Medicaid Financial Analyst 2

Initial Posting Date:

11/20/2024

Application Deadline:

12/04/2024

Agency:

Oregon Health Authority

Salary Range:

$5,345 - $8,177

Position Type:

Employee

Position Title:

Medicaid Financial Analyst 2

Job Description:

Do you have experience supporting the development and implementation of policies and programs at the community, state, and/or national level that promote equity and inclusion and reduce disparities? Are you passionate about applying your financial acumen to facilitate improved health care access, quality and coordination? We look forward to hearing from you!

Click Here to view a Dashboard of all current recruitments for the Behavioral Health Division, Medicaid Division, and the Office of Data Strategy & Operations (which were previously all part of OHA's Health Systems Division). The dashboard identifies the business area (“Section”) and Unit for each position and also provides a link to a position description to offer you greater context for the role. Section 1 of the position description outlines Position Information, including Work Location and Supervisor Name. Section 3 outlines the Description of Duties.

This posting will be used to fill one (1) permanent, full-time position. The position is classified and is represented by a union. 

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

What you will do!

The purpose of this position is to 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), which will help foster the development of a statewide quality improvement care coordination contracting model. In addition, this position will support the implementation of HCBS access rules by developing and reviewing rates to establish a sustainable, statewide rate structure for Home and Community-Based Services (HCBS).This position will use findings and analyses to advise management on fiscal matters related to the fiscal operations of HRSN and HCBS services.

This position will analyze rates of Oregon Health Plan care coordination and behavioral health care coordination programs, compare the rates with other payers, leverage Fee Schedule sources, and engage external partners to establish statewide HRSN payment methodologies. Responsibilities for this position include collaborative analysis and coordination with the Office of Data Strategy Operations to identify which Information Technology (IT) system changes are needed to support financial disbursement; in addition, with the Office of Actuarial and Financial Analysis. This position will also support the adoption and utilization of information exchange platforms to cultivate the development of a statewide care coordination community.

This position will leverage the Medicaid 1115 Demonstration Waiver work to develop a statewide HRSN-based quality improvement care coordination contracting model. Additional responsibilities include supporting the establishment of statewide minimum rates for the disbursement of HRSN services, payment methodologies supporting Medicaid members’ HRSN needs and incentivizing provider participation and contracting processes and practices engaging Community-Based Organizations (CBOs) in the disbursement of HRSN services. This position will also support required HRSN-based minimum rate changes in Oregon Administrative Rules (OARs) and contract, informing the revision of rules as necessary that could impact all providers, and analyzing and making required changes in FFS and Coordinated Care Organization (CCO) contracts.

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

The OHA mission is helping people and communities achieve optimum physical, mental, and social well-being through partnership, prevention and access to quality, affordable health care. OHA’s work is organized into three broad goals: Improve the lifelong health of all Oregonians, increase the quality, reliability, and availability of care for all Oregonians and lower or contain the cost of care so it is affordable to everyone.

What's in it for you?
Oregon Health Authority is a team of passionate individuals working to promote health across the lifespan of individuals, families, and communities. We value and support unique perspectives using a trauma-informed approach and aim to reflect these values in our hiring practices, professional development, and workplace.

• 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.

OHA values health equity, service excellence, integrity, leadership, partnership, innovation and transparency. OHA’s health equity definition is “Oregon will have established a health system that creates health equity when all people can reach their full potential and well-being and are not disadvantaged by their race, ethnicity, language, disability, age, gender, gender identity, sexual orientation, social class, intersections among these communities or identities, or other socially determined circumstances. Achieving health equity requires the ongoing collaboration of all regions and sectors of the state, including tribal governments to address: the equitable distribution or redistributing of resources and power; and recognizing, reconciling, and rectifying historical and contemporary injustices.” OHA’s 10-year goal is to eliminate health inequities. Click here, to learn more about OHA’s mission, vision and core values.

WHAT WE ARE LOOKING FOR:

Minimum Qualifications

Five years of progressively responsible experience that included the preparation, analysis, and administration of a budget or fiscal system.

OR

Five years of professional-level experience in accounting, fiscal auditing, management or program analysis. Experience must have included modeling, forecasting and analyzing fiscal information.

OR

Successful completion of the Department of Administrative Services Budget and Management Public Administrative Trainee Program.

Note:

A Bachelor's Degree in Business, Public or Non-Profit Management, Finance, Accounting or a related degree (such as Public Policy, Political Science, Public Administration, Economics or other analytical or technical degree) may substitute for three years of the required experience.

