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CCO Operations Director – Health Policy, Program Administrator 1
Oregon Department of Human Services. Lead development and administration of Coordinated Care Organization (CCO) program policy .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in leading the development and administration of Coordinated Care Organization policies, with a strong focus on health equity, Medicaid administration, and community engagement. Proven ability to align operational decisions with health transformation priorities and manage diverse stakeholder relationships.
Highest-signal resume keywords
Management ExperienceHealth Equity Policy DevelopmentMedicaid AdministrationLegislative and Regulatory KnowledgeData Evaluation and Synthesis
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Health Services Delivery SystemsMedicaid State Plan DevelopmentContract AdministrationBudget ManagementQuantitative Data AnalysisQualitative Data AnalysisPolicy ImplementationGrant AdministrationValue-Based Payment MechanismsLegislative Process Knowledge
Soft Skills
Organizational LeadershipTeam ManagementCommunity EngagementTrust BuildingFacilitation Skills
Industry Keywords
Coordinated Care OrganizationsOregon Health PlanManaged CareSocial Safety Net ProgramsOregon Administrative RulesOregon Revised StatutesCommunity-Based OrganizationsHealth SystemsFederal and State LawsLegislative Concepts
About the role
Key responsibilities & impact- Lead development and administration of Coordinated Care Organization (CCO) program policy
- Oversee the CCO contract
- Provide strategic oversight of CCO Quality Assurance, CCO Contracts and Rules, CCO Services, and Claims & Encounter Data Services
- Promote alignment and systemwide integration across managed care and fee-for-service delivery systems
- Lead strategic planning, systems alignment, legislative strategy, and community and partner engagement
- Shape the design and delivery of the Oregon Health Plan and the experience of 1.4 million OHP members
- Collaborate with Tribal governments, CCOs, community-based organizations, advocacy groups, health systems, and state and federal partners
- Align operational and policy decisions with OHA’s transformation and health equity priorities
- Help establish the overall direction and mission of the Medicaid Division
- Build and steward collaborative relationships with diverse and historically marginalized communities
Requirements
What you’ll need- Five years of management experience; OR two years of management experience and a Bachelor’s degree in a related field
- Experience leading development and implementation of health-equity policies and programs
- Knowledge of health services delivery systems, particularly the Oregon Health Plan, managed care, and Medicaid administration in Oregon
- Experience working with Coordinated Care Organizations, social safety net programs, health service providers, and community-based organizations
- Knowledge of legislative and regulatory processes, federal and state laws and regulations, legislative concepts/bills, Medicaid Fee for Service and Managed Care regulations, Oregon Administrative Rules, and Oregon Revised Statutes
- Knowledge and experience developing, implementing, and refining Medicaid state plan or waiver policies with CMS
- Familiarity with statewide and community investment funding streams and value-based payment mechanisms
- Ability to provide organizational leadership, manage teams, foster a trusting team culture, and oversee budgets and finances
- Experience facilitating meetings with internal teams, community members/groups, health service providers, government officials, and legislators
- Experience evaluating and synthesizing quantitative and qualitative data
- Knowledge about contracts/interagency agreement administration, procurement, and grant administration
- Resume and complete supplemental questions required
- Employment contingent upon criminal records check and driving records check meeting OHA criteria
- Must be authorized to work in the United States; position does not provide visa sponsorship
Benefits
Comp & perks- Excellent, low-cost medical, vision, and dental coverage for you and your family
- Optional 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
- Eligible veterans and Oregon National Guard servicemembers who meet the qualifications will be awarded candidate preference