Medicaid Payment & Policy Analysts – Hospital and Safety Net Programs - two (2) positions (Oper[...]

U.S. Department of Veterans Affairs; Portland (ME); Hybrid; USD 60,000 - 80,000; Full time

Job summary

The Oregon Health Authority is seeking two Medicaid Payment & Policy Analysts to support critical Medicaid hospital programs. Candidates should have a Bachelor's degree or equivalent experience, with strong analytical skills and a passion for health equity. Successful applicants will contribute to policy development and implementation aimed at improving healthcare access and services for vulnerable communities.

Benefits

Medical, vision, and dental benefits

Optional life and disability insurance

11 paid holidays and vacation accrual

Training and career growth opportunities

Qualifications

• Bachelor's or equivalent experience in relevant fields.
• Experience in policy implementation preferred.
• Strong analytical and management skills are crucial.

Responsibilities

• Support policy development and implementation for Medicaid programs.
• Evaluate program effectiveness and advance the medical home model.
• Track legislative processes and implement necessary administrative procedures.

Skills

Communication

Analytical skills

Project management

Education

Bachelor's Degree in Business or Public Administration

Tools

Microsoft Excel

Microsoft Word

Microsoft Teams

Job description

Initial Posting Date:

05/30/2025

Application Deadline:

06/09/2025

Agency:

Oregon Health Authority

Salary Range:

$4,409-$6,736

Position Type:

Employee

Position Title:

Medicaid Payment & Policy Analysts – Hospital and Safety Net Programs - two (2) positions (Operations and Policy Analyst 1)

Job Description:

Opportunity Awaits, Apply Today! - Medicaid Payment & Policy Analysts – Hospital and Safety Net Programs - two (2) positions (Operations and Policy Analyst 1)

Hospital Operations & Policy Analyst: The primary purpose of this position is to support policy development and implementation for the Medicaid hospital program. The position works closely with the Medicaid hospital program lead (OPA3), the key hospital policy advisor for the division.

The Medicaid hospital program is responsible for:
• Oregon Administrative Rules (OAR);
• Contracts with hospitals detailing Medicaid payment for services;
• Disproportionate Share Hospital (DSH) payments and the associated Hospital Assessment;
• Hospital rates and payment policy for the Open Card Program.

Duties for the position are to follow, monitor and improve the processes use by the program to ensure OARs and contracts are kept current, DSH payments and the Hospital assessment are accurate, and hospital rates and payment policy are configured in the Medicaid payment system correctly. Additionally, the position receives information and questions from hospitals, state staff involved in program operations, and from contractors.

Alternative Payment & Advanced Care Model Policy Analyst: This position supports the Alternative Payment and Advanced Care Model (APCM) program, working closely with the OPA3 safety net clinic analysts under the Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) programs.

This role:

• Supports APCM program operations by evaluating effectiveness, planning improvements, and implementing changes in policy, procedures, or rules.

• Develops operational procedures to supplement existing administrative regulations or guidelines by identifying problems, analyzing information, and recommending more efficient or effective administrative processes.

• Tracks the legislative process and develops administrative procedures or rules to implement legislation.

• Advances the medical home model through an innovative payment structure designed to improve quality and access to care for over 150 practices statewide.

• Considers the benefits to individuals, impact on access, program effectiveness, and cost containment.

Click Here to view a Dashboard of all current recruitments for the Medicaid Division. The position description provides additional context for the role. Section 1 of the position description outlines Position Information, including Work Location and Supervisor Name. Section 3 outlines specific responsibilities in the Description of Duties.

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.

What We Are Looking For

Minimum Qualifications: These qualifications must be visible 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;
OR
Any combination of experience or education equivalent to three years technical-level experience that typically supports the knowledge and skill requirements listed for the classification.

Desired Attributes: The following are skills and lived experiences that we have identified as key to success in this role at OHA. These are the attributes we are looking for in our top candidate. If you possess 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 and relational landscape of key partners, providers, community based organizations, and advocacy groups.

