OHA Ombudsperson – Bilingual
Core
Advocate for individuals enrolled in the Oregon Health Plan by performing case management, independent informal mediation, and resolving complaints, questions, or grievances regarding OHA services and processes.
Role type
Senior IC Ombudsperson (Case Management & Advocacy)
Builds
Resolutions for individual cases and system-level policy/procedure recommendations to improve access to quality, value-based care.
Domain
Public Health / Medicaid / State Government
Deliverable
client delivery
Required skills
Case management, advocacy, conflict resolution, data analysis, organizational collaboration, cultural humility, bilingual communication (Spanish-English preferred), policy review
Preferred skills
Medicaid complaints/grievances experience, lived experience navigating Oregon's Medicaid system, advanced degree in public health/social work/law, experience advancing health equity
Technologies
Microsoft Office tools, data analytics platforms
Responsibilities
Conduct client intake and support for over 40 cases per month; meet with internal staff, CCOs, and providers to resolve concerns; review rules, policies, and processes; translate individual case learnings into systems improvements; generate data-driven reports on trends.
Seniority
Senior, hands-on IC