CCO Procurement & Delivery System Analyst

Do you have experience leading significant, long term projects? Do you have experience developing, implementing, and providing oversight of contracts or interagency partnerships within the context of complex health services delivery systems? Are you passionate about promoting collective accountability mechanisms that promote equitable access, reduce disparities in health outcomes, and enhance integrated care coordination and experience for Oregonians? We look forward to hearing from you!

This posting will be used to fill one (1) permanent, full-time position. This position is classified as Management Service and is not represented by a union.

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

What you will do!

This position is responsible for leading the evaluation of existing policy elements and the development of new policy elements as part of the Coordinated Care Organization (CCO) Contract Procurement Project. This position serves as one of five core project leads for the development and management of the procurement process. This process will result in the selection of the managed care entities responsible for the delivery of healthcare services through the Medicaid, Non-Medicaid and Bridge Plan contracts effective January 1, 2027.

Upon completion of the project, this position will serve as the subject matter expert for the new CCO contract. This will include the regular review of CCO benefits for the preparation of an annual comprehensive contract restatement. Regular CCO evaluations will also be conducted to assess CCO performance in providing member access to care, maintaining a robust provider network, delivering services, and maintaining effective member engagement.

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
• 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 eight 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.
• Experience interpreting, applying and enforcing relevant federal and state Medicaid laws and regulations, including Medicaid Managed Care regulations.
• Knowledge about contracts/interagency agreement administration, procurement, grant administration, and project management within the context of Oregon state government (e.g. OHA/ODHS) or other complex health services delivery organizations.
• Familiarity with varying funding streams for statewide and community investment and value-based payment mechanisms.
• Specific knowledge of business and management principles involved in strategic planning, resource allocation, leadership technique, iterative design, and improvement science.
• Ability to provide organizational leadership, project management, quality improvement methodologies and metrics experience.
• 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.  

How to apply:

Complete the online application at oregonjobs.org using job number REQ-164147

 Application Deadline: 09/08/2024

How to apply:

Complete the online application at oregonjobs.org using job number REQ-164147

 Application Deadline: 09/08/2024