Actuarial Policy Analyst (Operations & Policy Analyst 3)

State of Oregon • Street, MD

1d • $6,276 - $9,644 • Hybrid

About The Position

The Office of Actuarial and Financial Analytics (OAFA) is hiring an Actuarial Policy Analyst (OPA3) to help support key financial and rate setting work for Oregon’s Medicaid program. OAFA develops capitation rates for Medicaid Coordinated Care Organizations (CCOs) and other entities, reviews financial reports, monitors CCO solvency, works with actuarial vendors, and provides analysis that supports transparency and long-term stability in Oregon’s coordinated care system. Reporting to the Chief Actuary, this position translates complex actuarial and financial information into clear, practical guidance for decision‑makers. It supports long‑term planning, including preparation for HR1 and other program changes, review of new federal requirements, and forecasting of fiscal impacts. The role also provides project management for major initiatives and evaluates how program changes may affect service quality and access for Oregonians who rely on Medicaid. It requires strong analytical skills to interpret actuarial models, understand interactions among policy and financial factors, and build or enhance datasets when information is limited, along with strong organizational skills to coordinate work across teams. The position contributes directly to core Medicaid operations such as rate setting, financial oversight, and risk mitigation. This position will factor 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.

Requirements

• 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.
• Any combination of experience and education equivalent to seven years of experience that typically supports the knowledge and skills for the classification.

Nice To Haves

• Experience supporting development, analysis, and implementation of complex health, financial, or actuarial policy at state or national levels, with a focus on health equity and impacts on historically marginalized communities.
• Knowledge of health services delivery systems, especially Oregon Health Plan/Medicaid, including experience with CCOs, Medicaid financing, rate-setting, and managed care operations.
• Knowledge of legislative and regulatory processes; experience interpreting and advising on federal and state Medicaid laws, regulations, waivers, and legislative proposals affecting financing, eligibility, rate-setting, and fiscal policy.
• Familiarity with Oregon Administrative Rules and Oregon Revised Statutes is valued.
• Knowledge of healthcare finance, actuarial principles, Medicaid managed care financing, and capitation rate-setting, including experience assessing fiscal impacts and supporting data-informed financial decisions.
• Ability to foster cross-agency collaboration and coordinate across policy, fiscal, actuarial, operational, and program teams to support complex Medicaid initiatives and continuous improvement efforts.
• Strong oral and written communication skills, with experience translating complex fiscal, actuarial, legislative, and quantitative information into accessible, culturally responsive materials for diverse audiences.
• Experience evaluating, synthesizing, and presenting quantitative and qualitative data to support fiscal analysis, rate-setting, policy development, quality assurance, strategic planning, and operational decisions.
• Demonstrated project management experience leading complex, cross-functional initiatives with multiple timelines and partners, including support for large-scale policy or operational implementations and human-centered change management.

Responsibilities

• Develops capitation rates for Medicaid Coordinated Care Organizations (CCOs) and other entities.
• Reviews financial reports.
• Monitors CCO solvency.
• Works with actuarial vendors.
• Provides analysis that supports transparency and long-term stability in Oregon’s coordinated care system.
• Translates complex actuarial and financial information into clear, practical guidance for decision‑makers.
• Supports long‑term planning, including preparation for HR1 and other program changes, review of new federal requirements, and forecasting of fiscal impacts.
• Provides project management for major initiatives.
• Evaluates how program changes may affect service quality and access for Oregonians who rely on Medicaid.
• Interprets actuarial models.
• Understands interactions among policy and financial factors.
• Builds or enhances datasets when information is limited.
• Coordinates work across teams.
• Contributes directly to core Medicaid operations such as rate setting, financial oversight, and risk mitigation.
• Factors in the perspectives of diverse populations most harmed by social injustice and inequities.

Benefits

• Excellent, low-cost medical, vision, and dental coverage for you and your family.
• Optional benefits like life insurance, disability coverage, deferred compensation, and FSA options for health and childcare.
• Generous paid time off: 11 holidays, 3 personal days, monthly sick leave, and vacation accrual starting at 8 hours/month.
• Potential eligibility for the Public Service Loan Forgiveness Program.
• Retirement security through Public Employees Retirement System (PERS)/Oregon Public Service Retirement Plan (OPSRP).
• Training and development opportunities to grow your career with the State of Oregon.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level