Health Care Market Program Lead

Full job description Initial Posting Date:
05/17/2024 Application Deadline:
06/09/2024 Agency:
Oregon Health Authority Salary Range:
$6,901 - $10,161 Position Type:
Employee Position Title:
Health Care Market Oversight Program Form A Review Lead (OPA4) Job Description:
Attention current State of Oregon employees: To apply for posted positions, please close this window and log into your Workday account and apply through the Career worklet.
Please attach a current version of your resume and a cover letter that addresses the points listed under the section titled What We Are Looking For.
The official working title for the position is Health Care Market Oversight Program Form A Review Lead.
PLEASE NOTE: Resumes, cover letters and all other documents must all be uploaded at one time. When uploading a resume, please upload any other documents in the same area/field. Applicants who fail to upload resume and cover letter will not be considered.
The Oregon Health Authority
has a fantastic opportunity for an experienced policy and financial analyst to join an excellent team reviewing proposed health care mergers and acquisitions. This is a Full-Time, Limited Duration (up to 24 months), Management Non-Supervisory position with the Fiscal and Operations Division. The AA Salary Range for this position is between $6,901.00 to $10,161.00 per month.
What you will do!
The primary purpose of this position is to administer OHA's statutory charge to review proposed transactions involving health care entities through the Health Care Market Oversight Program and the CCO Form A review processes.
This position will be responsible for leading the coordination and ongoing administration of Form A transaction reviews involving Coordinated Care Organizations (CCOs) with Oregon's Health Care Market Oversight Program, which includes leading all material change transaction reviews involving a CCO. The Form A Review Lead will manage any vendor contracts and cross-agency relationships as well as serve as point person for initiating and supporting the Community Review Boards and other public outreach as needed for Form A reviews.
This position will coordinate analyses conducted by the Health Care Market Oversight Program's Research Analyst 4, Economist 3, and Operations and Policy Analyst 2, as well as coordinating with subject matter experts in the Office of Actuarial and Financial Analysis and across the agency to inform Form A reviews. The Form A Review Lead will be supported by legal counsel at the Department of Justice and subject matter experts outside the agency as needed.
The Form A Review Lead is a member of the Cost Team within the Office of Health Policy and will work closely with other policy and research analysts in Health Policy & Analytics, including the All Payer All Claims Program, the Hospital Reporting Program, and the Sustainable Health Care Cost Growth Target Program. This position will work collaboratively with analytic, policy, and program staff across OHA as well as other agencies, including the Department of Consumer and Business Services (DCBS) and Department of Justice (DOJ).
The Form A Review Lead is also responsible for assisting the Chief Financial Officer and Office of Actuarial and Financial Analytics (OAFA) Director in analyzing and developing policy related to Medicaid managed care entities' financial reporting and solvency and designing and implementing processes to track, report, and analyze financial data in support of financial accountability of OHA and contracted managed care entities.
This position conducts regular financial analysis, monitors trends, and advises OHA leadership on healthcare finance policy matters affecting Medicaid and other OHA programs, such as CCO financial oversight and performance against the CMS waiver requirements. This position works with internal partners and external stakeholders in assessing compliance with legal requirements relating to financial matters; leads the policy work related Oregon's Medicaid program; and acts as a spokesperson for OHA on healthcare finance issues.
For a copy of the position description, please click here
.
What's in it for you?
We offer a workplace that balances productivity with enjoyment; promote an atmosphere of mutual respect, dedication, and enthusiasm. You will collaborate in an open office with a team of bright individuals to work with and learn from. We offer full medical, vision and dental
with paid sick leave, vacation, personal leave and eleven paid holidays per year plus pension and retirement plans
. If you're driven by the passion to do something meaningful that changes lives, the Oregon Health Authority
is the place for you. This position falls under the Operations and Policy Analyst 4 classification.


The Oregon Health Authority is committed to developing and promoting culturally and linguistically appropriate programs and a diverse and inclusive workforce representing the diversity, culture, strengths and values of the people of Oregon. Click here
, to learn more about OHA's mission, vision and core values. OHA is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, protected veteran or disabled status, genetic information or any other protected class under state or federal law. What we are looking for:
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.
OR;
Any combination of experience and education equivalent to eight years of experience that typically supports the knowledge and skills for the classification.
Required:
Technical expertise and experience with health care financing.
Experience producing written reports and materials for a variety of audiences.
Experience using the Microsoft Office suite of programs including Excel, Word, and PowerPoint.
Demonstrated experience at a leadership level communicating with a diverse group of stakeholders on complex topics.
Ability to consider viewpoints and needs expressed by these groups and make a good faith effort at communicating such to their counterparts.
Demonstrated ability to coordinate multiple competing priorities.
Experience and knowledge of Medicaid and Medicare programs and commercial insurance.
Preferred:
Experience or subject-matter expertise with health care transactions such mergers, acquisitions, and affiliations.
Experience with complex health care finance and accounting systems. Specifically with GAAP and Statutory accounting principles.
Experience with health care insurance financials.
Working knowledge of the legislative branch and legislative processes.
Graduate education in law, health sciences, economics, public health, social science, or public policy.
Knowledge of state and federal health policy.
Knowledge of health care industry consolidation and impacts of consolidation.
How to apply:
Complete the online application
Upload Resume
Upload Cover Letter
Applicants who fail to upload resume and cover letter will not be considered
Resumes, cover letters and all other documents must all be uploaded at one time. When uploading a resume, please upload any other documents in the same area/field. Applicants who fail to upload resume and cover letter will not be considered.
This recruitment announcement will be used to establish a list of qualified candidates to fill the current vacancy and may be used to fill future vacancies as they occur.
Please ensure you've provided a thorough and updated application as it pertains to the position for which you are applying. Your application materials will be used to determine salary based on a pay equity assessment. For further information, please visit the Pay Equity Project
homepage. Need Help?
If you need assistance to participate in the application process, including an accommodation request under the American with Disabilities Act contact: Scott Lee at or .
Additional Information
Please monitor your Workday account, as all communication will be sent to your Workday account. You must have a valid e-mail address to apply.
If you are a veteran, you may receive preference. Click here
for more information about veterans' preference. If you checked that you are a veteran, we will ask you for your documents later in the process. We do not offer VISA sponsorships or transfers at this time – unless specifically noted. Within three days of hire, you will be required to complete the US Department of Homeland Security's I-9 form confirming authorization to work in the United States.
If you are offered employment, the offer will be contingent upon the outcome of an abuse check, criminal records check and driving records check, and the information shall be shared with the Oregon Health Authority (OHA), Office of Human Resources (OHR). Any criminal or founded abuse history will be reviewed and could result in the withdrawal of the offer or termination of employment.
Please only attach documents that are related to the position. Additional documents that are attached will not be reviewed.
Applicant Help and Support
webpage The Oregon Health Authority is committed to fair employment practices and non-discrimination, including pay equity for all employees. We do not discriminate on the basis of protected class (race, sex, veteran status, disability, age, color, religion, national origin, marital status, sexual orientation) in the payment of wages or screen applicants on the basis of their current or past compensation. We determine salary by completing a review of your application materials to evaluate your related education, experience, and training for this position.

The Oregon Health Authority is an equal opportunity, affirmative action employer committed to work force diversity.