Quality Assurance Research Analyst (Research Analyst 4)

State of Oregon•Street, MD

2d•Hybrid

About The Position

This position leads the design, development, implementation, and evaluation of research to inform OHA on how to use Medicaid resources to build a Quality Assurance System for Medicaid Fee-For Services (FFS) and the Agency with Choice program. It develops evaluation processes, tools, and metrics to assess FFS program quality and establish statewide standards as part of Medicaid FFS transformation, the Agency with Choice program, and Oregon Health Plan quality improvement. The position will develop a new member- and provider-focused statewide quality assurance system based on health equity and outcome metrics. It will create quantitative indicators and qualitative process improvement data to establish standards for member access, provider quality, network adequacy, communication, operational processes including standardized provider rates, and integration of member and community voice in rulemaking. The position collaborates with internal and external partners to integrate evaluation processes, support rate standardization, and develop contract compliance policies. Partners include health providers, CMS, the Oregon Legislature, the Health System Division, OHA’s Office of Actuarial and Fiscal Analysis, Budget Unit, Health Policy and Analytics, Public Health Division, External Relations Division, Medicaid FFS members and providers, and contractors. 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. For a full review of the position description, please click here. Click Here to view a Dashboard of all current recruitments for the Medicaid Division. If this opportunity aligns with your strengths, background, and commitment to fostering inclusivity, we encourage you to apply! At the Oregon Health Authority (OHA), we value diversity and encourage applicants from all backgrounds and experiences to help us build a stronger, more equitable future for all.

Requirements

Five years of research experience using computerized applications to independently gather, compile, and analyze data and prepare narrative or statistical reports. Two of the five years must have included coordinating complex research projects.
OR A Bachelor's Degree in any disciplines that included six-quarter units in statistics or quantitative analysis methods and procedures, and three years experience using computerized applications to independently gather, compile, and analyze data and prepare narrative or statistical reports. Two of the three years must have included coordinating complex research projects.

Nice To Haves

Experience supporting the development and implementation of policies and programs at the community, state, and/or national level that advance health equity (address systemic health disparities, expand culturally responsive and inclusive services, factor in social determinants of health) and elevate the voice of community and those with lived experience.
Knowledge of legislative and regulatory processes; specific knowledge of Oregon Administrative Rules and Oregon Revised Statutes is valued in this position.
Knowledge of health services delivery systems, particularly the Oregon Health Plan/ Medicaid administration in Oregon.
Experience and knowledge evaluating and synthesizing quantitative and qualitative data to analyze and measure the effectiveness, efficiency, and impact of administrative and technical programs within the context of health policy / healthcare services.
Experience using health care expenditure, utilization, quality and outcomes data in large information systems.
Experience presenting and articulating the value and relevance of research and evaluation data and data mapping to facilitate quality assurance, strategic planning, and decision-making. This includes demonstrated ability to use advanced statistical and analytic tools such as SQL, R, SPSS, SAS, Power BI, Tableau, Excel, and related applications.
Strong oral and written communication skills across a variety of forums; experience communicating qualitative and quantitative information, verbal and written, that are accessible to and understood by audiences with different levels of comprehension or interest and that are culturally responsive, inclusive, and appropriate.
Ability to provide organizational leadership to foster inter- and cross-agency collaboration and to shape systems-wide community-centered policies, programs, and continuous (performance / quality / process) improvement strategies
Ability to navigate complex relationships through collaborative problem-solving, consensus-building, and solution-focused approaches, recognizing positionality and fostering power-sharing dynamics.
We are seeking someone who shares Oregon Health Authority’s mission and values. OHA values health equity, service excellence, integrity, leadership, partnership, innovation and transparency.
OHA’s health equity definition is “Oregon will have established a health system that creates health equity when all people can reach their full potential and well-being and are not disadvantaged by their race, ethnicity, language, disability, age, gender, gender identity, sexual orientation, social class, intersections among these communities or identities, or other socially determined circumstances. Achieving health equity requires the ongoing collaboration of all regions and sectors of the state, including tribal governments to address: the equitable distribution or redistributing of resources and power; and recognizing, reconciling, and rectifying historical and contemporary injustices.”
OHA’s 10-year goal is to eliminate health inequities.

Responsibilities

Leads the design, development, implementation, and evaluation of research to inform OHA on how to use Medicaid resources to build a Quality Assurance System for Medicaid Fee-For Services (FFS) and the Agency with Choice program.
Develops evaluation processes, tools, and metrics to assess FFS program quality and establish statewide standards as part of Medicaid FFS transformation, the Agency with Choice program, and Oregon Health Plan quality improvement.
Develop a new member- and provider-focused statewide quality assurance system based on health equity and outcome metrics.
Create quantitative indicators and qualitative process improvement data to establish standards for member access, provider quality, network adequacy, communication, operational processes including standardized provider rates, and integration of member and community voice in rulemaking.
Collaborates with internal and external partners to integrate evaluation processes, support rate standardization, and develop contract compliance policies.
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.

Benefits

Excellent medical, vision, and dental benefits package for the employee and qualified family members with a very low monthly out-of-pocket cost.
Optional life insurance, short-term disability, long-term disability, deferred compensation savings program, and flexible spending accounts for health care and childcare expenses.
Employee benefits include 11 paid holidays, 3 personal business days, 8 hours of monthly sick leave, and vacation accrual starting at 8 hours per month.
Possible eligibility for the Public Service Loan Forgiveness Program.
Membership in the Public Employees Retirement System (PERS)/Oregon Public Service Retirement Plan (OPSRP).
Training opportunities that will help grow your career with the State of Oregon.

Stand Out From the Crowd

Upload your resume and get instant feedback on how well it matches this job.

Upload and Match Resume