Oregon Department of Human Services

Administration

• Provide strategic leadership for OHA’s statewide program integrity, fraud, waste, and abuse (FWA), and Medicaid compliance operations
• Set priorities, develop policies and performance objectives, and ensure OPI operations support OHA’s mission, strategic goals, and federal and state requirements
• Lead a multidisciplinary team responsible for investigations, financial and compliance audits, data analytics, provider oversight, and Medicaid program integrity activities
• Identify emerging risks and trends and strengthen detection and investigation strategies
• Use data and operational insights to improve program integrity
• Provide policy guidance to OHA leadership
• Build and maintain partnerships across Oregon and at the federal level
• Serve as OHA’s primary liaison with CMS, federal oversight agencies, the Oregon Department of Justice Medicaid Fraud Control Unit, the Secretary of State, state agencies, contractors, providers, and community and industry partners
• Represent OHA in committees, task forces, and technical advisory groups
• Provide consultation, education, and technical assistance on Medicaid compliance and program integrity
• Oversee OPI’s budget, contracts, staffing, strategic planning, and performance management
• Manage a complex portfolio of program integrity activities within OHA’s approximately $21 billion annual operation
• Exercise significant independent decision-making authority
• Report directly to the Chief Financial Officer

Program Integrity Administrator

Compliance

• Perform audits of applications from the workers' compensation insurance industry
• Authorize reimbursement from Department of Consumer and Business Services reimbursement programs within the Workers' Benefit Fund
• Interpret and apply statute, rule and bulletin requirements when auditing applications from insurers and self-insured employers
• Determine the validity and accuracy of payment calculations and authorize reimbursement
• Provide written and verbal expertise and assistance to insurance industry personnel, employers, injured workers, attorneys, and other interested parties
• Ensure timely and accurate completion of audits
• Coordinate assigned reimbursement programs, including audit preparation, work distribution, and training not requiring supervisory oversight

Reimbursement Specialist, Compliance Specialist 2

Program Manager

• Coordinate and develop statewide services for children entering and exiting state-contracted 24-hour residential programs
• Design, develop, and monitor implementation of Individual Service Plans
• Serve as an active member or team leader for Individual Service Plan teams
• Provide oversight, training, and technical assistance to ensure child safety and delivery of contracted services
• Collaborate with community partners and families to assure overall service coordination
• Collaborate in developing new services and supports with current and new 24-hour residential providers
• Travel throughout Oregon for in-person meetings with families and children
• Conduct direct, face-to-face contact with children and families in the community, hospitals, and family homes for evaluation, planning, and service monitoring
• Make appropriate referrals for suspected child abuse and/or neglect
• Work Monday–Friday, 8:00 a.m.–5:00 p.m. Pacific Time, with occasional overnight, evening, and weekend work

Services Coordinator – Program Analyst 2

General

• Provide analytical and technical support for purchasing, operating, maintaining, and managing information technology assets
• Provide expertise in identifying, modifying, and enhancing technical standards and processes
• Provide technical consultation and training to users
• Provide technical assistance and coordination to IS support staff
• Lead projects as assigned
• Participate in strategic planning
• Coordinate, communicate, and validate IT asset management purchases and inventory within the ODHS/OHA information technology structure
• Track and produce IT asset management metrics for ODHS and OHA
• Receive broad product or general project objectives and determine methods and resources to accomplish work goals
• Collaborate with the OIS Business Administration section and internal stakeholders

Asset Management Coordinator – Information System Specialist 5

• Provide strategic leadership for OHA’s statewide program integrity, fraud, waste, abuse, and Medicaid compliance operations
• Set priorities, develop policies and performance objectives, and ensure OPI operations support OHA’s mission and federal and state requirements
• Lead a multidisciplinary team responsible for investigations, financial and compliance audits, data analytics, provider oversight, and Medicaid program integrity
• Identify emerging risks and trends and strengthen detection and investigation strategies
• Use data and operational insights to improve program integrity
• Provide policy guidance to OHA leadership
• Build and maintain partnerships across Oregon and at the federal level
• Serve as OHA’s primary liaison with CMS, federal oversight agencies, the Oregon Department of Justice Medicaid Fraud Control Unit, the Secretary of State, other state agencies, contractors, providers, and community and industry partners
• Represent OHA in committees, task forces, and technical advisory groups
• Provide consultation, education, and technical assistance on Medicaid compliance and program integrity
• Oversee OPI’s budget, contracts, staffing, strategic planning, and performance management
• Manage a complex portfolio of program integrity activities within OHA’s approximately $21 billion annual operation
• Exercise significant independent decision-making authority