• Demonstrated experience supporting meeting coordination and project tracking, including the preparation of planning tools, data, and documentation that contribute to collaborative communication and informed decision-making.

• Knowledge of legislative and regulatory processes; specific knowledge of Oregon Administrative Rules, Oregon Revised Statutes, and federal and state Medicaid laws and regulations is valued.

• Ability to explain agency procedures and provide accurate technical assistance regarding forms, policies, and administrative processes within an established regulatory or programmatic framework. Knowledge of quality assurance and continuous process improvement procedures including experience support for compliance monitoring and assistance with audit preparation or documentation.

• 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.

• Ability to demonstrate proficiency in Microsoft Excel, Word, Outlook, and use of collaboration tools such as Microsoft Teams, SharePoint and Smartsheet.

Application Guidance

How to Apply: Submission Requirements - At the time of application, ensure the work history in your applicant profile is up to date and attach a current copy of your resume, and answer all supplemental questions.

• External Candidates: Visit the State of Oregon job opportunities webpage to submit your application. Be sure to follow all application submission requirements.

• Internal Candidates: Current State of Oregon employees must apply through their employee Workday login. Be sure to follow all application submission requirements.

After You Apply:

• Before the job announcement closes, log in to your Workday account to check for pending tasks under “My Applications” and complete them.

• Remember to check your email (including your junk folder) and Workday inbox for updates on your application.

• We value our veterans! To ensure the security of your information, kindly follow the instructions for how to submit your Veteran documents for preference found here. Please do not attach your Veterans’ preference documentation in the Resume/CV field of your application.

Reminders:

• Your candidate profile and application materials are great opportunities to showcase your interest in the position and highlight your skills and experience. Submissions will be screened for consistency and communication skills, including attention to detail, spelling, and grammar. For more tips and guidance, check out What you need to know to get the job !

• This announcement is for 2 full-time, permanent, SEIU represented positions based in Salem/Portland, Oregon.

• This is a hybrid position. Please check SECTION 4. WORKING CONDITIONS, of the position description linked above to review more details regarding the details surrounding the working conditions.

• Please download and save a copy of this job announcement and linked position description, as it is not available after the application deadline. For questions about the announcement, or if you require an alternate format to apply, please contact the Senior Recruiter, Stephanie Mitchell at: [e-mail] | 503-979-7679.

Benefits of Joining Our Team

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, the Oregon Health Authorityis the place for you. We also offer a competitive benefits package including:

• Excellent medical, vision, and dental benefits package for the employee and qualified family members with a very low monthly out-of-pocket cost.

• Optional life insurance, short-term disability, long-term disability, deferred compensation savings program, and flexible spending accounts for health care and childcare expenses.

• Employee benefits include 11 paid holidays, 3 personal business days, 8 hours of monthly sick leave, and vacation accrual starting at 8 hours per month.

• Possible eligibility for the Public Service Loan Forgiveness Program .

• Membership in the Public Employees Retirement System (PERS)/Oregon Public Service Retirement Plan (OPSRP).

• Training opportunities that will help grow your career with the State of Oregon.

Additional Details

• The information in your application will be used to complete an Equal Pay Analysis to determine salary placement upon hire. Visit the Department of Administrative Services Equal Pay Analysis Webpage for more information.

• The salary listed is the non-PERS qualifying salary range. If the successful candidate is PERS qualifying, the salary range will reflect the additional 6.95%. Review the Classification and Compensation page for more details on the classification.

• Agency does not offer visa sponsorship. Within three days of hire, applicants will be required to complete I-9 documentation and confirm authorization to work in the United States. If your employment authorization and documentation is contingent on sponsorship now or in the future, you will not meet Agency employment eligibility standards.

Helpful Links & Resources

How to Set Job Alerts | Workday Applicant FAQ | Oregon Health Authority | Facebook | Instagram | LinkedIn | Veterans Resources

The Oregon Health Authority is an equal opportunity, affirmative action employer, committed to diversity and pay equity.