Medical Eligibility Policy Analyst
Medical Eligibility Policy Analyst
The Integrated Eligibility Policy unit develops and maintains policy, administrative rule, and ONE system functionality related to Oregon Health Plan/Medicaid eligibility. The unit ensures alignment with federal regulations, state statutes, and the 1115 Medicaid Waiver and provides subject matter expertise across OHA and ODHS.
This position serves as a co‑lead and senior eligibility policy advisor for implementing and managing population‑specific eligibility and retroactive eligibility changes under House Resolution 1 (HR1; 2025). It provides strategic direction and subject matter expertise on complex Medicaid and non‑Medicaid medical assistance eligibility policies, including interpreting federal and state laws, evaluating program impacts, identifying policy requirements, and leading development and implementation of rules, operational standards, system changes, and program guidance. The position is a primary point of contact for OHA/ODHS leadership, internal staff, and external contractors and partners, offering analysis, recommendations, and technical consultation. It also directs system design and modification with information systems staff and business analysts, including user acceptance testing and business requirements development. This position collaborates with diverse populations and builds partnership‑based relationships with communities that have been historically marginalized.
This announcement is for three (3), full-time, permanent, SEIU represented, Medical Eligibility Policy Analyst(Operations & Policy Analyst 3) position based in Salem, Oregon. This is a hybrid [Remote-85% In-Office 15%] position.
Minimum Qualifications:
Any combination of experience and education equivalent to seven years of experience that typically supports the knowledge and skills for the classification, such as 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 four years professional-level evaluative, analytical and planning work.
Desired Attributes:
- Experience supporting 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 OHP/, CCOs, social safety net programs, health service providers, or community-based organizations.
- Knowledge of legislative and regulatory processes.
- Ability to foster inter-and cross-agency collaboration and to facilitate coordination of community centered policies, programs, and continuous (quality / process) improvement strategies.
- Strong oral and written communication skills across a variety of forums.
- Experience and knowledge evaluating and synthesizing quantitative and qualitative data to analyze and measure the effectiveness, efficiency, and impact of administrative and technical programs within the context of health policy / healthcare services.
- Experience presenting and articulating the value and relevance of research and evaluation data to facilitate quality assurance, strategic planning, and decision-making.
- Demonstrated project management experience.
About the Team & Benefits of Joining
We also offer a competitive benefits package including:
- 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.
How to Apply:
Submit your application at Oregonjobs.org using job number REQ-200484
Application Deadline: 05/30/2026
Salary Range: $6,276 - $9,644