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State of Oregon · 1 day ago

Quality Assurance Research Analyst (Research Analyst 4)

Salem | OHA | Summer Street

Full-time

Hybrid

Senior Level

$6,123/mo - $9,409/mo

5+ years exp

The Oregon Health Authority is seeking a Quality Assurance Research Analyst to lead the design, development, implementation, and evaluation of research focused on Medicaid resources. This role involves creating a quality assurance system for Medicaid Fee-For-Services, developing evaluation processes, and collaborating with various stakeholders to improve health equity and outcomes.

AssociationGovernmentNon Profit

No H1B

Responsibilities

Lead the design, development, implementation, and evaluation of research to inform OHA on how to use Medicaid resources to build a Quality Assurance System for Medicaid Fee-For Services (FFS) and the Agency with Choice program

Develop evaluation processes, tools, and metrics to assess FFS program quality and establish statewide standards as part of Medicaid FFS transformation, the Agency with Choice program, and Oregon Health Plan quality improvement

Develop a new member- and provider-focused statewide quality assurance system based on health equity and outcome metrics

Create quantitative indicators and qualitative process improvement data to establish standards for member access, provider quality, network adequacy, communication, operational processes including standardized provider rates, and integration of member and community voice in rulemaking

Collaborate with internal and external partners to integrate evaluation processes, support rate standardization, and develop contract compliance policies

Qualification

Research experienceData analysisHealth equity policiesStatistical toolsProject coordinationLegislative knowledgeHealth services knowledgeQualitative data evaluationCommunication skillsCollaboration skillsProblem-solving skills

Required

Five years of research experience using computerized applications to independently gather, compile, and analyze data and prepare narrative or statistical reports. Two of the five years must have included coordinating complex research projects

A Bachelor's Degree in any disciplines that included six-quarter units in statistics or quantitative analysis methods and procedures, and three years experience using computerized applications to independently gather, compile, and analyze data and prepare narrative or statistical reports. Two of the three years must have included coordinating complex research projects

Preferred

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; specific knowledge of Oregon Administrative Rules and Oregon Revised Statutes is valued in this position

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 using health care expenditure, utilization, quality and outcomes data in large information systems

Experience presenting and articulating the value and relevance of research and evaluation data and data mapping to facilitate quality assurance, strategic planning, and decision-making. This includes demonstrated ability to use advanced statistical and analytic tools such as SQL, R, SPSS, SAS, Power BI, Tableau, Excel, and related applications

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 provide organizational leadership to foster inter- and cross-agency collaboration and to shape systems-wide community-centered policies, programs, and continuous (performance / quality / process) improvement strategies

Ability to navigate complex relationships through collaborative problem-solving, consensus-building, and solution-focused approaches, recognizing positionality and fostering power-sharing dynamics

Benefits

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.