Medical Work Requirements Senior Policy Analyst (Operations & Policy Analyst 4)

State of Oregon • Salem, OR

1d • $7,537 - $11,098 • Hybrid

About The Position

The Integrated Eligibility Policy unit is responsible for developing and maintaining policy, administrative rule, and ONE system functionality related to Oregon Health Plan/Medicaid eligibility, including federal contracts, reporting, budget, and compliance. The unit ensures alignment with federal regulation, state statute, and the 1115 Medicaid Waiver and works closely with ODHS policy and operations units to provide subject matter expertise across OHA and ODHS. This position serves as the agency’s principal expert on Medical Work Requirements under House Resolution 1 (2025), providing guidance on complex statutory, regulatory, operational, and legal issues affecting Medicaid and non‑Medicaid eligibility. The role leads analysis of federal and state laws, regulations, and program data to develop, revise, and recommend changes to Medicaid administrative rules, and produces policy guidance and issue analyses for OHA leadership, legislators, CMS, providers, and partners. The position also leads system‑level planning for eligibility and Medicaid information systems, including business requirements, workflows, reporting standards, and safeguards that support compliant implementation and continuous improvement. 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 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.

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 five years professional-level evaluative, analytical and planning work.
• Any combination of experience and education equivalent to eight years of experience that typically supports the knowledge and skills for the classification.

Nice To Haves

• Experience leading complex health and eligibility policy development and implementation that advances health equity and centers community voices.
• Knowledge of Oregon Health Plan/Medicaid operations, including eligibility, work requirements, eligibility systems, CCOs, safety‑net programs, providers, and community‑based organizations.
• Knowledge of legislative and regulatory processes and experience applying federal and state laws, regulations, waivers, and legislative concepts.
• Familiarity with OAR, ORS, and CMS guidance is preferred.
• Experience developing, implementing, and operationalizing Medicaid and non‑Medicaid eligibility policies, rules, authorities, and related system changes.
• Strong oral and written communication skills, with experience conveying qualitative and quantitative information clearly to diverse, culturally diverse audiences.
• Ability to navigate complex relationships through collaborative problem‑solving and consensus‑building.
• Experience facilitating and working with internal teams, community partners, providers, CCOs, and government stakeholders.
• Experience analyzing and synthesizing data to assess policy, program effectiveness, operations, member outcomes, and equity impacts, and presenting findings to support planning and decision‑making.
• Project management experience handling multiple complex timelines, policy and system implementations, cross‑agency coordination, and human‑centered change management.

Responsibilities

• Serves as the agency’s principal expert on Medical Work Requirements under House Resolution 1 (2025), providing guidance on complex statutory, regulatory, operational, and legal issues affecting Medicaid and non‑Medicaid eligibility.
• Leads analysis of federal and state laws, regulations, and program data to develop, revise, and recommend changes to Medicaid administrative rules.
• Produces policy guidance and issue analyses for OHA leadership, legislators, CMS, providers, and partners.
• Leads system‑level planning for eligibility and Medicaid information systems, including business requirements, workflows, reporting standards, and safeguards that support compliant implementation and continuous improvement.
• Collaborates with diverse populations most harmed by social injustice and inequities.
• Builds and stewards positive, collaborative 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.

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: Senior