Medicaid Federal Policy Director (Health Policy & Program Manager 3)

State of Oregon

336d • $8,097 - $12,522

About The Position

The primary purpose of this role is to ensure the Medicaid Division is in compliance with federal Medicaid and Children’s Health Insurance Program (CHIP) policy. The person in this position will define a cohesive and comprehensive approach to federal policy analysis, implementation, evaluation, and monitoring within the context of Oregon law and practice and in alignment with the Oregon Health Authority’s strategic plan and strategic goal to eliminate health inequities by 2030. They will lead and mentor a team of senior level policy analysts, guiding the team in translating federal regulations into actionable plans that directly shape policy, program, rule, and community and partner engagement. This position will provide focused and strategic guidance, regulatory expertise and relationship brokering across divisions and state and federal agencies to drive innovation and assure compliance. In addition, they will lead the planning and coordination of new policy implementation across a complex landscape of federal and state regulations. The Medicaid Federal Policy Director plays a critical role in shaping the Medicaid Division’s approach to federal policy by staying ahead of emerging regulatory changes and ensuring the program remains aligned with federal guidelines. They act as the primary liaison between the state Medicaid program and federal entities, advocating for the state's needs while ensuring that the division responds promptly and effectively to federal directives. The director ensures that the division not only meets regulatory requirements but also operates efficiently and innovatively within the federal framework and coordinates with the Medicaid Executive Team to shape the federal strategy. The policy and program areas under the purview of the director result in over $10 billion annual federal funding dollars.

Requirements

• Seven years of supervision, management, or progressively related experience; OR four years of related experience and a Bachelor’s degree in a related field.
• Experience in advancing health equity and delivering culturally responsive services.
• Knowledge of social determinants of health and their impacts on health outcomes.
• Experience developing and implementing policies and programs that promote equity and inclusion.
• Knowledge of Oregon Administrative Rules and Oregon Revised Statutes.
• Experience with health services delivery systems, particularly the Oregon Health Plan/Medicaid administration.
• Knowledge of Centers for Medicare and Medicaid Services (CMS) regulations.
• Experience interpreting and applying federal and state Medicaid laws.
• Knowledge of the legislative process and government finance.
• Experience in financial and budget management.

Nice To Haves

• Experience collaborating with diverse populations affected by social injustice.
• Knowledge of contracts/interagency agreement administration.
• Familiarity with varying funding streams for statewide and community investment.
• Experience using research and evaluation methods.
• Strong communication skills across various forms.

Responsibilities

• Ensure compliance with federal Medicaid and CHIP policy.
• Define a cohesive approach to federal policy analysis, implementation, evaluation, and monitoring.
• Lead and mentor a team of senior level policy analysts.
• Translate federal regulations into actionable plans.
• Provide strategic guidance and regulatory expertise across divisions.
• Lead planning and coordination of new policy implementation.
• Act as the primary liaison between the state Medicaid program and federal entities.
• Advocate for the state's needs in response to federal directives.
• Coordinate with the Medicaid Executive Team to shape federal strategy.

Benefits

• Exceptional medical, vision, and dental benefits packages.
• 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 and flexible spending accounts.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Bachelor's degree