Job Description

Do you have experience engaging and activating a variety of health care delivery system partners to improve health outcomes? Are you passionate about weaving improvement science, systems thinking, and collaborative action frameworks to promote equitable access to care and quality of care coordination for Oregonians? We look forward to hearing from you!

This posting will be used to fill four (4) permanent, full-time positions. These positions are classified as Management Service and are not represented by a union.

Work Location: Salem/Marion or Portland/Multnomah; hybrid position

What you will do!

CCO Quality of Care Analyst (4 positions).

The Quality of Care analyst serves as a key advisor of broad ranging continuous quality assurance improvement strategies in the managed care delivery system. This position participates in the development of program administrative rules and contractual requirements that deal with complex regulatory situations in which policy is not clearly defined. This position provides consultative advice and direction on administrative, policy, programmatic and management aspects of quality management operations to executive management. The position ensures adherence to standards for quality and access to care, as defined by federal Medicaid Managed Care regulations, the 1115 Medicaid Demonstration Wavier, state Children’s Health Insurance Plan, and state requirements (e.g., CCO Contract, Oregon Administrative Rules and Oregon Revised Statutes). The Quality of Care analyst provides expert consultation and technical assistances to managed care organizations, community agencies and other stakeholders for identifying innovative approaches to quality care.

Strategic Operations & Performance System Analyst. The purpose of this position, in addition to operations and program analysis, is to provide internal and external collaboration (vendors, Medicaid Division, Behavioral Health Division, Public Health Division, Oregon State Hospital, Coordinated Care Organization partners, OHA leadership, etc.), coordination, and subject matter consultation across all Medicaid program areas on strategic operational alignment and process improvement initiatives.

OHA values service excellence, leadership, integrity, health equity and partnership and has a strategic goal to end all health inequities by 2030.

What’s in it for you?

• Salary Range: $5,747 – $8,831
• We offer exceptional medical, vision and dental benefits packages
• https://www.oregon.gov/oha/pebb/pages/alex.aspx
• Paid Leave Days:
  • 11 paid holidays each year
  • 3 additional paid “Personal Business Days” each year
  • 8 hours of paid sick leave accumulated every month
  • Progressive vacation leave accrual with increases every 5 years
• Pension and retirement programs
• Optional benefits include short-term disability, long-term disability, deferred compensation savings program, and flexible spending accounts for health care and childcare expenses.
• Click here to learn more about State of Oregon benefits.

WHAT WE ARE LOOKING FOR:

Minimum Qualifications

Any combination of experience or education equivalent to seven years of experience coordinating or administering a program.

NOTE:

A degree in Business or Public Administration, Behavioral or Social Sciences, or a degree related to the agency program will substitute for some required experience:

• An Associate’s Degree is equal to 18 months of experience.
• A Bachelor’s Degree is equal to three years of experience.
• A Master’s Degree is equal to four years of experience.
• A Doctorate Degree is equal to five years of experience.

Desired Attributes

• Knowledge of health services delivery systems, particularly the Oregon Health Plan/ Medicaid administration in Oregon, and experience in working with Community Mental Health Programs, Behavioral Health Service Providers, Coordinated Care Organizations or other managed care entities and their leadership to guide operations and policies.
• Knowledge of Oregon’s Behavioral Health System and relational landscape of key partners, providers, community based organizations, peer delivered services, and advocacy groups.

• [for CCO Quality of Care Analyst] Certification in healthcare quality, compliance, or risk management preferred.

• Specific knowledge of Oregon Administrative Rules and Oregon Revised Statutes, other applicable regulations, and program requirements.
• Experience interpreting, applying and enforcing relevant federal and state Medicaid laws and regulations, including Medicaid Managed Care regulations.
• Demonstrates skills in the following areas:

• Community and Partner Engagement
• Policy Advisement
• Performance / Process / Quality Improvement
• Systems and Organizational Improvement
• Program Design, Implementation, and Evaluation
• Data Synthesis, Analysis and Reporting
• Contract Administration
• Project Management
• Expert level Technical Assistance
• Strong Oral and Written Communication

How to Apply

Job Categories: Equal Opportunities. Job Types: Full-Time. Salaries: 60,000 - 80,000.

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