Moda Health Jobs Hiring Now
Moda Health is hiring for 17 open roles on Migrate Mate as of July 16, 2026, concentrated in healthcare administration and backend engineering, with listed salaries up to about $200,000. Migrate Mate updates Moda Health's live openings daily. Moda Health is a regional health insurance and managed care organization offering medical, dental, and pharmacy benefit plans to individuals, employers, and government program members across the Pacific Northwest.
Find Moda Health JobsOverview
Moda Health hiring data on Migrate Mate, as of July 16, 2026.
- Open jobs
- 17
- Top team
- Healthcare Administration
- Seniority
- Across all levels
- Work type
- 76% remote or hybrid
- Top location
- Portland
- Salary range
- $72,000–$200,000
Listed salaries for Moda Health roles on Migrate Mate range from about $72,000 to $200,000 per year across 17 open roles, as of July 16, 2026. Some roles list hourly contract rates.
Open Roles at Moda Health
Showing 17 of 17+ Moda Health jobs
Let’s do great things, together!
About Moda
Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.
Position Summary
Responsible for coordinating and performing all oversight activities to ensure compliance with NCQA, State and Federal requirements for the delegated UM functions. Audits the delegates’ structure, programs, operational design, and denial decisions. Ensures compliance and maintains readiness for accreditation organization audits. Conduct quarterly Delegation Oversight Committee meetings. Document discussions regarding compliance and delegated functions in meeting minutes. This is a hybrid position based in Portland.
Pay Range
$71,990.85- $89,988.57 annually
**Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.
Please fill out an application on our company page, linked below, to be considered for this position.
https://j.brt.mv/jb.do?reqGK=27780850&refresh=true
Benefits:
- Medical, Dental, Vision, Pharmacy, Life, & Disability
- 401K- Matching
- FSA
- Employee Assistance Program
- PTO and Company Paid Holidays
Requirements:
- Requires current unrestricted Oregon Nursing license as a registered nurse with
- Experience in healthcare management and knowledge of regulatory requirements
- Have a strong understanding of NCQA
- Type a minimum of 35 wpm on a computer keyboard.
- Proficiency with personal computer programs such as Microsoft Word and Excel.
- Analytical, problem solving, memory retention, organizational and detail oriented.
- Excellent verbal and interpersonal communication skills including management of the angry customer.
- Ability to work well under pressure.
- Ability to come into work on time and daily.
Primary Functions:
Perform pre-delegation review in accordance with NCQA requirements including:
- Review of all relevant policies and procedure
- Review of ability to perform delegated function in the appropriate time frames
- Review of clinical policies and comparison with current Moda Health guidelines
- Review of contract terms and knowledge of scope of delegated activities
- Review of workflow to implement delegated activities
- Pre-delegation audit of sample files
- Organizes site visit, agenda, and preparation of audit tools for pre-delegation review
- Report pre-delegation review findings to the Medical Quality Improvement Committee
Perform annual review of delegation including:
- Annual review of program documents and structure
- Review of reports associated with delegated functions
- Perform audit of selected files
- Review updates to clinical policies and compare with Moda Health guidelines
- Submit corrective action plans for non-compliant issues and review progress
- Organizes site visit, agenda, and audit tool for annual file review
- Report outcomes to the Medical Quality Improvement Committee
- Ability to take initiative and problem solve
- Work independently and as part of an integrated team
- Performs other duties as assigned
Contact with Others
Internally with own department, Medical and Dental Customer Service, Professional Relations, Marketing, Medical Claims, Actuarial (Underwriting), Information Systems and Human Resources. Externally with accreditation organization, providers, provider offices and hospitals, members, and groups.
Working Conditions
Office environment with extensive close PC and keyboard use, constant sitting, and frequent phone communication. Must be able to navigate multiple computer screens. A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work. Must be comfortable being on camera for virtual training and meetings. Work in excess of standard workweek, including evenings and occasional weekends, to meet business need.
Together, we can be more. We can be better.
Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.
For more information regarding accommodations please direct your questions to Kristy Nehler & Danielle Baker via our humanresources@modahealth.com email.
Let’s do great things, together!
About Moda
Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.
Position Summary
Responsible for coordinating and performing all oversight activities to ensure compliance with NCQA, State and Federal requirements for the delegated UM functions. Audits the delegates’ structure, programs, operational design, and denial decisions. Ensures compliance and maintains readiness for accreditation organization audits. Conduct quarterly Delegation Oversight Committee meetings. Document discussions regarding compliance and delegated functions in meeting minutes. This is a hybrid position based in Portland.
