Children and Youth Behavioral Health Policy Analyst (Operations & Policy Analyst 3)

About the Role

The Medicaid Behavioral Health Policy unit writes administrative rules (OAR), directs coverage policy, provider enrollment and provider billing policy, issues guidance, leads rate setting and provides subject matter expertise and FFS program leadership within OHP. The primary purpose of this position is to lead the development, interpretation, and implementation of Medicaid behavioral health policy for children and youth by conducting complex policy analysis, directing program operations, and advising senior leadership on strategic direction.

Responsibilities

• Provides specialized policy leadership across high-acuity service areas such as Psychiatric Residential Treatment Facilities (PRTFs), residential and subacute programs, Oregon State Hospital (OSH) transitions, and the associated prior authorization (PA) and certificate of need (CON) processes.
• Ensures the quality, compliance, and performance oversight of children and youth behavioral health programs by evaluating Medicaid data, identifying operational risks, monitoring system outcomes, and determining improvement strategies that promote access, accountability, and service integrity.
• Serves as a key technical advisor