Fee-For-Service Contracts Administrator (Operations & Policy Analyst 3)

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If this opportunity aligns with your strengths, background, and commitment to fostering inclusivity, we encourage you to apply! At the Oregon Health Authority (OHA), we value diversity and encourage applicants from all backgrounds and experiences to help us build a stronger, more equitable future for all.

Opportunity Awaits, Apply Today! –Fee-For-Service Contracts Administrator (Operations & Policy Analyst 3)

Medicaid Policy & Fee-For-Service (FFS) Operations section is responsible for developing and maintaining Medicaid policies that codify and clarify benefit design, delivery, and access to Oregon Health Plan (OHP) services. The section maintains Fee-for-Service (FFS) operations and the Open Card system for over 95,000 OHP members. The Medicaid Fee-for-Service Quality Assurance and Operations unit oversees rate standardization, access and quality for the Open Card healthcare system, managing care coordination contracts, and overseeing quality assurance strategies. The team is comprised of analysts who administer service delivery contracts, maintain a provider network, establish and maintain all FFS rates and Rate schedules, create and update Oregon Administrative Rules (OAR’s), and implement policy related to services paid directly by the state, assuring they align with federal and state requirements.

The primary purpose of this position is to serve as one of three Fee-for-Service (FFS) Contract Administrators supporting the OHA’s Oregon Health Plan (OHP) FFS Open Card delivery system. In this role, the position provides oversight, evaluation, and strategic direction for two contracted service areas: (1) Network Provider Development and Management for the FFS Open Card provider network, and (2) a Statewide Member Communications and Marketing program that informs members and supports provider engagement.

For a full review of the position description, please clickhere.

What We Are Looking For

Minimum Qualifications:These qualifications must be reflected in your application for consideration.

A Bachelor's Degree in Business or Public Administration, Behavioral or Social Sciences, Finance, Political Science or any degree demonstrating the capacity for the knowledge and skills; and four years professional-level evaluative, analytical and planning work.

OR;

Any combination of experience and education equivalent to seven years of experience that typically supports the knowledge and skills for the classification.

Desired Attributes:The following are desired attributes that we have identified as key to success for this role at OHA. These are the attributes we are looking for in our top candidate. If you have any of these, please let us know in your application.

·         Experience supporting the development and implementation of policies and programs at the community, state, and/or national level that advance health equity (address systemic health disparities, expand culturally responsive and inclusive services, factor in social determinants of health) and elevate the voice of community and those with lived experience.

·         Knowledge of health services delivery systems, particularly the Oregon Health Plan/ Medicaid administration in Oregon, including experience working with Coordinated Care Organizations, social safety net programs, health service providers (including Community Mental Health Programs and other behavioral health service providers), or community-based organizations.

·         Knowledge of legislative and regulatory processes; experience analyzing, applying and advising on relevant federal and state Medicaid laws and regulations as well as legislative concepts/bills; specific knowledge of Oregon Administrative Rules and Oregon Revised Statutes is valued.

·         Ability to foster inter-and cross-agency collaboration and to facilitate coordination of community centered policies, programs, and continuous (performance / quality / process) improvement strategies. 

·         Strong oral and written communication skills across a variety of forums; experience communicating qualitative and quantitative information, verbal and written, that are accessible to and understood by audiences with different levels of comprehension or interest and that are culturally responsive, inclusive, and appropriate.

·         Experience and knowledge evaluating and synthesizing quantitative and qualitative data to analyze and measure the effectiveness, efficiency, and impact of administrative and technical programs within the context of health policy / healthcare services.

·         Demonstrated project management experience, including ability to effectively manage multiple project timelines and priorities and promote human-centered change management.

·         Knowledge about contracts/interagency agreement administration, procurement, and grant administration within the context of Oregon state government (e.g. OHA/ODHS) or other complex health services delivery organizations.

Application Guidance

Your candidate profile and application are your opportunity to showcase your skills and interest in this role. Submissions will be reviewed for clarity, consistency, and communication skills, and for alignment with the guidance provided in the below:

Submission Requirements:

·        Resume – Attach your current resume that clearly outlines your education and work experience relevant to this position.

·        Supplemental Questions – Answer all supplemental questions completely and accurately.

