Actuarial Policy Analyst – Operations & Policy Analyst 3

Role Overview

• Help support key financial and rate setting work for Oregon’s Medicaid program.
• Develop capitation rates for Medicaid Coordinated Care Organizations (CCOs) and other entities.
• Review financial reports and monitor CCO solvency.
• Work with actuarial vendors and provide analysis supporting transparency and long-term stability in Oregon’s coordinated care system.
• Translate complex actuarial and financial information into clear, practical guidance for decision‑makers.
• Support long‑term planning, including preparation for HR1 and review of new federal requirements.
• Forecast fiscal impacts and evaluate how program changes may affect service quality and access for Oregonians relying on Medicaid.
• Coordinate work across teams and contribute directly to Medicaid rate setting, financial oversight, and risk mitigation.

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 four years 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.
• Experience supporting development, analysis, and implementation of complex health, financial, or actuarial policy at state or national levels, with a focus on health equity and impacts on historically marginalized communities.
• Knowledge of health services delivery systems, especially Oregon Health Plan/Medicaid, including experience with CCOs, Medicaid financing, rate-setting, and managed care operations.
• Knowledge of legislative and regulatory processes; experience interpreting and advising on federal and state Medicaid laws, regulations, waivers, and legislative proposals affecting financing, eligibility, rate-setting, and fiscal policy.
• Familiarity with Oregon Administrative Rules and Oregon Revised Statutes is valued.
• Knowledge of healthcare finance, actuarial principles, Medicaid managed care financing, and capitation rate-setting, including experience assessing fiscal impacts and supporting data-informed financial decisions.
• Ability to foster cross-agency collaboration and coordinate across policy, fiscal, actuarial, operational, and program teams to support complex Medicaid initiatives and continuous improvement efforts.
• Strong oral and written communication skills, with experience translating complex fiscal, actuarial, legislative, and quantitative information into accessible, culturally responsive materials for diverse audiences.
• Experience evaluating, synthesizing, and presenting quantitative and qualitative data to support fiscal analysis, rate-setting, policy development, quality assurance, strategic planning, and operational decisions.
• Demonstrated project management experience leading complex, cross-functional initiatives with multiple timelines and partners, including support for large-scale policy or operational implementations 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.