Medicaid Financial Analyst (Fiscal Analyst 2)

Initial Posting Date:

08/18/2025

Application Deadline:

08/27/2025

Agency:

Oregon Health Authority

Salary Range:

$5,325 - $8,148

Position Type:

Employee

Position Title:

Medicaid Financial Analyst (Fiscal Analyst 2)

Job Description:

Opportunity Awaits, Apply Today! - Medicaid Financial Analyst (Fiscal Analyst 2)

Medicaid Policy & Fee-For-Service (FFS) Operations is responsible for developing and maintaining Medicaid policies for access to services. The unit maintains FFS operations and the Open Card healthcare system for over 120,000 Medicaid members, provides direct oversight for FFS contracts, maintains FFS rate schedules, and collaborates with community partners to identify gaps in policy and services. Medicaid is transforming FFS to create a statewide, person-centered system of care to aid in eliminating health inequities by 2030, including convening the Lived Experience Advisory Panel (LEAP) comprised of FFS members, their families, and community advocates.

The purpose of this position is to provide financial analysis, interpretation, and calculation of payments supporting the establishment of payment rates and methodologies to implement Medicaid 1115 Demonstration Waiver-approved Health-Related Social Needs Services (HRSN). Findings and analyses will be used to advise management on fiscal matters related to the fiscal operations of HRSN services.

This position will analyze care coordination rates, compare rates with other payers, leverage Fee Schedule sources, and engage external partners to establish statewide HRSN payment methodologies. Responsibilities include coordinating with Business Information Systems on needed IT system changes to support financial disbursement and supporting adoption of information exchange platforms to develop a statewide care coordination community.

Additional responsibilities include supporting the establishment of minimum rates for HRSN services, payment methodologies, provider participation incentives, and contracting processes with Community-Based Organizations (CBOs). This position will support HRSN-based minimum rate changes in Oregon Administrative Rules (OARs) and contracts; and analyze and implement required changes in FFS and Coordinated Care Organization (CCO) contracts.

This position requires working knowledge of federal regulations, state statutes, cost accounting principles, and multiple program and policy guides issued by this agency.

For a full review of the position description, please click here.

You can view all current recruitments for the Medicaid Division on their Dashboard.

If this opportunity aligns with your strengths, background, and commitment to fostering inclusivity, we encourage you to apply! At the Oregon Health Authority (OHA), we value diversity and encourage applicants from all backgrounds and experiences to help us build a stronger, more equitable future for all.

What We Are Looking For

Minimum Qualifications: These qualifications must be visible in your application for consideration.

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. Experience must have included modeling, forecasting and analyzing fiscal information.

OR, successful completion of the Department of Administrative Services Budget and Management Public Administrative Trainee Program.

Desired Attributes: The following are skills and lived experiences that we have identified as key to success in this role at OHA. These are the attributes we are looking for in our top candidate. If you possess any of these, please let us know in your application.

• Experience supporting the development and implementation of policies and programs at the community, state, and/or national level that advance health equity (address systemic health disparities, expand culturally responsive and inclusive services, factor in social determinants of health) and elevate the voice of community and those with lived experience. 
• Knowledge of legislative and regulatory processes; experience analyzing, applying and advising on relevant federal and state Medicaid laws and regulations as well as legislative concepts/bills; specific knowledge of Oregon Administrative Rules and Oregon Revised Statutes is valued.
• Experience using and interpreting medical expenditure and utilization data to monitor plan and evaluate cost effectiveness, access and quality of medical programs with knowledge of health services delivery systems, particularly the Oregon Health Plan/ Medicaid administration in Oregon.
• 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 / healthcare services.
• Experience analyzing complex, detailed problems within the context of an extremely automated, highly complex Information System, such as the Medicaid Management Information System (MMIS).
• Strong oral and written communication skills across a variety of forums; experience communicating qualitative and quantitative information, verbal and written, that are accessible to and understood by audiences with different levels of comprehension or interest and that are culturally responsive, inclusive, and appropriate.
• Ability to foster inter-and cross-agency collaboration and to facilitate coordination of community centered policies, programs, and continuous (performance / quality / process) improvement strategies.
• Demonstrated project management experience, including ability to effectively manage multiple project timelines and priorities and promote human-centered change management.

