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03 – Jobs – Medicaid Complaint & Grievance Process Administrator Recruitment

 

 

 

Medicaid Complaint & Grievance Process Administrator Recruitment

Recruitment open — apply now; confirm the closing date with the recruiter before submitting.

The Oregon Health Authority is hiring a Complaint & Grievance Process Administrator to oversee the Medicaid Division’s complaint process for Oregon Health Plan members and providers. This role champions fairness and equity by investigating concerns, resolving issues, and driving improvements that strengthen accountability and the member experience.

Complaint & Grievance Process Administrator (Operations & Policy Analyst 3)

The Medicaid Division designs, administers, and continually improves Oregon Health Plan (OHP) programs so services are delivered effectively, equitably, and in alignment with state and federal requirements. Within the division, the CCO Services Unit supports Coordinated Care Organizations (CCOs) through technical assistance, resolution of complex operational issues, and collaboration with partners to strengthen policies, systems, and service delivery.

The Complaint & Grievance Process Administrator oversees the Medicaid Division’s complaint process for OHP members and providers. The position monitors compliance with federal and state requirements, identifies and analyzes complaint trends, and supports quality improvement initiatives that strengthen accountability and member experience. It ensures alignment of complaint processes across OHA and ODHS programs; provides training, guidance, and technical assistance to internal and external partners; and represents the division by communicating policy, program, and regulatory information to legislators, state and federal partners, and community organizations. All actions strictly comply with state, federal, and CMS regulations.

This position collaborates with populations most harmed by social injustice and inequities, building and stewarding positive, partnership-based relationships with diverse communities — including communities of color, immigrant groups, the disability and neurodivergent communities, veterans, older adults, individuals identifying as LGBTQIA2S+, and other communities that have been traditionally marginalized.

Division: Medicaid Division — CCO Services Unit

Location: Salem, Oregon (OHA, 500 Summer Street NE)

Format: Online application via Workday

Apply – External Candidates: Workday application (REQ-201952) — follow all submission requirements.

Apply – Internal Candidates: Current State of Oregon employees apply through the employee Workday login, following all submission requirements.

Position Description: Full position description (PDF/DOCX)

Application Support & Contact Information

Recruiter: Stephanie Mitchell — [email protected] · Phone (text friendly): (503) 979-7679

Accommodation Requests (ADA): OHA provides reasonable accommodations under the ADA, which may include alternative formats of materials or language support. If you need an accommodation to apply or participate in the selection process, contact the recruiter listed above.

Learn More About the Employer

Oregon Health Authority — Careers: https://www.oregon.gov/oha/Jobs

Oregon Health Plan (OHP / Medicaid): https://www.oregon.gov/oha/hsd/ohp

About the Oregon Health Authority

The Oregon Health Authority (OHA) was established in 2009 through House Bill 2009, which separated most health-related programs from the Oregon Department of Human Services into a single agency. It is headquartered in Salem, Oregon.

OHA is the first health agency in the country to declare a statewide goal of eliminating health inequities, working toward a system in which all people in Oregon can reach their full health potential and well-being regardless of race, ethnicity, language, disability, age, gender, gender identity, sexual orientation, geography, or social class.

OHA administers the Oregon Health Plan — Oregon’s Medicaid program — which serves more than one million members through a network of coordinated care organizations operating in all 36 Oregon counties. The agency also oversees public health, behavioral health (mental health and substance use services), and the Oregon State Hospital.

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