Medicaid Financial Analyst

Medicaid Policy & Fee-For-Service (FFS) Operations is responsible for developing and maintaining Medicaid policies for access to services. The unit maintains FFS operations and the Open Card healthcare system for over 120,000 Medicaid members, provides direct oversight for FFS contracts, maintains FFS rate schedules, and collaborates with community partners to identify gaps in policy and services. Medicaid is transforming FFS to create a statewide, person-centered system of care to aid in eliminating health inequities by 2030, including convening the Lived Experience Advisory Panel (LEAP) comprised of FFS members, their families, and community advocates.

The purpose of this position is to provide financial analysis, interpretation, and calculation of payments supporting the establishment of payment rates and methodologies. Findings and analyses will be used to advise management on fiscal matters related to the fiscal operations of HRSN services. You will analyze care coordination rates, compare rates with other payers, leverage Fee Schedule sources, and engage external partners to establish statewide HRSN payment methodologies. Responsibilities include coordinating with Business Information Systems on needed IT system changes to support financial disbursement and supporting adoption of information exchange platforms to develop a statewide care coordination community.

Additional responsibilities include supporting the establishment of minimum rates for HRSN services, payment methodologies, provider participation incentives, and contracting processes with Community-Based Organizations (CBOs). This position will support HRSN-based minimum rate changes in Oregon Administrative Rules (OARs) and contracts; and analyze and implement required changes in FFS and Coordinated Care Organization (CCO) contracts.

Minimum Qualifications: 

Five years of progressively responsible experience that included the preparation, analysis, and administration of a budget or fiscal system.

OR, five years of professional-level experience in accounting, fiscal auditing, management or program analysis. Experience must have included modeling, forecasting and analyzing fiscal information.

OR, successful completion of the Department of Administrative Services Budget and Management Public Administrative Trainee Program.

Desired Attributes: 

• Experience supporting the development and implementation of policies and programs.  
• Knowledge of legislative and regulatory processes; analyzing, applying and advising on relevant federal and state Medicaid laws and regulations, and legislative concepts/bills.
• Experience using and interpreting medical expenditure and utilization data to monitor plan and evaluate cost effectiveness.
• Experience and knowledge evaluating and synthesizing quantitative and qualitative data to analyze and measure the effectiveness, efficiency, and impact. 
• Experience analyzing complex, detailed problems within the context of an extremely automated, highly complex Information System, such as the Medicaid Management Information System (MMIS).
• Strong oral and written communication skills.   
• Ability to foster inter-and cross-agency collaboration and to facilitate coordination of community centered policies, programs, and continuous (performance / quality / process) improvement strategies. 
• Demonstrated project management experience.

Benefits of Joining Our Team

• medical, vision, and dental benefits package 
• 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.
• Membership in the Public Employees Retirement System (PERS)/Oregon Public Service Retirement Plan (OPSRP).
• This announcement is for one, full-time, permanent, SEIU represented, Fiscal Analyst 2 position based in Salem, Oregon.
• This is a HYBRID (15% IN-OFFICE) position. Please check SECTION 4. WORKING CONDITIONS, of the position description linked above to review more details regarding the details surrounding the working conditions. 

Apply online at oregonjobs.org using job number REQ-185771 

Application Deadline:  08/27/2025

Salary Range:  $5,325 - $8,148