A graduate-level degree in any of the above areas may substitute for four of the five years.

Desired Attributes

• Evidence of ongoing development of personal cultural awareness and humility, and knowledge of social determinants of health and their impacts on health outcomes.
• Experience supporting the implementation of policies, projects and programs at the community, state, and/or national level that advance health equity, address systemic health disparities, and elevate the voice of community and those with lived experience.
• Experience factoring in the perspectives of diverse populations most harmed by social injustice and inequities including communities of color, immigrant groups, the disability and neurodivergent communities, veterans, older adults, individuals identifying as LGBTQIA+ and other communities that have been traditionally marginalized.
• Knowledge of federal requirements, state rules and program requirements for the Oregon Medicaid Program.
• Knowledge of Oregon Administrative Rules and Oregon Revised Statutes, other applicable regulations, and program requirements.
• 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.
• Experience and knowledge of qualitative and quantitative techniques for analyzing and measuring the effectiveness, efficiency, and productivity of administrative and technical programs.
• Experience using and interpreting medical expenditure and utilization data to monitor plan and evaluate cost effectiveness, access and quality of medical programs.
• Experience analyzing complex, detailed problems within the context of an extremely automated, highly complex Information System, such as the Medicaid Management Information System (MMIS).
• Experience in producing written reports, experience in presenting data for lay audiences / data visualization / data analysis / information summarization with corresponding software expertise.
• 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 navigate complex relationships; ability to demonstrate collaborative problem-solving skills, consensus-building and solution driven approaches. 
• Ability to demonstrate advanced Microsoft Excel, Word, PowerPoint, and Outlook skillset; and skilled use of collaboration tools such as Microsoft Teams, SharePoint, and Smartsheet.
• Demonstrates skills in the following areas:
  • Financial Data Synthesis, Analysis and Reporting
  • Performance / Process / Quality Improvement
  • Program Evaluation
  • Project Management
  • Expert level Technical Assistance
  • Strong Oral and Written Communication

How to apply:

• Complete the online application

• A cover letter is not required for your application to be considered; however, cover letters are reviewed as part of candidate prioritization and selection for interviews. A cover letter provides you the opportunity to clearly state your interest in the position, and what aspects of your professional and lived experience you believe are relevant to the role.

• Please ensure you’ve provided a thorough and updated application as it pertains to the position for which you are applying. Update professional, educational, voluntary, and personal experience on your resume. Your application materials will be used to determine salary based on a pay equity assessment.  For further information, please visit the Pay Equity Projecthomepage.

Questions/Need Help?

If you need assistance to participate in the application process, including an accommodation request under the American with Disabilities Act contact: Stephanie Mitchell at Voice: [503-979-7679] (TTY 711) or Email: stephanie.d.mitchell@oha.oregon.gov.

TTY users  may dial 711 or 1-800-735-2900.

For Workday technical support dial 1-855-524-5627.

Additional Information

• Please monitor your Workday account, as all communication will be sent to your Workday account. You must have a valid e-mail address to apply.
• Candidates gathered from this job announcement may be used to fill future vacancies.
• If you are a veteran, you may receive preference. Click here for more information about veterans’ preference. If you checked that you are a veteran, we will ask you for your documents later in the process.
• Oregon Health Authority (OHA) 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.  OHA is an E-Verify employer and will use E-Verify to confirm that hires are authorized to work in the United States.
• If you are offered employment, the offer will be contingent upon the outcome of an abuse check, criminal records check and driving records check, and the information shall be shared with the Oregon Health Authority (OHA), Office of Human Resources (OHR). Any criminal or founded abuse history will be reviewed and could result in the withdrawal of the offer or termination of employment.
• Please only attach documents that are related to the position. Additional documents that are attached will not be reviewed.
• Attention current State of Oregon employees: To apply for posted positions, please close this window and log into your Workday account and apply through the Career worklet.
• Applicant Help and Support webpage
  

The Oregon Health Authority is committed to fair employment practices and non-discrimination, including pay equity for all employees. We do not discriminate on the basis of protected class (race, sex, veteran status, disability, age, color, religion, national origin, marital status, sexual orientation) in the payment of wages or screen applicants on the basis of their current or past compensation. We determine salary by completing a review of your application materials to evaluate your related education, experience, and training for this position.

The Oregon Health Authority is an equal opportunity, affirmative action employer committed to work force diversity and anti-racism.