Fiscal Operations & Compliance Manager (Business Operations Manager 2)
About The Position
The Strategic Operations & Improvement (SOI) Unit within the Oregon Health Authority’s Medicaid Division supports Medicaid’s internal compliance systems, performance monitoring, resource planning, process improvement, workforce development, and key administrative and fiscal functions. The Fiscal Operations & Compliance Manager oversees fiscal operations and contract administration for the division and leads the team responsible for supplemental payment calculations, fee‑for‑service and managed care payments, contract management, and internal compliance activities. The role manages funding processes involving millions of dollars distributed to hospitals, clinics, providers, and other partners statewide. This position also directs the development and maintenance of the Medicaid internal compliance program, including reporting, issue resolution, and ensuring adherence to federal and state requirements. The manager advises leadership and program staff, collaborates with contracting and financial offices, oversees financial tasks tied to contracts and funding sources, maintains records and forecasting tools, and ensures timely responses to federal reporting deadlines, often under short timeframes. 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
- Six years of supervision, management, or progressively related experience; OR three years of related experience and a bachelor’s degree in a related field.
Nice To Haves
- Experience providing organizational and people leadership, including supervising, coaching, and developing staff; setting strategic direction; managing team performance; and fostering an inclusive, equity-centered, and psychologically safe team culture.
- Experience overseeing fiscal operations for supplemental payments, fee-for-service payments, encounter-based payments, and managed care payments, including budget oversight, and financial management activities within a complex organization, ensuring alignment of state and federal rules to operational and accounting processes.
- Knowledge of legislative and regulatory processes; experience analyzing, applying, and advising on relevant federal and state laws, regulations, and policies.
- Specific knowledge of Oregon Health Plan (Medicaid), Oregon Administrative Rules, Oregon Revised Statutes, and Medicaid funding requirements is valued in this position.
- Knowledge and experience with contracts, interagency agreements, grants, procurement, and contract administration within Oregon state government or other complex health services delivery organizations.
- Strong oral and written communication skills across a variety of forums; experience communicating complex financial, contractual, and operational information in ways that are accessible, culturally responsive, and appropriate for audiences with different levels of understanding.
- Ability to provide organizational leadership to foster inter- and cross-agency collaboration and to shape systems, processes, and continuous improvement strategies that support fiscal stewardship and operational excellence.
- Ability to navigate complex relationships through collaborative problem-solving, consensus-building, and solution-focused approaches.
- Experience facilitating discussions with leadership, program staff, fiscal partners, contractors, and other key partners.
- Experience evaluating and synthesizing quantitative and qualitative data to analyze and measure the effectiveness, efficiency, and impact of fiscal and operational programs and to support quality assurance, strategic planning, compliance activities, and decision-making while considering the perspectives of communities disproportionately impacted by inequities.
Responsibilities
- Oversees fiscal operations and contract administration for the division.
- Leads the team responsible for supplemental payment calculations, fee-for-service and managed care payments, contract management, and internal compliance activities.
- Manages funding processes involving millions of dollars distributed to hospitals, clinics, providers, and other partners statewide.
- Directs the development and maintenance of the Medicaid internal compliance program, including reporting, issue resolution, and ensuring adherence to federal and state requirements.
- Advises leadership and program staff.
- Collaborates with contracting and financial offices.
- Oversees financial tasks tied to contracts and funding sources.
- Maintains records and forecasting tools.
- Ensures timely responses to federal reporting deadlines, often under short timeframes.
- Provides organizational and people leadership, including supervising, coaching, and developing staff; setting strategic direction; managing team performance; and fostering an inclusive, equity-centered, and psychologically safe team culture.
- Oversees fiscal operations for supplemental payments, fee-for-service payments, encounter-based payments, and managed care payments, including budget oversight, and financial management activities within a complex organization, ensuring alignment of state and federal rules to operational and accounting processes.
- Analyzes, applies, and advises on relevant federal and state laws, regulations, and policies.
- Manages contracts, interagency agreements, grants, procurement, and contract administration.
- Communicates complex financial, contractual, and operational information in accessible, culturally responsive, and appropriate ways.
- Provides organizational leadership to foster inter- and cross-agency collaboration and to shape systems, processes, and continuous improvement strategies that support fiscal stewardship and operational excellence.
- Navigates complex relationships through collaborative problem-solving, consensus-building, and solution-focused approaches.
- Facilitates discussions with leadership, program staff, fiscal partners, contractors, and other key partners.
- Evaluates and synthesizes quantitative and qualitative data to analyze and measure the effectiveness, efficiency, and impact of fiscal and operational programs and to support quality assurance, strategic planning, compliance activities, and decision-making while considering the perspectives of communities disproportionately impacted by 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.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
