State of Oregon · 16 hours ago
Provider Enrollment Specialist (Public Service Representative 4) - 2 positions
Salem | OHA | Summer Street
Full-time
Hybrid
Mid Level
$4,207/mo - $5,842/mo
3+ years expThe Oregon Health Authority (OHA) is seeking Provider Enrollment Specialists to process provider Medicaid Program applications. The role involves ensuring accurate enrollment by validating provider information and communicating outcomes to them, all while promoting equity and inclusivity in health services.
GovernmentNon ProfitPublic SafetySocial
No H1B
Responsibilities
Process provider Medicaid Program applications using internal and external data and documents
Ensure complete and accurate information has been received and enrolled by assisting the providers with enrollment and program requirements
Validate providers have not been excluded with the goal of verifying that the information submitted by providers meets with the required Federal and State minimum qualifications
Compare submitted data (and researched external data) with Federal and State regulations for quality and metric measures to determine if providers qualify to participate in the Medicaid Program
Communicate with providers the outcome of the review and reason for denial of enrollment if applicable
Qualification
Required
Three years of experience performing public contact and/or customer service duties comparable to the work of a Public Service Representative
At least two years of this experience must include dealing with the public in-person or by phone providing information about services and programs; explaining rules, programs, and procedures; and/or providing assistance, explaining requirements, and gaining compliance
Preferred
Experience providing service in an area of specialization specific to the position opening
Demonstrated experience providing advanced, person-centered customer service while engaging diverse individuals and organizations, informed by cultural awareness, humility, and knowledge of social determinants of health
Demonstrated experience building and maintaining constructive, collaborative working relationships to support implementation of policies, projects, and programs that promote equity, inclusion, and incorporation of lived experience
Demonstrated experience explaining, interpreting, and applying laws, rules, and policies through clear verbal communication and well-documented written materials
Demonstrated experience researching, reviewing, and applying federal and state regulations, including Medicaid requirements, to support daily decision-making and determine appropriate outcomes
Demonstrated experience accurately entering, validating, and maintaining complex healthcare or enrollment data while meeting productivity and quality expectations
Demonstrated experience synthesizing information from multiple sources, analyzing data, and preparing reports using advanced tools such as Microsoft Excel, Word, Outlook, and collaboration platforms including Microsoft Teams and SharePoint to support program operations, compliance, and continuous improvement
Demonstrated experience providing training, technical assistance, or subject-matter support related to policies, procedures, systems, or program requirements
Demonstrated ability to independently plan, prioritize, and manage workload in a fast-paced environment with shifting priorities
Benefits
Excellent, low-cost medical, vision, and dental coverage for you and your family.
Optional benefits like life insurance, disability coverage, deferred compensation, and FSA options for health and childcare.
Generous paid time off: 11 holidays, 3 personal days, monthly sick leave, and vacation accrual starting at 8 hours/month.
Potential eligibility for the Public Service Loan Forgiveness Program.
Retirement security through Public Employees Retirement System (PERS)/Oregon Public Service Retirement Plan (OPSRP).
Training and development opportunities to grow your career with the State of Oregon.
Company
State of Oregon
Official LinkedIn page for the state of Oregon. Oregon is a state in the Pacific Northwest region of the United States.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
William Wise
Chief Executive Officer
Kate Nass
Chief Financial Officer
Recent News
2025-05-04
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