Customer Support

• Provide information and assistance by phone about SNAP, TANF, ERDC, and Medicaid programs and the online Oregon Eligibility System (ONE System)
• Resolve questions and concerns regarding the ONE System and related programs
• Explain specialized and technical information in Applicant Portal screens while assisting with online applications
• Contact participants, advocates, providers, coordinated care plans, outreach facilities, medical professionals, and agency staff by phone and/or email
• Reset passwords, unlock accounts, provide usernames, troubleshoot technical errors, and access external websites
• Manually verify identities and assist users in navigating application screens
• Associate authorized representatives and community partners when consent is received
• Set up new accounts and disable or delete existing accounts
• Troubleshoot Applicant Portal, AP Mobile App, and external-site errors and basic support questions
• Escalate unresolved issues to the ONE Help Desk, ONE Triage Team, and Leads with complete analysis and screenshots
• Narrate in the TRACS narration system and ONE worker Portal when applicable
• Explain privacy, security, and federal identity assurance rules and procedures
• Secure compliance with enhanced identity-data verification
• Explain program status, next steps, and “Take Action” requirements in users’ ONE Online accounts
• Serve diverse customers compassionately and professionally through a trauma-informed lens

Eligibility Customer Support, Russian Bilingual

Operations

• Lead development, interpretation, and implementation of Medicaid behavioral health policy for children and youth
• Conduct complex policy analysis and direct program operations
• Advise senior leadership on strategic direction
• Provide specialized policy leadership for PRTFs, residential and subacute programs, Oregon State Hospital transitions, prior authorization, and certificate of need processes
• Evaluate Medicaid data and identify operational risks
• Monitor system outcomes and determine improvement strategies promoting access, accountability, and service integrity
• Serve as a technical advisor on Medicaid policy, billing, system adjustments, authorization processes, provider enrollment, and regulatory expectations
• Write administrative rules, direct coverage policy, issue guidance, lead rate setting, and provide subject matter expertise and FFS program leadership within OHP
• Consider the perspectives of diverse and historically marginalized communities in policy and program work

Children and Youth Behavioral Health Policy Analyst – Operations & Policy Analyst 3

Human Resources

• Serve as the first point of contact for Oregonians in the field office
• Provide a welcoming environment for families interacting with the department
• Support day-to-day office operations and business functions
• Assist Oregonians in person, by phone, and by email with questions about the Oregon Eligibility system and ODHS, OHA, and DELC programs
• Provide trauma-informed support
• Track, issue, and account for financial actions and requirements when assigned
• Work through the Oregon Eligibility Partnership to facilitate access to vital services
• Manage frequent public contact, including potentially de-escalating customers experiencing emotional and financial stress
• Perform high-volume computer work in a fast-paced team environment
• Adapt to changing priorities and procedures

Public Benefits Specialist – Entry, Bilingual Required

Representative

• Assist the public with obtaining Real ID licenses, instruction permits, and identification cards
• Serve as the primary office representative for Real ID transactions
• Accurately produce photo licenses, instruction permits, and identification cards
• Administer, correct, and explain driver license knowledge tests
• Conduct vision tests
• Explain state and federal requirements for driver and identification transactions
• Provide customer service while following privacy laws
• Answer complex questions from customers with diverse backgrounds
• Collaborate with office leaders and managers to support efficient Real ID operations
• Examine documents for eligibility before issuing credentials
• Prepare daily reports and balance transactions at the end of each day
• Travel to other offices in the region for relief work
• Work in a DMV office with extensive face-to-face public interaction

Transportation Services Representative 1 – Real ID Specialist

QA Engineer

• Support the DevOps Experience Program
• Ensure the quality, reliability, and compliance of DOJ information systems
• Plan, coordinate, and execute comprehensive testing across the development and deployment lifecycle
• Partner with developers, project managers, business analysts, product owners, and security
• Embed quality gates in the System Development Life Cycle (SDLC) from inception through release
• Validate system changes and strengthen performance, stability, and user confidence across DOJ technology services
• Develop and maintain QA plans and test strategies
• Establish automated regression testing capabilities for new and existing information systems
• Follow quality standards, acceptance criteria, and test-phase entry/exit criteria
• Design, coordinate, and execute test cases and scenarios across releases, upgrades, and configurations
• Document and triage defects, perform root-cause analysis, verify fixes, and validate resolutions
• Translate business requirements into testable conditions and ensure traceability to test cases
• Maintain test plans, scripts, datasets, evidence, and quality documentation
• Build and maintain QA dashboards and reports tracking defect rates, coverage, cycle times, and process outcomes
• Analyze trends and recommend improvements to IS leadership
• Identify QA procedure gaps and recommend corrective/preventive actions
• Support DOJ and statewide IT governance, accessibility, and security compliance
• Maintain stable, secure, representative test environments across application stacks
• Coordinate configurations, data refreshes, access controls, code repositories, and environments
• Validate deployment plans, run books, and rollback procedures before release
• Define acceptance criteria and facilitate User Acceptance Testing (UAT)
• Capture and route feedback and integrate findings into final releases
• Provide training and guidance on QA processes and tools
• Share how-to resources and contribute through coaching and knowledge transfer
• Perform other duties as assigned

