Post Date: 04/20/2017
Close Date: 05/04/2017
The Oregon Health Authority (OHA) is a state agency dedicated to helping people and communities achieve optimum physical, mental and social well-being through partnerships, prevention and access to quality, affordable health care. We are absolutely committed to ongoing innovation in the delivery of services, and to recruiting, developing and retaining dedicated employees.
OHA includes most of the state's health care programs, including Public Health, Health Policy and Analytics, Health Systems Division, and Oregon State Hospital. Incorporating the state's health care programs within one agency gives the state greater purchasing and marketing power to begin tackling the issues of cost, quality, and access to care.
This employment opportunity is with the OHA Office of Program Integrity, under the Oregon Health Authority (OHA). There is one full-time, permanent position located in Salem (500 Summer Street NE). This position is classified and represented by a union.
DUTIES & RESPONSIBILITIES:
The purpose of this position is to manage and coordinate the ongoing comprehensive study and review of existing Oregon Revised Statutes (ORS), Oregon Administrative Rules (OAR), federal regulations, federal guidance and waiver requirements as it pertains to the Medicaid program. This position will make recommendations and formulate plans for statutory, rule and policy changes and ensure cross-agency operational alignment with OHA program integrity responsibilities and oversight. As regulations and policies change or are modified, this role will ensure that OHA and its partner agencies are in alignment with those actions.
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.
• Strong working knowledge of Medicaid Program Integrity operations and requirements as well as the prevention, detection, identification and investigations of fraud, waste and abuse.
• Knowledge of program integrity theory and application.
• Excellent customer service and communication skills to deal with differing opinions related to program integrity, oversight and monitoring.
• Ability to interpret complex regulatory principles.
• Excellent writing skills.
• Experience in promoting a culturally competent and diverse work environment.