Care Transition Continuum Policy Analyst (Operations & Policy Analyst 3)

Care Transition Continuum Policy Analyst (Operations & Policy Analyst 3)If this opportunity aligns with your strengths, background, and commitment to fostering inclusivity, we encourage you to apply! At the Oregon Health Authority (OHA), we value diversity and encourage applicants from all backgrounds and experiences to help us build a stronger, more equitable future for all.Opportunity Awaits, Apply Today! – Care Transition Continuum Policy Analyst (Operations & Policy Analyst 3)Medicaid Policy & Fee-For-Service (FFS) Operations section is responsible for developing and maintaining Medicaid policies that codify and clarify benefit design, delivery, and access to Oregon Health Plan services. The section also maintains Fee-for-Service (FFS) operations and the Open Card health care system for over 95,000 Medicaid members. Policy and program units write Oregon Administrative Rules (OAR), direct coverage policy, provider enrollment and provider billing policy, issue guidance, lead rate setting and provide subject matter expertise.The primary purpose of this position is to serve as the statewide policy, operations, and compliance lead for Oregon's Medicaid care-transition continuum, ensuring consistent, legally sound, and high-quality practices from hospital discharge through post-acute skilled care, Post-Hospital Extended Care (PHEC), Enhanced Care Services/Enhanced Care Outreach Services, and PASRR processes. The role conducts policy analysis across these interconnected transition points, evaluates statutory, regulatory, legislative, and operational impacts, and determines policy direction and operational frameworks needed to translate state and federal requirements into statewide practice.The position also oversees operations, compliance, and quality assurance activities, evaluates performance data, identifies system gaps, coordinates multi-agency partners, supports contractor oversight, and resolves complex care-transition issues to support safe and medically appropriate transitions across the continuum.This position will collaborate with diverse populations most harmed by social injustice and inequities and will demonstrate the ability to build and steward positive, collaborative and partnership-based relationships with diverse community groups including communities of color, immigrant groups, the disability and neurodivergent communities, veterans, older adults, individuals identifying as LGBTQIA2S+ and other communities that have been traditionally marginalized.What We Are Looking ForMinimum Qualifications: MQs are not required to be met for a job rotation. See the "Reminders" section of this job announcement for full details.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.OR;Any combination of experience and education equivalent to seven years of experience that typically supports the knowledge and skills for the classification.Desired Attributes: The following are desired attributes that we have identified as key to success for this role at OHA. These are the attributes we are looking for in our top candidate. If you have any of these, please let us know in your application.Experience leading the development and implementation of policies and programs at the community, state, and/or national level that advance health equity (address systemic health disparities, expand culturally responsive and inclusive services, factor in social determinants of health) and elevate the voice of community and those with lived experience.Knowledge of health services delivery systems, particularly the Oregon Health Plan/Medicaid administration in Oregon, including experience working with Coordinated Care Organizations, social safety net programs, health service providers (including hospitals, post-acute treatment facilities, long-term care facilities, and adult foster home, Community Mental Health Programs and other behavioral health service providers), or community-based organizations.Knowledge and experience working across levels of care transition continuum including hospital discharge and post-acute skilled care and supporting policies and programs that meet the continuum of care needs for individuals that are aging and aging with disabilities, individuals with intellectual and developmental disabilities, and individuals with complex behavioral health needs.Knowledge and experience developing, implementing, and refining policies included in the Medicaid state plan or other waiver authorities with Centers for Medicare and Medicaid Services (CMS).Knowledge of legislative and regulatory processes; experience analyzing, applying and advising on relevant federal and state Medicaid laws and regulations as well as legislative concepts/bills; specific knowledge of Oregon Administrative Rules and Oregon Revised Statutes is valued.Ability to foster inter-and cross-agency collaboration and to facilitate coordination of community centered policies, programs, and continuous (performance / quality / process) improvement strategies.Experience and knowledge evaluating and synthesizing quantitative and qualitative data to analyze and measure the effectiveness, efficiency, and impact of administrative and technical programs within the context of health policy / healthcare services.Knowledge about contracts/interagency agreement administration, procurement within the context of Oregon state government (e.g. OHA/ODHS) or other complex health services delivery organizations.Application GuidanceYour candidate profile and application are your opportunity to showcase your skills and interest in this role. Submissions will be reviewed for clarity, consistency, and communication skills, and for alignment with the guidance provided in the below:Submission Requirements:Resume – Attach your current resume that clearly outlines your education and work experience relevant to this position.Supplemental Questions – Answer all supplemental questions completely and accurately.Final Check! – Before submitting, confirm that all required materials are included, and your Workday Job History is current. The information in your application will be used to complete an Equal Pay Analysis to determine salary placement upon hire. Visit the Equal Pay Analysis Webpage for more information.How to Apply:External Candidates: Visit the State of Oregon job opportunities webpage or click the "Apply" tab above to submit your application, following all submission requirements.Internal Candidates: Current State of Oregon employees must apply through their employee Workday login, following all submission requirements.After You Apply:Complete any pending tasks in Workday under "My Applications" prior to the application deadline.Check your email (including junk folder) and Workday inbox regularly for updates on your application.Reminders:Eligible veterans and Oregon National Guard servicemembers (current and former) who meet the qualifications of the position will be awarded candidate preference. To protect your information and ensure correct processing, please follow the instructions for submitting your Veterans' Preference documentation.Please download and save a copy of this job announcement and linked position description, as it is not available after the application deadline.About the Team & Benefits of Joining:We offer a workplace that balances productivity with enjoyment; promotes an atmosphere of mutual respect, dedication, and enthusiasm. You will collaborate with a team of bright individuals to work with and learn from.If you're driven by the passion to do something meaningful that changes lives, the Oregon Health Authority is the place for you.Additional Details:This announcement is for one, full-time, SEIU represented, Care Transition Continuum Policy Analyst (Operations & Policy Analyst 3) position based in Salem, Oregon.This is a hybrid (10% in-office) position. "Review Section 4: Working Conditions" in the position description (linked above) for more information.Employment is contingent upon a criminal records check and a driving records check that meets OHA criteria at the time of hire and throughout employment.The salary listed is the non-PERS qualifying range. If the successful candidate qualifies for PERS, the salary range will increase by 6.95%. For more information, see the Classification and Compensation page.The State of Oregon does not request or require your age, date of birth, attendance or graduation dates from an education institution during the application process.This position does not provide visa sponsorship. Within three days of hire, you will be required to complete I-9 documentation and confirm authorization to work in the United States. OHA will use E-Verify to verify work authorization. If your employment eligibility depends on sponsorship now or in the future, you will not meet the requirements for this position.We evaluate candidates based on their own skills and experience. Unless explicitly approved, outside resources – including Artificial Intelligence (AI) tools – are not permitted during assessments or interviews. Use of unauthorized resources will disqualify a candidate from further consideration.