We are seeking someone who shares Oregon Health Authority’s mission and values. 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 here, to learn more about OHA’s mission, vision and core values.

Application Guidance

How to Apply: Submission Requirements - At the time of application, ensure the work history in your applicant profile is up to date and attach a current copy of your resume, cover letter, and answer all supplemental questions.

• External Candidates: Visit the State of Oregon job opportunities webpage to submit your application. Be sure to follow all application submission requirements.
• Internal Candidates: Current State of Oregon employees must apply through their employee Workday login. Be sure to follow all application submission requirements.

After You Apply:

• Before the job announcement closes, log in to your Workday account to check for pending tasks under “My Applications” and complete them.
• Remember to check your email (including your junk folder) and Workday inbox for updates on your application.
• We value our veterans! To ensure the security of your information, kindly follow the instructions for how to submit your Veteran documents for preference found here. Please do not attach your Veterans’ preference documentation in the Resume/CV field of your application.

Reminders:

• Your candidate profile and application materials are great opportunities to showcase your interest in the position and highlight your skills and experience. Submissions will be screened for consistency and communication skills, including attention to detail, spelling, and grammar. For more tips and guidance, check out What you need to know to get the job!
• This announcement is for one, full-time, permanent, SEIU represented, Fiscal Analyst 2 position based in Salem, Oregon.
• This is a HYBRID (15% IN-OFFICE) position. Please check SECTION 4. WORKING CONDITIONS, of the position description linked above to review more details regarding the details surrounding the working conditions.
• Please download and save a copy of this job announcement and linked position description, as it is not available after the application deadline. For questions about the announcement, or if you require an alternate format to apply, please contact the Senior Recruiters, Stephanie Mitchell at Voice: [503-979-7679] (TTY 711) or Email: stephanie.d.mitchell@oha.oregon.gov or Juan McGruder at Voice: [503-302-0454] or Email: Juan.A.McGruder@oha.oregon.gov.
• For Workday technical support dial 1-855-524-5627.

Benefits of Joining Our Team

We offer a workplace that balances productivity with enjoyment; promote an atmosphere of mutual respect, dedication, and enthusiasm. You will collaborate with a team of bright individuals to work with and learn from. If you're driven by the passion to do something meaningful that changes lives, the Oregon Health Authority is the place for you. We also offer a competitive benefits package including:

• 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 (PERS)/Oregon Public Service Retirement Plan (OPSRP).

• Training opportunities that will help grow your career with the State of Oregon.

Additional Details

• The information in your application will be used to complete an Equal Pay Analysis to determine salary placement upon hire. Visit the Department of Administrative Services Equal Pay Analysis Webpage for more information.
• The salary listed is the non-PERS qualifying salary range. If the successful candidate is PERS qualifying, the salary range will reflect the additional 6.95%. Review the Classification and Compensation page for more details on the classification.
• Agency does not offer visa sponsorship. Within three days of hire, applicants will be required to complete I-9 documentation and confirm authorization to work in the United States. If your employment authorization and documentation is contingent on sponsorship now or in the future, you will not meet Agency employment eligibility standards.

Helpful Links & Resources

How to Set Job Alerts | Workday Applicant FAQ | Oregon Health Authority | Facebook | Instagram | LinkedIn | Veterans Resources

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. Salary is determined through a fair review of your education, experience, and training as it relates to the position.

OHA is an anti-racist organization working to eliminate health inequities and dismantle structural barriers that impact underserved communities. Join us in advancing our Strategic Plan and building a more equitable Oregon.