
CCO Operations Director
SALEM, OR · HybridJobSeen todaySeen in employer's feed today
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Job overview
Oregon Health Authority’s Coordinated Care Organization (CCO) Operations section implements, oversees, and improves Medicaid policies and operational requirements for CCOs delivering Oregon Health Plan benefits. The director leads strategic planning, systems alignment, legislative strategy, and partner engagement to shape the plan’s design and delivery. The role collaborates with Tribal governments, health organizations, and state and federal partners, and aligns operational and policy decisions with transformation and health equity priorities.
Skills & qualifications
Skills
Qualifications
Full job description
Oregon Health Authority's Coordinated Care Organization (CCO) Operations section is responsible for implementing, overseeing, and improving Medicaid policies and operational requirements for CCOs delivering Oregon Health Plan (OHP) physical, oral, and behavioral health benefits. In this position, you will play a critical role in promoting alignment and systemwide integration across managed care and fee for service (FFS) delivery systems, centering its leadership on CCO Operations while collaborating closely with internal and external partners to ensure cohesive and coordinated delivery of the Oregon Health Plan. You will lead strategic planning, systems alignment, legislative strategy, and community and partner engagement efforts that shape the design and delivery of the Oregon Health Plan and the experience of 1.4 million OHP members. You will collaborate with Tribal governments, CCOs, community-based organizations, advocacy groups, health systems, and state and federal partners, and align operational and policy decisions with OHA's transformation and health equity priorities. You will play an integral part of the Medicaid Division's Director's Office and be a key leader in establishing the overall direction and mission of the division. This is a hybrid (15% in-office) position. Minimum Qualifications: Five years of management experience; OR two years of management experience and a Bachelor's degree in a related field. Desired Attributes: ' Experience leading the development and implementation of policies and programs. ' Knowledge of health services delivery systems. ' Knowledge of legislative and regulatory processes. ' Knowledge and experience developing, implementing, and refining and familiarity with varying funding streams for statewide and community investment and value-based payment mechanisms. ' Ability to provide organizational leadership. Experience in effectively managing teams and fostering a trusting team culture. Ability to provide financial and budget management, tracking and oversight for larger scale efforts or program / team accountability. ' Experience facilitating meetings with a variety of key partners, including internal teams, community members/groups, health service providers, government officials and legislators. ' Experience and knowledge evaluating and synthesizing quantitative and qualitative data to analyze and measure the effectiveness, efficiency, and impact of administrative and technical programs. ' Knowledge about contracts/interagency agreement administration, procurement, and grant administration.
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