Claim Analyst & Process Improvement Coordinator (Administrative Specialist 2)

Do you have experience supporting the implementation of policies, projects and programs at the community, state, or national level? Do you enjoy assisting the team and manager in developing planning tools and providing data synthesis, analysis and reporting to facilitate collaboration and decision-making? We look forward to hearing from you!

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; hybrid position.

What you will do!

This position involves maintaining Electronic Data Interchange (EDI) registration efforts, processing Fee For Services (FFS) claims, handling Trading Partner Agreements (TPA), configuring the Medicaid Management Information System (MMIS) for electronic claims, an collaborating on process improvements. It requires knowledge of contracting, Medicaid laws, and experience in designing and monitoring large projects. 

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

WHAT WE ARE LOOKING FOR:

Minimum Qualifications

Three years of secretarial or administrative support experience that includes coordinating office procedures, preparing narrative and statistical reports, and administrative data collection and analysis;

OR

An associate degree in general office occupations and two years of secretarial or administrative support experience that includes coordinating office procedures, preparing narrative and statistical reports, and administrative data collection and analysis;

OR

An equivalent combination of education and 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.

• Experience within the context of healthcare claims processing.
• Experience analyzing complex, detailed problems within the context of an extremely automated, highly complex Information System, such as the Medicaid Management Information System (MMIS).
• Ability to demonstrate advanced Microsoft Excel, Word, Outlook, and use of collaboration tools such as Microsoft Teams, SharePoint and Smartsheet.
• Demonstrates skills in the following areas:

• Community and Partner Engagement
• Constructive and Collaborative Working Relationships
• Customer Service and Person-centered Engagement
• Critical Decision-making and Problem-solving
• Data Synthesis, Analysis and Reporting
• Performance / Process / Quality Improvement
• Project Coordination and Monitoring
• Team Collaboration & Group Facilitation
• Expert level Technical Assistance
• Written and oral communication, including preparation of reports and presentations.

What's in it for you?

• 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.

How to apply:

Complete the online application at oregonjobs.org using job number REQ-1722885

How to apply:

Complete the online application at oregonjobs.org using job number REQ-172288