·        Final Check! – Before submitting, confirm that all required materials are included, and your Workday Job History is current. The information in your application will be used to complete an Equal Pay Analysis to determine salary placement upon hire. Visit theEqual Pay Analysis Webpage for more information.

How to Apply:

·        External Candidates: Visit theState of Oregon job opportunities webpage or click the “Apply” tab above to submit your application, following all submission requirements.

·        Internal Candidates: Current State of Oregon employees must apply through theiremployee Workday login, following all submission requirements.

After You Apply:

• Complete any pending tasks in Workday under “My Applications” prior to the application deadline.
• Check your email (including junk folder) and Workday inbox regularly for updates on your application.

Reminders:

• Eligible veterans and Oregon National Guard servicemembers (current and former) who meet the qualifications of the position will be awarded candidate preference. To protect your information and ensure correct processing, please follow the instructions forsubmitting your Veterans’ Preference documentation.
• Please download and save a copy of this job announcement and linked position description, as it is not available after the application deadline.

About the Team & Benefits of Joining

We offer a workplace that balances productivity with enjoyment; promote an atmosphere of mutual respect, dedication, and enthusiasm. You will collaborate with a team of bright individuals to work with and learn from.

If you're driven by the passion to do something meaningful that changes lives, theOregon Health Authority is the place for you.We also offer a competitive benefits package including:

·         Excellent, low-costmedical, vision, and dental coverage for you and your family.

·         Optional benefits like life insurance, disability coverage, deferred compensation, and FSA options for health and childcare.

·         Generous paid time off: 11 holidays, 3 personal days, monthly sick leave, and vacation accrual starting at 8 hours/month.

·         Potential eligibility for thePublic Service Loan Forgiveness Program.

·         Retirement security throughPublic Employees Retirement System (PERS)/Oregon Public Service Retirement Plan (OPSRP).

·        Training and development opportunities to grow your career with the State of Oregon.

Additional Details

• This announcement is for one, full-time, permanent, SEIU represented, Fee-For-Service Contracts Administrator (Operations & Policy Analyst 3) position based in Salem, Oregon.
• This is a hybrid (15% in-office) position. “Review Section 4: Working Conditions” in the position description (linked above) for more information.
• Employment is contingent upon a criminal records check and a driving records check that meets OHA criteria at the time of hire and throughout employment.
• The salary listed is the non-PERS qualifying range. If the successful candidate qualifies for PERS, the salary range will increase by 6.95%. For more information, see theClassification and Compensation page.
• The State of Oregon does not request or require your age, date of birth, attendance or graduation dates from an education institution during the application process.
• This position does not provide visa sponsorship. Within three days of hire, you will be required to complete I-9 documentation and confirm authorization to work in the United States. OHA will useE-Verify to verify work authorization. If your employment eligibility depends on sponsorship now or in the future, you will not meet the requirements for this position.
• We evaluate candidates based on their own skills and experience. Unless explicitly approved, outside resources – including Artificial Intelligence (AI) tools – are not permitted during assessments or interviews. Use of unauthorized resources will disqualify a candidate from further consideration.

Contact Information
Recruiter: Stephanie Mitchell
Email: stephanie.d.mitchell@oha.oregon.gov
Phone (text friendly): (503) 979-7679

Accommodation Requests (ADA): OHA provides reasonable accommodations under the ADA, which may include alternative formats of materials or language support. If you need an accommodation to apply for this position or participate in the selection process, please contact the recruiter listed above.

Helpful Links & Resources

How to Set Job Alerts |Workday Applicant FAQ |Oregon Health Authority|Facebook |Instagram |LinkedIn |Veterans Resources |What You Need to Know to Get the Job

The Oregon Health Authority is an affirmative action and equal opportunity employer, committed to fair employment practices and pay equity for all employees. We do not discriminate based on protected class –including race, sex, veteran status, disability, age, color, religion, national origin, marital status, or sexual orientation –and does not screen applicants based on current or past compensation. Salary is determined through a fair review of your education, experience, and training as it relates to the position.

OHA is an anti-racist organization working to eliminate health inequities and dismantle structural barriers that impact underserved communities. Join us in advancing our Strategic Plan and building a more equitable Oregon.