Regulatory Operations Analyst III - Medicaid

Location: Remote for candidates located in the State of Oregon only, with some potential travel to Salem

Salary: $70,100.00–$126,200.00 per year

Company

hirify.global connects people to healthcare and operates in the health insurance and Medicaid space.

What you will do

• Review, interpret, summarize, and communicate proposed and enacted federal and state legislation and regulatory updates for assigned Medicaid products.
• Perform regulatory analysis and risk assessments, including impacts on business applications and downstream outputs.
• Track changes to Oregon Administrative Rules, engage in Rule Advisory Committees, support written feedback to the Oregon Health Authority, and own the Regulatory Legislation Implementation process.
• Own the annual contract restatement process from proposal through finalization and implementation, tracking risks and contract amendments.
• Support Oregon Health Plan contractor workgroups, Requests for Information, and monthly Division of Financial Regulation meetings.
• Analyze objections to regulatory interpretations and lead responses to regulators in collaboration with cross-functional partners.

Requirements

• Bachelor's degree in Business, Communications, Healthcare, Political Science/Pre-Law, or equivalent experience.
• 4+ years of experience in health insurance, legal, compliance, or a related field.
• Ability to review regulations, interpret policy, assess regulatory and contractual risks, and provide guidance appropriate to the audience.
• Strong understanding of Medicaid policy, administrative rules, and regulatory guidance.
• High attention to detail and strong organizational skills for managing complex requirements and timelines.
• Ability to build effective working relationships with state regulators, particularly the Oregon Health Authority.
• Ability to translate technical regulatory and policy language into clear, actionable recommendations.
• Strong compliance mindset and ability to advocate for regulatory clarifications or changes when appropriate.

Nice to have

• Experience working at or with the Oregon Health Authority.
• Experience reviewing regulations and providing interpretation using audience-appropriate terminology.
• Experience in commercial health insurance and/or behavioral health managed care.
• Master's degree in a related field or Juris Doctorate degree, which may be considered in place of experience.

Culture & Benefits

• Full-time employment with a flexible approach to remote, hybrid, field, or office work schedules; this role is specifically remote in Oregon.
• Health insurance, 401(k), stock purchase plans, tuition reimbursement, paid time off, and holidays.
• Work focused on improving healthcare access for individuals, families, and communities.
• Pay may vary based on skills, experience, education, job-related factors, and full-time or part-time status; additional incentives may apply.