Health Insurance Analyst, Administrative Specialist 1

Oregon Department of Human Services

Salem (OR)

Hybrid

USD 42,000 - 58,000

Full time

4 days ago

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Benefits offered by this job

ODHS Employee Resource Group

Cost of Living Adjustments

Annual salary increases

Public Service Loan Forgiveness

Amazing benefits package

Job summary

The Oregon Department of Human Services is seeking a Health Insurance Analyst to join the Health Insurance Group within the Office of Payment Accuracy and Recovery. You will ensure third-party insurance information is entered accurately, support recovery of incorrect payments, and help clients enroll in the right Managed Care plans.

This role emphasizes attention to detail, data integrity, and effective communication with carriers, providers, and clients.

Qualifications

Two years of secretarial or basic administrative support experience that includes records processing, generating documents, and gathering and sorting data.
An associate degree in general office occupations and one year of experience with records processing, generating documents, and gathering and sorting data.
Equivalent combination of education and experience.

Responsibilities

Contribute to continuous process improvement by participating in Lean-focused teams and committees.
Coordinate daily workflow and support team operations.
Complete assignments from leadership in a timely manner.
Review updated policies and procedural materials as required.
Maintain an organized workstation and effective workload management.

Skills

Attention to detail

Data entry

Communication

Records processing

Education

Associate degree in general office occupations

Equivalent combination of education and experience

Tools

Medicaid Management Information System

Health insurance systems

MS Teams

Job description

Position Title

Health Insurance Analyst, Administrative Specialist 1

Initial Posting Date

10/21/2026

Application Deadline

10/28/2026

Agency

Department of Human Services

Salary Range

$3,798 - $5,193

Position Type

Employee

Job Description

The Oregon Department of Human Services is proud to be an Equal Opportunity Employer. We are guided by our Equity North Star and our vision for a positive RiSE organizational culture that advances equity and diversity. We encourage applications from members of historically underrepresented racial/ethnic groups, women, individuals with disabilities, veterans, LGBTQIA2S+ community members, and others to help us achieve our vision of a diverse and inclusive community.

Bring Your Expertise and Talent and Join Us as a Health Insurance Analyst! The Oregon Department of Human Services is looking for a motivated, detail‑driven professional to join our Health Insurance Group within the Office of Payment Accuracy and Recovery. As a Health Insurance Analyst (Administrative Specialist 1), you will help make a real difference for Oregon’s Medicaid clients.

In this role, you will ensure third‑party insurance information is entered accurately and on time, helping prevent unnecessary Medicaid costs, supporting recovery of incorrect payments, and ensuring clients receive the benefits they deserve. You will also help clear outdated exemptions so clients can enroll in the right Managed Care plans.

If you enjoy meaningful work, problem‑solving, and being part of a supportive team that values accuracy and service, we want you on our team!

Summary Of Duties

As a Health Insurance Analyst, you will:

Coordination

Contribute to continuous process improvement by participating in Lean‑focused teams and committees.

Coordinate daily workflow and support team operations.

Complete assignments from leadership in a timely manner.

Review updated policies and procedural materials as required.

Maintain an organized workstation and effective workload management.

Administrative Assignments

Independently review, analyze, and research Third Party Resource referrals to determine completeness and eligibility for entry into the Medicaid Management Information System.

Verify current and past Medicaid coverage using system eligibility screens.

Assess whether referrals contain new information, duplicate existing records, or require additional research.

Research historical information in available state systems when referral details are incomplete and return unverified referrals to the source when necessary.

Identify Child Protective Services and Domestic Violence cases and determine appropriate actions to protect confidentiality and safety.

Process referrals from multiple work queues, including phone calls, inbox submissions, webforms, internal reports, and other designated sources.

Contact insurance carriers to request and verify policy information and provide clear explanations of applicable laws, rules, and confidentiality requirements.

Gather and assess insurance information from carrier websites to determine accuracy and completeness.

Enter, update, and maintain Third Party Resource records in the Medicaid Management Information System and ensure accuracy of all changes.

End special Medicaid exemption conditions when appropriate to support enrollment into a Coordinated Care Organization.

Notify referral sources of actions taken when required.

All staff log into the call system and rotate answering calls throughout their shift. Inbox referrals are assigned on a daily rotation based on business needs.

Minimum Qualifications

Two years of secretarial or basic administrative support experience that includes records processing, generating documents, and gathering and sorting data; OR

An associate degree in general office occupations and one year of experience with records processing, generating documents, and gathering and sorting data; OR

An equivalent combination of education and experience.

Essential Attributes

We are looking for candidates with:

Experience coordinating and understanding health insurance benefits.

Experience navigating and operating medical billing systems and related computer‑based tools.

Experience in accurately researching, entering, updating, and retrieving alphanumeric data with consistent efficiency

Proficient in communicating effectively with individuals via telephone, written correspondence, and in‑person interactions.

Experience showing exceptional attention to detail when reviewing, verifying, and processing information.

Working Conditions

Work is performed remotely, involving extended periods of sitting for computer and phone work.

The role is primarily independent, with limited peer‑to‑peer interaction.

Communication with team members occurs mainly through Microsoft Teams Instant Messaging, with weekly virtual meetings conducted via MS Teams using cameras, headsets, or mobile devices.

The position occasionally involves phone or email interactions with individuals who may be upset, emotional, or confrontational.

You may be required to come into the office in Salem quarterly for meetings, training, business or operational needs.

The working hours for this position are 8:00am to 5:00pm, Pacific Standard Time.

Background Checks And Requirements

If selected as a finalist, we will conduct a criminal history and background check. Adverse criminal history or background check may lead to disqualification. Additional background check information.

The Oregon Department of Human Services does not offer visa sponsorship. Within three days of hire, you will be required to complete the US Department of Homeland Security’s I‑9 form confirming authorization to work in the United States. ODHS will use E‑Verify to confirm that you are authorized to work in the United States.

Benefits

ODHS Employee Resource Group communities that promote shared learning.

Cost of Living Adjustments.

Annual salary increases (until you reach the top of the listed salary range).

Amazing benefits package.

Possible eligibility for the Public Service Loan Forgiveness Program.

Employment Preference

Eligible Veterans and Oregon National Guard servicemembers (current and former) who meet the qualifications of the position will be awarded candidate preference. For more information, please visit Veterans Resources.

General Information