Encounter Data Coordinator (Operations & Policy Analyst 1)

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Health Systems Division is currently seeking an Operations & Policy Analyst to support their work within Oregon Health Authority (OHA) and our goal is to eliminate health inequities by 2030.

to view a Dashboard of our current recruitments. The specific positions associated with this posting are listed under REQ-126830 Operations & Policy Analyst (OPA1).

For each position, there is a link to either an abbreviated or full position description to offer you greater context for the role.

If you have any combination of experience or education equivalent to three years technical-level experience performing operation and policy analysis, we want YOU to apply TODAY!

NOTE: A Bachelor's Degree in Business or Public Administration, Behavioral or Social Sciences, Finance, Political Science can substitute for all experience.

This is the position we are hiring for today:

MEDICAID: Encounter Data Coordinator.

The Encounter Data Coordinator/Senior Claims Analyst ensures that Encounter Data Claims and Fee-For-Service claims are processed according to the Code of Federal Regulations (CFRs), Oregon Administrative Rules (OARs) and contractual requirements.

The person in this position will review claims to ensure they have all necessary information and process or deny claims as needed, working with Coordinated Care Organizations (CCOs) as needed. This position does analytical research and prepares written summaries and conclusions on operational issues. They monitor program processes, procedures and results for compliance with regulations and effectiveness in meeting customer needs.

What's in it for you?

How to apply:

OHA values health equity, service excellence, integrity, leadership, partnership, innovation and transparency. OHA’s health equity definition is “Oregon will have established a health system that creates health equity when all people can reach their full potential and well-being and are not disadvantaged by their race, ethnicity, language, disability, age, gender, gender identity, sexual orientation, social class, intersections among these communities or identities, or other socially determined circumstances.

Achieving health equity requires the ongoing collaboration of all regions and sectors of the state, including tribal governments to address: the equitable distribution or redistributing of resources and power; and recognizing, reconciling, and rectifying historical and contemporary injustices.” OHA’s 10-year goal is to eliminate health inequities. Click , to learn more about OHA’s mission, vision and core values.

Need Help?

If you need assistance to participate in the application process including an accommodation request under the American with Disabilities Act, please call Juan McGruder.

Voice: [503-302-0454] (TTY 711)

Email:

Additional Information

The Oregon Health Authority is committed to fair employment practices and non-discrimination, including pay equity for all employees. We do not discriminate on the basis of protected class (race, sex, veteran status, disability, age, color, religion, national origin, marital status, sexual orientation) in the payment of wages or screen applicants on the basis of their current or past compensation.

We determine salary by completing a review of your application materials to evaluate your related education, experience, and training for this position. (critical elements of process).

The Oregon Health Authority is an equal opportunity, affirmative action employer committed to work force diversity and anti-racism.