Job Description

Do you have experience developing, implementing, and providing oversight of policies and programs at the community, state, and/or national level that promote equity and inclusion and reduce disparities? Are you committed to and passionate about ensuring Medicaid tribal policies and programs are relevant and respectful and designed from within the context of intergovernmental relationship and sovereignty of the Nine Federally-Recognized Tribes of Oregon? We look forward to hearing from you!

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

What you will do!

This position works closely and under the direction of OHA Tribal Affairs and the Medicaid Health Policy and Program Manager, as a Medicaid Tribal Liaison. The primary purpose of this position is to provide technical assistance and evaluate systems, policies, and operations of the tribal Medicaid programs, including (but not limited to) the Indian Managed Care Entity (IMCE) program, 100% FMAP Tribal Savings and Reinvestment Program, Tribal Targeted Case Management program, Tribal Traditional Health Worker program, and CareOregon Tribal Care Coordination program. The position will support Coordinated Care Organization (CCO) delivery of Medicaid services through Indian Health Care Providers and will be a point of contact with each CCO’s Tribal Liaison.

This position is responsible for supporting and maintaining the Medicaid payment systems for the Oregon Health Plan’s Fee-For-Service and Coordinated Care Organization’s transactions. The position will work closely with the MMIS unit, division fiscal analysts, OHA Budget, and the Office of Financial Services to ensure correct payment adjudication and accounting.

The Tribal Medicaid Policy & Program Analyst works in conjunction and within the guidance of the Tribal Medicaid Policy & Program Senior Analyst in informing regulatory policy, standards, and procedures that deal with complex regulatory situations in which policy is not clearly defined, informing operational changes toward advancing health equity.

This position provides policy and operations support to the Medicaid Division, OHA Tribal Affairs, works closely with CCOs as a point of contact and resources for CCO Tribal Liaisons, and assists the Medicaid Division with technical assistance requests relating to Indian Health Care Providers. The position considers benefits to individuals, impact on access to services and supports, program effectiveness, and cost containment. This position authorizes and distributes program funding. In addition, this position implements state and federal legislatively mandated regulations personally through workgroups composes of internal subject matter experts.

This position represents the agency by investigating and explaining program activities, developing and proposing policies and policy changes to individuals, internal and external partners, federal and state agencies, and the public. This position manages or participates on external advisory committees and internal steering committees together feedback on proposed policies.

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?

• We offer exceptional medical, vision and dental benefits packages for you and your qualified family members, with very low monthly out-of-pocket costs. Try this free virtual benefits counselor by clicking here: 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 and education equivalent to seven years of professional-level evaluative, analytical and planning work.

Example:

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.

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 about contracts/interagency/intergovernmental agreement administration, abd procurement.
• Knowledge of the Trust Responsibility and the government to government relationship between the state and the Nine Federally-Recognized Tribes of Oregon.
• Demonstrates skills in the following areas:

• Community and Partner Engagement
• Legislative Coordination
• 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. Job Tags: Policy Analyst and Program Analyst. Salaries: 60,000 - 80,000.

60 total views, 0 today

Apply for this Job