State Directed Payment & Provider Tax Federal Policy Liaison (Operations & Policy Analyst 4)

State of Oregon • Salem, OR

1d • $7,537 - $11,098 • Hybrid

About The Position

The Federal Policy unit is responsible for coordinating Oregon’s Medicaid State Plan, Health-Related Services including CCO policy and spending reviews, and Home and Community-Based Services Waivers operated by ODHS. The team provides technical support and subject matter expertise to staff throughout OHA and ODHS negotiating with CMS or applying for 1115 demonstration waivers and amendments, including the 1115 OHP waiver, 1115 SUD waiver, 1915(c) HCBS waivers, and amendments to the Medicaid and CHIP State Plans. The team also compiles Quarterly and Annual Reports required under the 1115 OHP waiver, State Plan, and 1915(c) waivers and provides support for CCO contracts and rulemaking. The primary purpose of this position is to serve as the Federal Policy Liaison for State Directed Payments (SDPs) and provider taxes, acting as a key advisor to OHA senior management and shaping strategy that aligns federal requirements with Oregon’s policy preferences and health system goals. The analyst translates federal policy into agency action by interpreting CMS guidance, leading development and submission of SDP preprints, coordinating responses to CMS inquiries and federal oversight activities, and developing regulatory policy, workflows, and systems improvements to ensure compliant administration of SDPs and provider taxes. To operationalize complex policy, the analyst develops and reviews regulatory policy, standards, internal controls, and end to end workflows to ensure consistent, compliant administration of SDPs and provider taxes. They maintain audit readiness through performance monitoring, align quality measures with federal requirements and state goals, and lead structured communication and feedback loops with CCOs, providers, and associations. 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

• 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 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, factors in social determinants of health) and elevate the voice of community and those with lived experience.
• Knowledge of health services delivery systems, particularly the Oregon Health Plan/ Medicaid administration in Oregon, including experience working with Coordinated Care Organizations, social safety net programs, health service providers (including Community Mental Health Programs and other behavioral health service providers), and community-based organizations to guide operations and policies.
• Knowledge of legislative and regulatory processes; experience analyzing, applying and advising on relevant federal and state laws and regulations as well as legislative concepts/bills; specific knowledge of Oregon Administrative Rules and Oregon Revised Statutes is valued in this position.
• Knowledge and experience developing, implementing, and refining SDP and provider tax policies.
• 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 navigate complex relationships through collaborative problem-solving, consensus-building, and solution-focused approaches, recognizing positionality and fostering power-sharing dynamics.
• Experience facilitating meetings with a variety of key partners, including internal teams, community members/groups, government officials and legislators.
• Experience evaluating and synthesizing quantitative and qualitative data to analyze program effectiveness, efficiency, and impact within the context of health policy and healthcare services, and presenting research and evaluation findings to support quality assurance, strategic planning, and decision-making.
• Demonstrated project management experience, including ability to effectively manage multiple project timelines and priorities and promote human-centered change management.

Responsibilities

• Serve as the Federal Policy Liaison for State Directed Payments (SDPs) and provider taxes.
• Act as a key advisor to OHA senior management and shape strategy that aligns federal requirements with Oregon’s policy preferences and health system goals.
• Translate federal policy into agency action by interpreting CMS guidance.
• Lead development and submission of SDP preprints.
• Coordinate responses to CMS inquiries and federal oversight activities.
• Develop regulatory policy, workflows, and systems improvements to ensure compliant administration of SDPs and provider taxes.
• Develop and review regulatory policy, standards, internal controls, and end-to-end workflows to ensure consistent, compliant administration of SDPs and provider taxes.
• Maintain audit readiness through performance monitoring.
• Align quality measures with federal requirements and state goals.
• Lead structured communication and feedback loops with CCOs, providers, and associations.
• 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, 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: Mid Level