Care Coordination Quality Assurance Administrator (Operations & Policy Analyst 3)

$68,964 - $105,972/Yr

Oregon Health Authority - Portland, OR

Full-time - Mid Level

Portland, OR

Social Assistance

About the position

The Care Coordination Quality Assurance Administrator (Operations & Policy Analyst 3) at the Oregon Health Authority is responsible for overseeing the development and implementation of quality assurance mechanisms for Medicaid Fee-for-Service (FFS) care coordination contracts. This role focuses on promoting equitable access to care, reducing health disparities, and ensuring compliance with federal and state regulations. The administrator will work closely with various stakeholders to establish standards, analyze data, and facilitate continuous improvement in healthcare services for Oregonians.

Responsibilities

• Oversee the administration of Medicaid Fee-for-Service care coordination contracts.
• Develop and implement quality improvement processes for care coordination.
• Research federal trends and state practices related to contract administration.
• Create criteria for measuring the effectiveness of care coordination services.
• Facilitate data collection and analysis to monitor program compliance.
• Collaborate with various health providers and governmental entities to improve service delivery.
• Ensure contract accountability and metrics are met for provider network adequacy.

Requirements

• A combination of experience or education equivalent to seven years of professional-level evaluative, analytical, and planning work.
• A degree in Business or Public Administration, Behavioral or Social Sciences, or a related field may substitute for some experience.
• Knowledge of Oregon Administrative Rules and Medicaid administration in Oregon.
• Experience in developing and implementing policies and programs that advance health equity.

Nice-to-haves

• Ability to read, write, and interpret English and one of the five most common languages in Oregon (Spanish, Vietnamese, Chinese, Russian, Korean).
• Experience in community engagement and culturally responsive service delivery.
• Knowledge of health services delivery systems and managed care entities.

Benefits

• Dental insurance
• Disability insurance
• Health insurance
• Paid holidays
• Paid sick time
• Vision insurance