The Oregon Department of Human Services is hiring a Medicaid Financial Analyst (Fiscal Analyst 2) to provide critical financial analysis, interpretation, and payment calculation for Medicaid services. This role supports the establishment of payment rates and methodologies for the 1115 Demonstration Waiver-approved Health-Related Social Needs Services (HRSN), advising management on fiscal operations.
What You'll Do
- Analyze care coordination rates, compare rates with other payers, leverage Fee Schedule sources, and engage external partners to establish statewide HRSN payment methodologies.
- Coordinate with Business Information Systems on needed IT system changes to support financial disbursement.
- Support adoption of information exchange platforms to develop a statewide care coordination community.
- Support the establishment of minimum rates for HRSN services, payment methodologies, provider participation incentives, and contracting processes with Community-Based Organizations.
- Support HRSN-based minimum rate changes in Oregon Administrative Rules and contracts.
- Analyze and implement required changes in Fee-For-Service and Coordinated Care Organization contracts.
What We're Looking For
- Five years of progressively responsible experience that included the preparation, analysis, and administration of a budget or fiscal system.
- OR, five years of professional-level experience in accounting, fiscal auditing, management or program analysis, including modeling, forecasting and analyzing fiscal information.
- OR, successful completion of the Department of Administrative Services Budget and Management Public Administrative Trainee Program.
Nice to Have
- Experience supporting the development and implementation of policies and programs at the community, state, and/or national level that advance health equity.
- Knowledge of legislative and regulatory processes; experience analyzing, applying and advising on relevant federal and state Medicaid laws and regulations.
- Experience using and interpreting medical expenditure and utilization data to monitor plan and evaluate cost effectiveness, access and quality of medical programs.
- Experience and knowledge evaluating and synthesizing quantitative and qualitative data to analyze and measure the effectiveness, efficiency, and impact of administrative and technical programs within the context of health policy.
- Experience analyzing complex, detailed problems within the context of an extremely automated, highly complex Information System, such as the Medicaid Management Information System.
- Strong oral and written communication skills across a variety of forums.
- Ability to foster inter-and cross-agency collaboration and to facilitate coordination of community centered policies, programs, and continuous improvement strategies.
- Demonstrated project management experience, including ability to effectively manage multiple project timelines and priorities and promote human-centered change management.
Team & Environment
You will work within the Medicaid Policy & Fee-For-Service Operations unit.
Benefits & Compensation
- Compensation range of $5,325 - $8,148 monthly.
- 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.
- Employee benefits include 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 / Oregon Public Service Retirement Plan.
- Training opportunities that will help grow your career with the State of Oregon.
Work Mode
This position operates in a hybrid work mode and is based in Salem, Oregon.
The Oregon Health Authority is an affirmative action and equal opportunity employer, committed to fair employment practices and pay equity for all employees. We do not discriminate based on any protected class—including race, sex, veteran status, disability, age, color, religion, national origin, marital status, or sexual orientation—and we do not screen applicants based on current or past compensation.



