The Oregon Department of Human Services is hiring a Marketplace Business Process and Data Quality Manager to lead a critical unit overseeing workflow, policy, and data quality for the Oregon Health Insurance Marketplace. This role is central to the transition from a State-based Marketplace using the Federal Platform (SBM-FP) to a fully operational State-based Marketplace (SBM). You will synthesize data and best practices to inform policy, procedures, and technical assistance for health system collaborators.
What You'll Do
- Lead the Business Process and Data Quality unit.
- Oversee workflow, policy development, data quality, and program implementation for the Oregon Health Insurance Marketplace.
- Manage the implementation and improvement of Marketplace eligibility, enrollments, business policy, quality assurance, and appeals.
- Provide oversight of a contracted consumer assistance center.
- Synthesize data from analyses and best practices to inform policy, procedures, technical assistance, and other supports.
- Be accountable for all team deliverables.
- Coordinate across diverse programs and with interested parties including Medicaid, Medicare, Centers for Medicare and Medicaid Services (CMS), the Division of Financial Regulation, and advisory boards to ensure high-quality outcomes during the Marketplace transition.
What We're Looking For
- A Bachelor’s degree in a related field AND three years of related experience; OR six years of supervision, management, or progressively related experience.
Nice to Have
- Demonstrated expertise in health insurance, health insurance exchanges, and the eligibility and enrollment process, including Medicaid and related programs.
- Proven ability to communicate complex and technical information such as the Affordable Care Act and insurance regulations clearly in both oral and written form.
- Successful track record of facilitating discussions, engaging diverse audiences, and translating technical concepts into practical understanding.
- Extensive experience in management and leadership, including program development, strategic planning, and decision-making.
- Proven experience in leading and supporting teams, setting priorities, and delivering results under tight timelines.
- Accomplished in coordinating activities across groups or agencies with differing priorities to achieve common goals.
- Demonstrated ability to organize, delegate, and align work effectively while supporting technically skilled and independent staff.
- Proven capability in budget planning, policy interpretation, and presenting recommendations to leadership and the public.
Team & Environment
You will lead the Business Process and Data Quality unit within the Oregon Health Insurance Marketplace.
Benefits & Compensation
- Compensation: $7,353 - $11,373 USD Monthly (non-PERS qualifying range)
- Excellent medical, vision, and dental benefits package for the employee and qualified family members with a very low monthly out-of-pocket cost.
- Optional life insurance, short-term disability, long-term disability, deferred compensation savings program, and flexible spending accounts for health care and childcare expenses.
- 11 paid holidays, 3 personal business days, 8 hours of monthly sick leave, and vacation accrual starting at 8 hours per month.
- Possible eligibility for the Public Service Loan Forgiveness Program.
- Membership in the Public Employees Retirement System (PERS)/Oregon Public Service Retirement Plan (OPSRP).
- Training opportunities that will help grow your career with the State of Oregon.
The Oregon Health Authority is an affirmative action and equal opportunity employer, committed to fair employment practices and pay equity for all employees.
