Care Transition Continuum Policy Analyst (Operations & Policy Analyst 3)
About The Position
The Oregon Health Authority’s Medicaid Policy & Fee-For-Service Operations section develops and maintains Medicaid policies that clarify benefit design, delivery, and access to Oregon Health Plan services. It also maintains Fee-for-Service operations and the Open Card health care system for more than 95,000 Medicaid members. The Care Transition Continuum Policy Analyst serves as the statewide policy, operations, and compliance lead for Oregon’s Medicaid care-transition continuum. The role supports consistent, legally sound, high-quality practices from hospital discharge through post-acute skilled care, Post-Hospital Extended Care (PHEC), Enhanced Care Services and Enhanced Care Outreach Services, and PASRR processes. The analyst conducts policy analysis across these transition points, evaluates statutory, regulatory, legislative, and operational impacts, and determines policy direction and operational frameworks for translating state and federal requirements into statewide practice. The position oversees operations, compliance, and quality assurance; evaluates performance data; identifies system gaps; coordinates multi-agency partners; supports contractor oversight; and resolves complex care-transition issues to promote safe and medically appropriate transitions. The role collaborates with communities affected by social injustice and inequities and builds positive, collaborative, partnership-based relationships with diverse community groups, including communities of color, immigrant groups, people with disabilities and neurodivergent people, veterans, older adults, LGBTQIA2S+ individuals, and other traditionally marginalized communities.
Requirements
- A bachelor's degree in Business or Public Administration, Behavioral or Social Sciences, Finance, Political Science, or another degree demonstrating capacity for the required knowledge and skills, plus four years of professional-level evaluative, analytical, and planning work; or an equivalent combination of experience and education totaling seven years.
- Minimum qualifications are not required to be met for a job rotation.
Nice To Haves
- Experience leading development and implementation of policies and programs that advance health equity, address systemic health disparities, expand culturally responsive and inclusive services, account for social determinants of health, and elevate community and lived-experience voices.
- Knowledge of health services delivery systems, particularly Oregon Health Plan or Medicaid administration in Oregon, and experience with Coordinated Care Organizations, social safety-net programs, health service providers, or community-based organizations.
- Knowledge and experience across care transitions, including hospital discharge and post-acute skilled care, and supporting continuum-of-care policies and programs for aging people, people aging with disabilities, people with intellectual and developmental disabilities, and people with complex behavioral health needs.
- Knowledge and experience developing, implementing, and refining policies in a Medicaid state plan or other waiver authorities with the Centers for Medicare and Medicaid Services.
- Knowledge of legislative and regulatory processes and experience analyzing, applying, and advising on federal and state Medicaid laws, regulations, and legislative concepts or bills; knowledge of Oregon Administrative Rules and Oregon Revised Statutes is valued.
- Ability to foster interagency and cross-agency collaboration and facilitate coordination of community-centered policies, programs, and continuous performance, quality, and process improvement strategies.
- Experience evaluating and synthesizing quantitative and qualitative data to analyze and measure the effectiveness, efficiency, and impact of administrative and technical programs in health policy or health services.
- Knowledge of contracts and interagency agreement administration and procurement in Oregon state government or other complex health services delivery organizations.
Responsibilities
- Lead statewide policy, operations, and compliance for Oregon’s Medicaid care-transition continuum.
- Support consistent, legally sound, high-quality practices spanning hospital discharge, post-acute skilled care, PHEC, Enhanced Care Services and Enhanced Care Outreach Services, and PASRR processes.
- Analyze policy across interconnected care-transition points and evaluate statutory, regulatory, legislative, and operational impacts.
- Determine policy direction and operational frameworks to translate state and federal requirements into statewide practice.
- Oversee operations, compliance, and quality assurance activities.
- Evaluate performance data and identify system gaps.
- Coordinate multi-agency partners and support contractor oversight.
- Resolve complex care-transition issues to support safe and medically appropriate transitions.
- Build and steward collaborative, partnership-based relationships with diverse community groups, including communities traditionally marginalized.
Benefits
- Workplace that balances productivity with enjoyment and promotes mutual respect, dedication, and enthusiasm.
- Opportunity to collaborate with and learn from a team.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