Information Systems Specialist 5 – Quality Assurance Analyst

Community Manager

• Lead development, implementation, and oversight of Medicaid policies and programs supporting Home and Community-Based Services and care transitions across Oregon’s health system
• Oversee programs including HCBS, Traditional Health Workers, hospice, home health, private duty nursing, administrative medical exams, PASRR, dual-eligible services, and pharmaceutical services
• Ensure statewide compliance with federal and state requirements and alignment with the Medicaid State Plan
• Manage a multidisciplinary team responsible for policy development, implementation, and operations
• Prioritize and assign work, resolve escalated issues, shape budget strategies, allocate resources, and oversee procurements and contracts
• Inform and influence long-range system direction
• Strengthen partnerships across OHA divisions, ODHS, federal partners, providers, and community partners
• Build collaborative relationships with diverse and traditionally marginalized communities

Medicaid Home & Community Based Services – Transitions Policy Manager

• Administer fee-for-service contracts within the Oregon Health Authority.
• Perform professional-level evaluative, analytical and planning work.
• Support operational and policy analysis related to fee-for-service contracts.

Fee-For-Service Contracts Administrator – Operations & Policy Analyst 3

Director

• Lead and manage Oregon’s fiscal transparency initiatives
• Provide the legislature, school districts, and public with access to financial data from Oregon’s public education system
• Oversee accounting data integration, financial reporting, and audit alignment
• Manage professional staff
• Collaborate with program leadership, IT teams, and district partners
• Ensure development of accurate and accountable financial data systems, dashboards, and reporting tools
• Lead Oregon’s K-12 financial reporting and transparency strategy
• Direct financial systems modernization and data governance
• Lead staff, partnerships, and continuous engagement and improvement efforts
• Review fiscal transparency initiatives with staff and project leads
• Collaborate with internal Department teams and external partners
• Participate in leadership discussions regarding strategy, outcomes, and future plans
• Attend in-person meetings, presentations to the legislature, and district visits as needed
• Travel as required

Director of Fiscal Transparency

• Provide consultative, advanced operations and policy analysis for the Community Restoration Evaluation Unit (CREU)
• Support statutory and court-ordered requirements for community restoration competency evaluations
• Advise on operational systems, policy alignment, and long-range priorities affecting timeliness, consistency, and evaluation-related outcomes
• Develop long-range plans, goals, objectives, implementation milestones, and policy recommendations
• Evaluate program effectiveness
• Advise leadership on statutory, legislative, operational, and cross-system issues
• Support consistent, compliant, and sustainable statewide delivery of community restoration evaluation services
• Collaborate with courts, CMHPs, CCOs, Tribal governments, community providers, and justice system partners
• Manage complex contracts, ensure vendor compliance, and align resources with program goals and statutory mandates

Aid & Assist Operations & Policy Analyst 3

Administrative Assistant

• Provide administrative, technical, clerical, and office management support to EDGE managers in the Office of Information Services
• Ensure clerical and logistical functions of the section operate in an orderly fashion
• Establish and maintain procedures and controls needed to carry out assigned program activities
• Support administrative tasks for multiple levels of management, line staff, and project staff
• Coordinate complex schedules using Microsoft Outlook
• Prepare narrative and statistical reports
• Collect and analyze administrative data
• Collaborate with a team of State of Oregon and Oregon Health Authority employees

Program Integrity Administrator

Reimbursement Specialist, Compliance Specialist 2

Services Coordinator – Program Analyst 2

Asset Management Coordinator – Information System Specialist 5

Program Integrity Administrator

Eligibility Customer Support, Russian Bilingual

Children and Youth Behavioral Health Policy Analyst – Operations & Policy Analyst 3

Public Benefits Specialist – Entry, Bilingual Required

Transportation Services Representative 1 – Real ID Specialist

Information Systems Specialist 5 – Quality Assurance Analyst

Medicaid Home & Community Based Services – Transitions Policy Manager

Fee-For-Service Contracts Administrator – Operations & Policy Analyst 3

Director of Fiscal Transparency

Aid & Assist Operations & Policy Analyst 3

Administrative Office Coordinator – Administrative Specialist 2