocations, validate documentation and calculations, analyze trends, prepare reports for leadership and OHA, support audits and corrective actions, provide data entry and accounting support, maintain records, and develop training and process improvements. Use Office, SharePoint, Workday, and Unite Us; collaborate with cross-functional teams to ensure compliance and program quality.

Manage actuarial analysis for financial reporting, including IBNR and PDR estimates, trend forecasting, cost/utilization modeling, ROI evaluation, regulatory reporting, and leading a team. Partner with finance and business leaders to communicate results, drive data-driven decisions, and ensure timely regulatory submissions.

Lead large, complex technology-focused projects across the full lifecycle using project management and LEAN principles. Scope, plan, facilitate stakeholder collaboration, monitor progress, manage budgets, ensure quality and compliance, drive change management, document outcomes, and recommend process and system improvements. Act as liaison among internal and external partners and provide expert guidance on implementation and ongoing support of systems and analytics.

Lead strategy and operations for Data Science, Data Engineering, and BI; set technical vision and governance; prioritize and deliver analytics and data products; partner with stakeholders to produce trusted insights; oversee data platforms, quality, documentation, and team development; represent organization externally and support healthcare value and regulatory initiatives.

Lead large, complex technology-focused projects using project management and LEAN principles across the full lifecycle. Scope, plan, manage implementation, drive stakeholder consensus, ensure compliance, manage budgets, apply change management, maintain documentation, and support post-implementation evaluation for enterprise-wide initiatives.

Support change efforts for medium-to-large, complex projects across the project lifecycle. Develop and execute change management plans, engage stakeholders, measure adoption, mitigate risks, maintain documentation, and support implementation using EPMO tools and Lean principles. Collaborate with sponsors and teams to ensure adoption and sustainment.

Translate English member materials into culturally appropriate Spanish using CAT tools, ensure accuracy, style, and reading-level compliance, proofread vendor work, collaborate with creative teams, and meet deadlines to support language access for LEP members.

Serve as primary liaison between CareOregon and provider partners to onboard, educate, and support contracted providers. Conduct orientations, site visits, trainings, complaint resolution, contract support, and cross-department collaboration to identify network needs and ensure regulatory and contractual compliance.

Lead enterprise provider data management and credentialing operations for Medicaid and Medicare lines, ensuring compliant, accurate provider data, optimized systems, strategic network development, resource and budget management, process improvement, and team leadership to meet regulatory and organizational objectives.

Senior finance partner providing FP&A and enterprise-level financial insight to regional and executive leaders. Translates financial, operational, clinical, and market data into executive- and Board-ready narratives, leads budgets, rolling forecasts, scenario and stress-testing, drives performance initiatives, and coaches analysts and junior finance partners to support strategic decision-making.

Conduct and document fraud, waste, and abuse (FWA) investigations and audits; prepare reports and corrective action recommendations; maintain FWA documentation and reporting; support policy, training, risk assessment, and regulatory requests; analyze and present data to internal and external stakeholders.

Senior-level accountant responsible for general ledger maintenance, complex journal entries, reconciliations, and advanced data analysis. Prepares monthly and external regulatory financial reports, annual tax filings, supports audits, develops reports using Excel and reporting/GL software, collaborates with internal teams and regulators, and mentors finance staff.

Lead and expand a customer-centered finance organization overseeing accounting, financial reporting, FP&A, actuarial analysis, rate development, risk adjustment, and procurement. Provide strategic financial leadership for Medicaid/Medicare populations, guide budgeting/forecasting, advise executive leadership, manage stakeholder relationships, and build high-performing teams while ensuring compliance and regulatory reporting.