Pay Range
$71,990.85- $89,988.57 annually
**Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.
Please fill out an application on our company page, linked below, to be considered for this position.
https://j.brt.mv/jb.do?reqGK=27780850&refresh=true
Benefits:
- Medical, Dental, Vision, Pharmacy, Life, & Disability
- 401K- Matching
- FSA
- Employee Assistance Program
- PTO and Company Paid Holidays
Requirements:
- Requires current unrestricted Oregon Nursing license as a registered nurse with
- Experience in healthcare management and knowledge of regulatory requirements
- Have a strong understanding of NCQA
- Type a minimum of 35 wpm on a computer keyboard.
- Proficiency with personal computer programs such as Microsoft Word and Excel.
- Analytical, problem solving, memory retention, organizational and detail oriented.
- Excellent verbal and interpersonal communication skills including management of the angry customer.
- Ability to work well under pressure.
- Ability to come into work on time and daily.
Primary Functions:
Perform pre-delegation review in accordance with NCQA requirements including:
- Review of all relevant policies and procedure
- Review of ability to perform delegated function in the appropriate time frames
- Review of clinical policies and comparison with current Moda Health guidelines
- Review of contract terms and knowledge of scope of delegated activities
- Review of workflow to implement delegated activities
- Pre-delegation audit of sample files
- Organizes site visit, agenda, and preparation of audit tools for pre-delegation review
- Report pre-delegation review findings to the Medical Quality Improvement Committee
Perform annual review of delegation including:
- Annual review of program documents and structure
- Review of reports associated with delegated functions
- Perform audit of selected files
- Review updates to clinical policies and compare with Moda Health guidelines
- Submit corrective action plans for non-compliant issues and review progress
- Organizes site visit, agenda, and audit tool for annual file review
- Report outcomes to the Medical Quality Improvement Committee
- Ability to take initiative and problem solve
- Work independently and as part of an integrated team
- Performs other duties as assigned
Contact with Others
Internally with own department, Medical and Dental Customer Service, Professional Relations, Marketing, Medical Claims, Actuarial (Underwriting), Information Systems and Human Resources. Externally with accreditation organization, providers, provider offices and hospitals, members, and groups.
Working Conditions
Office environment with extensive close PC and keyboard use, constant sitting, and frequent phone communication. Must be able to navigate multiple computer screens. A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work. Must be comfortable being on camera for virtual training and meetings. Work in excess of standard workweek, including evenings and occasional weekends, to meet business need.
Together, we can be more. We can be better.
Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.
For more information regarding accommodations please direct your questions to Kristy Nehler & Danielle Baker via our humanresources@modahealth.com email.
Job Roles at Moda Health
Working at Moda Health
Moda Health's 17 open roles are across all levels, and about 76% are remote or hybrid. The most active teams are healthcare administration, backend engineering, and business analysis. Moda Health is a regional health insurance and managed care organization providing medical, dental, and pharmacy benefit plans to members across the Pacific Northwest. Its workforce spans clinical roles such as registered nurse care coordinators and behavioral health clinicians, alongside technical, finance, and administrative positions supporting health plan operations. Most Moda Health roles are based in Portland and Milwaukie.
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Browse jobs by roleModa Health Jobs: Frequently Asked Questions
How many jobs is Moda Health hiring for right now?
Moda Health is hiring for 17 open roles on Migrate Mate as of July 16, 2026, updated daily, concentrated in healthcare administration and backend engineering. Roles span clinical care, technology, finance, and health plan operations, ranging from individual contributor positions to management-level openings.
What kinds of roles does Moda Health hire for?
The most active teams are healthcare administration, backend engineering, and business analysis. Moda Health hires across clinical care (registered nurses, behavioral health clinicians, pharmacy technicians), technology (software engineers, data analysts), finance and accounting, and health plan administration roles such as claims auditing and provider configuration. Most postings are across all levels.
Are Moda Health jobs remote or in-person?
Mostly remote. About 76% of Moda Health's open roles on Migrate Mate are remote or hybrid as of July 16, 2026, with the rest based in Portland. Each Moda Health listing shows its work location so you can filter before applying.
How do I apply to a job at Moda Health?
Find a Moda Health role on Migrate Mate, then follow the listing through to Moda Health's own careers site to submit your application directly. Moda Health manages its own hiring process, including application review, interviews, and offers, independent of Migrate Mate.
What do Moda Health jobs pay?
Listed salaries for Moda Health roles on Migrate Mate range from about $72,000 to $200,000 per year as of July 16, 2026, with most postings at across all levels. Some roles list hourly contract rates. Exact pay is set by Moda Health and shown on each listing.
Does Moda Health hire entry-level?
Most of Moda Health's open roles on Migrate Mate are across all levels as of July 16, 2026. Check individual Moda Health listings for stated experience requirements.
Where is Moda Health hiring?
Most Moda Health roles are based in Portland and Milwaukie, and about 76% offer remote or hybrid work as of July 16, 2026. Migrate Mate shows the location on each listing.