Regulatory Operations Analyst III - Medicaid
Core
Reviews, interprets, and summarizes proposed and enacted legislation and regulatory updates to achieve formal regulatory approval of assigned products.
Role type
Senior Regulatory Operations Analyst
Builds
Regulatory compliance and interpretation for Medicaid products
Domain
Healthcare / Public Policy / Medicaid
Deliverable
dashboards & analysis
Required skills
Regulatory analysis, policy research, risk assessment, stakeholder communication, contract management, rule tracking, objection response, compliance monitoring
Preferred skills
Medicaid policy expertise, Oregon Health Authority (OHA) experience, commercial health insurance knowledge, behavioral health managed care experience
Technologies
Oregon Administrative Rules (OAR), Oregon Health Authority (OHA) systems
Responsibilities
Identify and analyze federal and state legislation; perform risk assessments on business applications; maintain regulatory reference databases; lead regulatory interpretation and advice; track OAR changes and manage Rule Advisory Committees (RACs); support annual contract restatement processes; participate in Oregon Health Plan (OHP) workgroups; manage Division of Financial Regulation (DFR) meetings; draft responses to regulatory objections.
