Medical Eligibility Policy Analyst (Operations & Policy Analyst 3) 2 positions

Two full-time, permanent positions available in Salem, Oregon. Hybrid role: 85% remote, 15% in-office.

About the role

The Integrated Eligibility Policy Unit develops and maintains policy, administrative rules, and ONE system functionality for 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.

As co-lead and senior eligibility policy advisor, you will implement and manage population-specific eligibility and retroactive eligibility changes under House Resolution 1 (HR1; 2025). You will provide strategic direction and authoritative expertise on complex medical-assistance eligibility policy, interpret federal and state laws, assess program impacts, identify policy requirements, and lead development of rules, operational standards, system updates, and program guidance.

You will serve as primary contact for OHA/ODHS leadership, internal teams, and external contractors and partners, offering analysis, recommendations, and technical consultation. You will guide system design and modifications to meet eligibility needs, including business requirements and user-acceptance testing. You will collaborate with diverse populations most harmed by social inequities and build partnership-based relationships with communities of color, immigrants, people with disabilities or neurodivergence, veterans, older adults, LGBTQIA2S+ individuals, and other traditionally marginalized groups.

Responsibilities

• Co-lead implementation and management of population-specific eligibility and retroactive eligibility changes under HR1 (2025).
• Provide strategic direction and authoritative expertise on complex medical-assistance eligibility policy.
• Interpret federal and state laws; assess program impacts and identify policy requirements.
• Lead development of administrative rules, operational standards, system updates, and program guidance.
• Act as primary contact for OHA/ODHS leadership, internal teams, and external contractors and partners; offer analysis, recommendations, and technical consultation.
• Guide system design and modifications to meet eligibility needs, including business requirements and user-acceptance testing.
• Collaborate with diverse populations most harmed by social inequities.
• Build and maintain positive, partnership-based relationships with communities of color, immigrants, people with disabilities or neurodivergence, veterans, older adults, LGBTQIA2S+ individuals, and other traditionally marginalized groups.

Requirements

• 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 of professional-level evaluative, analytical, and planning work.
• OR any combination of experience and education equivalent to seven years of experience that typically supports the knowledge and skills for the classification.

Qualifications

• 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, factor in social determinants of health) and elevate the voice of community and those with lived experience.
• Knowledge of health services delivery systems, particularly the Oregon Health Plan/Medicaid administration in Oregon, including experience working with Coordinated Care Organizations, social safety-net programs, health-service providers (including Community Mental Health Programs and other behavioral-health service providers), or community-based organizations.
• Knowledge of legislative and regulatory processes; experience analyzing, applying, and advising on relevant federal and state Medicaid laws and regulations, including Medicaid Managed Care regulations; specific knowledge of Oregon Administrative Rules and Oregon Revised Statutes is valued.
• 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 communicating qualitative and quantitative information, verbally and in writing, that is accessible to and understood by audiences with different levels of comprehension or interest and that is culturally responsive, inclusive, and appropriate.
• 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, including ability to effectively manage multiple project timelines and priorities and promote human-centered change management.

Benefits

• Excellent, low-cost medical, vision, and dental coverage for you and your family.
• Optional benefits: 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.

Pay

$6,276 – $9,644 monthly. The salary listed is the non-PERS qualifying range; if the successful candidate qualifies for PERS, the range will increase by 6.95%.

Employment is contingent upon a criminal-records check and a driving-records check that meets OHA criteria at the time of hire and throughout employment. This position does not provide visa sponsorship.