Responsibilities
- Provide financial analysis, interpretation, and calculation of payments supporting the establishment of payment rates and methodologies to implement Medicaid 1115 Demonstration Waiver-approved Health-Related Social Needs Services (HRSN).
- Advise management on fiscal matters related to the fiscal operations of HRSN services.
- Analyze care coordination rates, compare rates with other payers, leverage Fee Schedule sources, and engage external partners to establish statewide HRSN payment methodologies.
- Coordinate with Business Information Systems on needed IT system changes to support financial disbursement and supporting adoption of information exchange platforms to develop a statewide care coordination community.
- Support the establishment of minimum rates for HRSN services, payment methodologies, provider participation incentives, and contracting processes with Community-Based Organizations (CBOs).
- Support HRSN-based minimum rate changes in Oregon Administrative Rules (OARs) and contracts; and analyze and implement required changes in FFS and Coordinated Care Organization (CCO) contracts.
Requirements
- Five years of progressively responsible experience that included the preparation, analysis, and administration of a budget or fiscal system.
- Five years of professional-level experience in accounting, fiscal auditing, management or program analysis. Experience must have included modeling, forecasting and analyzing fiscal information.
- Successful completion of the Department of Administrative Services Budget and Management Public Administrative Trainee Program.
Nice to Have
- 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 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.
- Experience using and interpreting medical expenditure and utilization data to monitor plan and evaluate cost effectiveness, access and quality of medical programs with knowledge of health services delivery systems, particularly the Oregon Health Plan/ Medicaid administration in Oregon.
- 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.
- Experience analyzing complex, detailed problems within the context of an extremely automated, highly complex Information System, such as the Medicaid Management Information System (MMIS).
- 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 foster inter-and cross-agency collaboration and to facilitate coordination of community centered policies, programs, and continuous (performance / quality / process) improvement strategies.
- Demonstrated project management experience, including ability to effectively manage multiple project timelines and priorities and promote human-centered change management.
Benefits
- 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.
Work Arrangement
Hybrid
