Policy and Operations Specialist

2 months ago

Salem, Oregon, United States State of Oregon Full time
About the Role

We are seeking a highly skilled and experienced Policy and Operations Specialist to join our team at the State of Oregon. As a Waiver and State Plan Option Analyst, you will play a critical role in supporting the development and implementation of Medicaid policies and programs.

Key Responsibilities
  • Evaluate federal laws, rules, and policies for statewide impact regarding Title XIX Home and Community Based Waiver and Community First Choice Option (K-Plan).
  • Ensure that federal policies and systems are integrated with state and local service delivery systems and that Medicaid compliance and reporting activities are accomplished.
  • Collaborate within ODDS units as well as across ODHS and OHA and with partners at the Centers for Medicare and Medicaid Services (CMS).
  • Provide expertise, analysis, and coordination in development, implementation, and monitoring of multi-disciplinary services and supports for Oregonians experiencing intellectual and developmental disabilities (I/DD), the majority of whom are on the Oregon Health Plan and other Title XIX Medicaid waiver and state plan option authorities.
  • Support and engage in frequent, specific cross-agency coordination with the Oregon Health Authority (OHA), community developmental disabilities programs, the Federal Centers for Medicare and Medicaid Services, and with Nine Federally Recognized Tribes of Oregon.
  • Represent ODHS on various state committees and workgroups to provide expertise on Medicaid home and community-based services programs serving individuals experiencing I/DD.
  • Make recommendations on and supporting development of administrative rules and program policies, implementation of state and federal legislation, and monitoring, managing, and coordinating activities for federal approvals of the Title XIX State Plan Option programs.
  • Coordinate and lead projects that are complex, sensitive in nature or have a high fiscal impact to the agency and significant service impacts to individuals with I/DD.
  • Help develop regulatory policy, standards, and procedures that deal with complex regulatory situations in which policy is not clearly defined.
  • Provide oversight of and technical assistance with operational implementation.
  • Draft legislative proposals.
  • Analyze and review federal legislation.
  • Analyze legislative bills.
  • Propose amendments to pending legislative bills.
  • Recommend and formulate changes to policy direction based upon research and analysis.
  • Develop and review regulatory policy, standards, and procedures to operationalize complex components of I/DD programs considering quality of service, access to services, program effectiveness, and cost.
  • Work closely with the Waiver and State Plan Option Specialist, community partners, legislative coordinators, business systems, financial and budget units, and policy staff in other agencies, is accountable for program performance monitoring and oversight of federal and state regulatory compliance (including access to services and tracking of expenditures), proposed legislation, and implementation and operationalization of passed legislation.
Working Conditions
  • You will work remotely, and you will travel as needed to attend meetings and workgroups in our office in Salem.
  • You will work in a high-volume work setting, with frequently changing priorities.
  • You must be able to work on multiple projects simultaneously, each having changing timelines and requirements.
  • You must be able to respond effectively to verbal instructions, cope with frequent interruptions, and moderate noise levels.
  • You must be able to gather information required to complete assigned projects.
  • You may be asked to work extended or nonstandard work schedules.

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