Quality of Care Analyst (Operations & Policy Analyst 3)

Do you have experience engaging and activating a variety of health care delivery system partners to improve health outcomes? Are you passionate about weaving improvement science, systems thinking, and collaborative action frameworks to promote equitable access to care and quality of care coordination 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 and is represented by a union.

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

What you will do!

This position is part of the Oregon Health Authority’s Coordinated Care Organization (CCO) Operations team. A coordinated care organization is a network of all types of health care providers (physical health care, addictions and mental health care and dental care providers) who work together in their local communities to serve people who receive health care coverage under the Oregon Health Plan (Medicaid). Today, there are 16 CCOs operating in communities around Oregon.

The Quality of Care Analyst serves as a key advisor of broad ranging continuous quality assurance improvement strategies in the managed care delivery system. This position participates in the development of program administrative rules and contractual requirements that deal with complex regulatory situations in which policy is not clearly defined. This position provides consultative advice and direction on administrative, policy, programmatic and management aspects of quality management operations to executive management. The position ensures adherence to standards for quality and access to care, as defined by federal Medicaid Managed Care regulations, the 1115 Medicaid Demonstration Wavier, state Children’s Health Insurance Plan, and state requirements (e.g., CCO Contract, Oregon Administrative Rules, and Oregon Revised Statutes). The Quality of Care Analyst provides expert consultation and technical assistances to managed care organizations, community agencies and other key invested partners for identifying innovative approaches to quality care.

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

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 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 social safety net programs, health service providers (including Community Mental Health Programs and other behavioral health service providers), Coordinated Care Organizations or other managed care entities and their leadership to guide operations and policies. 
• Knowledge of Oregon's Behavioral Health System and relational landscape of key partners, providers, community-based organizations, peer delivered services, and advocacy groups.

• Certification in healthcare quality, compliance, or risk management preferred.

• Specific knowledge of Oregon Administrative Rules and Oregon Revised Statutes, other applicable regulations, and program requirements.
• Experience interpreting, applying, and enforcing relevant federal and state Medicaid laws and regulations, including Medicaid Managed Care regulations.

• Ability to demonstrate advanced Microsoft Excel, Word, PowerPoint, Visio, and Outlook skillset; and skilled use of collaboration tools such as Microsoft Teams, SharePoint, and Smartsheet.

• Demonstrates skills in the following areas:

• Community and Partner Engagement
• 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:

Complete the online application at oregonjobs.org using job number REQ-173816

 Application Deadline:  02/02/2025

Salary Range:  $6,123 - $9,409 monthly

https://oregon.wd5.myworkdayjobs.com/SOR_External_Career_Site/job/Portland--OHA--Oregon-Street/Quality-of-Care-Analyst--Operations---Policy-Analyst-3-_REQ-173816