Actuarial Policy Analyst – Operations & Policy Analyst 3

Oregon Department of Human Services

Actuarial Policy Analyst supporting Oregon Health Authority's Medicaid program. Developing financial analysis and rate setting to ensure service quality and access for Oregonians.

Posted 5/31/2026full-timePortland • Oregon • 🇺🇸 United StatesMid-LevelSenior💰 $6,276 - $9,644 per monthWebsite

About the role

Key responsibilities & impact

Help support key financial and rate setting work for Oregon’s Medicaid program.
Develop capitation rates for Medicaid Coordinated Care Organizations (CCOs) and other entities.
Review financial reports and monitor CCO solvency.
Work with actuarial vendors and provide analysis supporting transparency and long-term stability in Oregon’s coordinated care system.
Translate complex actuarial and financial information into clear, practical guidance for decision‑makers.
Support long‑term planning, including preparation for HR1 and review of new federal requirements.
Forecast fiscal impacts and evaluate how program changes may affect service quality and access for Oregonians relying on Medicaid.
Coordinate work across teams and contribute directly to Medicaid rate setting, financial oversight, and risk mitigation.

Requirements

What you’ll need

A Bachelor's Degree in Business or Public Administration, Behavioral or Social Sciences, Finance, Political Science or any degree demonstrating the capacity for the knowledge and skills; and four years professional-level evaluative, analytical and planning work.
OR ; Any combination of experience and education equivalent to seven years of experience that typically supports the knowledge and skills for the classification.
Experience supporting development, analysis, and implementation of complex health, financial, or actuarial policy at state or national levels, with a focus on health equity and impacts on historically marginalized communities.
Knowledge of health services delivery systems, especially Oregon Health Plan/Medicaid, including experience with CCOs, Medicaid financing, rate-setting, and managed care operations.
Knowledge of legislative and regulatory processes; experience interpreting and advising on federal and state Medicaid laws, regulations, waivers, and legislative proposals affecting financing, eligibility, rate-setting, and fiscal policy.
Familiarity with Oregon Administrative Rules and Oregon Revised Statutes is valued.
Knowledge of healthcare finance, actuarial principles, Medicaid managed care financing, and capitation rate-setting, including experience assessing fiscal impacts and supporting data-informed financial decisions.
Ability to foster cross-agency collaboration and coordinate across policy, fiscal, actuarial, operational, and program teams to support complex Medicaid initiatives and continuous improvement efforts.
Strong oral and written communication skills, with experience translating complex fiscal, actuarial, legislative, and quantitative information into accessible, culturally responsive materials for diverse audiences.
Experience evaluating, synthesizing, and presenting quantitative and qualitative data to support fiscal analysis, rate-setting, policy development, quality assurance, strategic planning, and operational decisions.
Demonstrated project management experience leading complex, cross-functional initiatives with multiple timelines and partners, including support for large-scale policy or operational implementations and human-centered change management.

Benefits

Comp & perks

Excellent, low-cost medical, vision, and dental coverage for you and your family.
Optional benefits like 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.

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

financial analysisactuarial policy developmentrate-settinghealthcare financecapitation rate-settingdata analysisfiscal impact forecastingquantitative data evaluationqualitative data synthesisproject management

Soft Skills

cross-agency collaborationcommunication skillsanalytical skillsplanning skillsproblem-solvingteam coordinationcultural responsivenessstrategic thinkingleadershipcontinuous improvement

Certifications

Bachelor's Degree