CCO Account Representative
Do you have experience in and passion for healthcare transformation, Medicaid enrollment, and problem-solving complex Medicaid access to care and quality of care cases? Are you interested in researching root causes and synthesizing information to improve the Medicaid’s system in Oregon and help resolve individual cases? We look forward to hearing from you!
This posting will be used to fill one (1) permanent, full-time position. The position is classified and is represented by a union.
Work Location: Salem/Marion or Portland/Multnomah; hybrid position
What you will do!
- Provide program assistance regarding impacts our eligible Oregonians to access health care that is Better Heath, Better Care, and Reduced Cost.
- Assist with the establishment and monitoring of program strategies, goals, program priorities. Including the design, development, implementation, monitoring, evaluations and maintenance of Title XIX (Medicaid) and Title XXI (CHIP) operational policies and procedures as they relate to the managed care process, and working to support the managed care organizations as they develop and implement new processes.
- Report mechanisms affecting health care services to OHA Coordinated/Managed Care Organization members and providers
OHA values service excellence, leadership, integrity, health equity and partnership and has a strategic goal to end all health inequities by 2030.
What's in it for you?
- We offer exceptional medical, vision and dental benefits packages for you and your qualified family members, with very low monthly out-of-pocket costs. Try this free virtual benefits counselor by clicking here: https://www.oregon.gov/oha/pebb/pages/alex.aspx
- Paid Leave Days:
- 11 paid holidays each year
- 3 additional paid "Personal Business Days" each year
- 8 hours of paid sick leave accumulated every month
- Progressive vacation leave accrual with increases every 5 years
- Pension and retirement programs
- Optional benefits include short-term disability, long-term disability, deferred compensation savings program, and flexible spending accounts for health care and childcare expenses.
- Click here to learn more about State of Oregon benefits.
WHAT WE ARE LOOKING FOR:
Minimum Qualifications
Any combination of experience or education equivalent to five years of experience coordinating or administering a program.
NOTE:
A degree in Business or Public Administration, Behavioral or Social Sciences, or a degree related to the agency program will substitute for some required experience:
- An Associate’s Degree is equal to 18 months of experience.
- A Bachelor's Degree is equal to three years of experience.
- A Master’s Degree is equal to four years of experience.
- A Doctorate Degree is equal to five years of experience.
Desired Attributes
- Knowledge of federal requirements, state rules and program requirements for the Oregon Medicaid Program.
- Knowledge of policies, process, and procedures related to managed care services, enrollment, and eligibility.
- Ability to explain and offer expert level technical assistance on rules, policy, and procedures.
- Specific knowledge of health services delivery systems; government health benefit programs, particularly the Oregon Health Plan/ Medicaid administration in Oregon; and client rights related to those programs.
- Experience in working with Coordinated Care Organizations or other managed care entities, especially as it relates to equitable access to supports and services.
- Knowledge with Auditing procedures.
- Experience developing and providing planning tools, documents, data, and meeting coordination to facilitate collaboration and decision-making.
- Demonstrates skills in the following areas:
- Constructive and Collaborative Working Relationships
- Critical Decision-making and Problem-solving
- Issue Identification and Resolution
- Research and Root Cause Analysis
- Performance / Process / Quality Improvement
- Workload Planning & Prioritization
- Expert level Technical Assistance
- Written and oral communication, including preparation of reports
How to apply:
Complete the online application at oregonjobs.org using job number REQ-161855
Application Deadline: 07/29/2024
Salary Range: $4,998 - $7,647