Senior Policy Analyst – Medical Work Requirements

Role Overview

• Integrated Eligibility Policy unit is responsible for developing and maintaining policy, administrative rule, and ONE system functionality related to Oregon Health Plan/Medicaid eligibility.
• The position serves as the agency’s principal expert on Medical Work Requirements under House Resolution 1 (2025).
• The role leads analysis of federal and state laws, regulations, and program data to develop, revise, and recommend changes to Medicaid administrative rules.
• Produces policy guidance and issue analyses for OHA leadership, legislators, CMS, providers, and partners.
• Leads system‑level planning for eligibility and Medicaid information systems, including business requirements, workflows, reporting standards, and safeguards.

Requirements

• 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 five years professional-level evaluative, analytical and planning work.
• Any combination of experience and education equivalent to eight years of experience that typically supports the knowledge and skills for the classification.
• Experience leading complex health and eligibility policy development and implementation that advances health equity and centers community voices.
• Knowledge of Oregon Health Plan/Medicaid operations, including eligibility, work requirements, eligibility systems, CCOs, safety‑net programs, providers, and community‑based organizations.
• Knowledge of legislative and regulatory processes and experience applying federal and state laws, regulations, waivers, and legislative concepts.
• Familiarity with OAR, ORS, and CMS guidance is preferred.
• Experience developing, implementing, and operationalizing Medicaid and non‑Medicaid eligibility policies, rules, authorities, and related system changes.
• Strong oral and written communication skills, with experience conveying qualitative and quantitative information clearly to diverse, culturally diverse audiences.
• Ability to navigate complex relationships through collaborative problem‑solving and consensus‑building.
• Experience facilitating and working with internal teams, community partners, providers, CCOs, and government stakeholders.
• Experience analyzing and synthesizing data to assess policy, program effectiveness, operations, member outcomes, and equity impacts, and presenting findings to support planning and decision‑making.
• Project management experience handling multiple complex timelines, policy and system implementations, cross‑agency coordination, and human‑centered change management.

Benefits

• 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.