Initial Posting Date:

07/22/2024

Application Deadline:

07/29/2024

Agency:

Oregon Health Authority

Salary Range:

$4,998 - $7,647

Position Type:

Employee

Position Title:

CCO Account Representative (Program Analyst 2)

Job Description:

Do you have experience in and passion for healthcare transformation, Medicaid enrollment, and problem-solving complex Medicaid access to care and quality of care cases? Are you interested in researching root causes and synthesizing information to improve the Medicaid’s system in Oregon and help resolve individual cases? 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 specific positions associated with this posting are listed under REQ-161855. 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!

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.

This position is responsible to provide program assistance to the Coordinated/Managed Care programs established by the Authority and federal/state/legislative mandates including healthcare reform which impacts our eligible Oregonians to access health care that is Better Heath, Better Care, and Reduced Cost.

This position is responsible to assist with the establishment and monitoring of program strategies, goals, program priorities. Including the design, development, implementation, monitoring, evaluations and maintenance of Title XIX (Medicaid) and Title XXI (CHIP) operational policies and procedures as they relate to the managed care process, and working to support the managed care organizations as they develop and implement new processes.

The program scope of this position includes but is not limited to: reporting mechanisms affecting health care services to OHA Coordinated/Managed Care Organization members and providers to assure program and operational strategies are effective and in compliance. This will be accomplished by taking a holistic view of issues impacting the Coordinated/Managed Care Organizations and participating in the facilitation of cross functional resolutions that support a strategic and effective Agency.

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 , t o learn more about OHA’s mission, vision and core values.

WHAT WE ARE LOOKING FOR:

Minimum Qualifications

Any combination of experience or education equivalent to five 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

• 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.
• Specific knowledge of health services delivery systems; government health benefit programs, particularly the Oregon Health Plan/ Medicaid administration in Oregon; and client rights related to those programs.
• Experience in working with Coordinated Care Organizations or other managed care entities, especially as it relates to equitable access to supports and services.
• Knowledge of policies, process, and procedures related to managed care services, enrollment, and eligibility.
• Ability to explain and offer expert level technical assistance on rules, policy, and procedures.
• Knowledge with Auditing procedures.
• Experience developing and providing planning tools, documents, data, and meeting coordination to facilitate collaboration and decision-making.
• Ability to demonstrate advanced Microsoft Excel, Word, Outlook, and use of collaboration tools such as Microsoft Teams, and SharePoint.
• Demonstrates skills in the following areas:
  • Constructive and Collaborative Working Relationships
  • Critical Decision-making and Problem-solving
  • Issue Identification and Resolution
  • Research and Root Cause Analysis
  • Performance / Process / Quality Improvement
  • Workload Planning & Prioritization
  • Expert level Technical Assistance
  • Written and oral communication, including preparation of reports

How to apply:

• Complete the online application

• Attach a Cover Letter, no more than 2 pages, specifically focused on your qualifications for this position as identified in the Desired Attributes section of this announcement.

• 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 and bring this updated resume with you if invited to interview. Your application materials will be used to determine salary based on a pay equity assessment. For further information, please visit the Pay Equity Project homepage.

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.