Job Description

Initial Posting Date:

06/29/2026

Application Deadline:

07/06/2026

Agency:

Oregon Health Authority

Salary Range:

$5,458 - $8,352

Position Type:

Employee

Position Title:

Marketplace Enrollment and Appeals Specialist (PA2) Limited Duration 12 months

If this opportunity aligns with your strengths, background, and commitment to fostering inclusivity, we encourage you to apply! At the Oregon Health Authority (OHA), we value diversity and encourage applicants from all backgrounds and experiences to help us build a stronger, more equitable future for all.

Opportunity Awaits, Apply Today! HPA PA2 Marketplace Enrollment and Appeals Specialist Limited Duration June 2026 – June 2027 expected to last 12 months with the option to extend

The primary purpose of the Marketplace Enrollment and Appeals Specialist position is to serve as a Medicaid and Marketplace insurance subject matter expert, applying comprehensive insurance knowledge to analyze complex cases involving eligibility, enrollment, identity verification, technology platform issues, escalations, complaints, and appeals, including review, processing, and decision-making responsibilities.

This position evaluates program operations for the state-run technology platform and consumer assistance center (CAC), requiring in-depth analysis of policies, procedures, and system functionality.

The Marketplace Enrollment and Appeals Specialist serves as a direct point of contact for contract leads at the CAC and develops operational guidelines and procedures for use by state agencies, insurance carriers, health insurance agents, and community-based organizations, including certified application assisters.

This position also supports training and development, compliance, and quality assurance activities for both the technology platform and the CAC.

For a full review of the position description, which describes the job duties of each position, please see below.

Marketplace Enrollment and Appeals Specialist (Limited Duration) click here

If this opportunity aligns with your strengths, background, and commitment to fostering inclusivity, we encourage you to apply! At the Oregon Health Authority (OHA), we value diversity and encourage applicants from all backgrounds and experiences to help us build a stronger, more equitable future for all.

What We Are Looking For

Minimum Qualifications: These qualifications must be visible in your application for consideration.

A Bachelor's Degree in Business or Public Administration, Behavioral or Social Sciences, or a degree related to the agency program that demonstrates the capacity for the knowledge and skills; and two years experience coordinating or administering a program

OR

Any combination of experience or education equivalent to five years of experience that typically supports the knowledge and skill requirements listed for the classification.

Desired Attributes: The following are desired attributes that we have identified as key to success for this role at OHA. These are the attributes we are looking for in our top candidate. If you have any of these, please let us know in your application.

• Knowledge of Medicaid, Medicare, Oregon Division of Financial Regulation programs, and Oregon Health Insurance Marketplace products, policies, and health insurance coverage types.
• Demonstrated experience in healthcare customer service and insurance operations, including resolving complex eligibility, enrollment, identity verification, and case issues.
• Demonstrated experience analyzing complex cases, interpreting program rules, and developing appropriate solutions within established guidelines.
• Strong background in health insurance laws and regulations and their application to casework, appeals, escalations, and compliance-related decisions.
• Ability to exercise sound judgment, impartiality, tact, and diplomacy in high-stress, sensitive, or controversial situations.
• Ability to communicate effectively in writing and verbally with diverse populations, including explaining complex information clearly and accurately.
• Skill in using automated systems, data tracking tools, and standard office software (e.g., spreadsheets, word processing) to manage, analyze, and document information.
• Demonstrated experience supporting or contributing to operational procedures, training, compliance, or quality assurance activities in a program or service environment.
  

Application Guidance
Your candidate profile and application are your opportunity to showcase your skills and interest in this role. Submissions will be reviewed for clarity, consistency, and communication skills, and for alignment with the guidance provided in the below:

Submission Requirements:

At the time of application, ensure the work history in your applicant profile is up to date and attach a current copy of your resume, cover letter, and answer all supplemental questions Please include information about your experience with Smartsheet and Adobe in your cover letter. Resume – Attach your current resume that clearly outlines your education and work experience relevant to this position.

• Cover Letter – A cover letter is required, and it will be reviewed and considered during the review and selection process.
• Supplemental Questions – Answer all supplemental questions completely and accurately.
• Final Check! – Before submitting, confirm that all required materials are included, and your Workday Job History is current. The information in your application will be used to complete an Equal Pay Analysis to determine salary placement upon hire. Visit the Equal Pay Analysis Webpage for more information.

How to Apply:

• External Candidates: Visit the State of Oregon job opportunities webpage or click the “Apply” tab above to submit your application, following all submission requirements.
• Internal Candidates: Current State of Oregon employees must apply through their employee Workday login, following all submission requirements.

After You Apply:

• Complete any pending tasks in Workday under “My Applications” prior to the application deadline.
• Check your email (including junk folder) and Workday inbox regularly for updates on your application.

Reminders:

• Eligible veterans and Oregon National Guard servicemembers (current and former) who meet the qualifications of the position will be awarded candidate preference. To protect your information and ensure correct processing, please follow the instructions for submitting your Veterans’ Preference documentation
• Please download and save a copy of this job announcement and linked position description, as it is not available after the application deadline.

About the Team & Benefits of Joining

We offer a workplace that balances productivity with enjoyment; promote an atmosphere of mutual respect, dedication, and enthusiasm. You will collaborate with a team of bright individuals to work with and learn from.

If you're driven by the passion to do something meaningful that changes lives, the Oregon Health Authority is the place for you. We also offer a competitive benefits package including:

• 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.

• External Candidates: Visit the State of Oregon job opportunities webpage to submit your application. Be sure to follow all application submission requirements.
• Internal Candidates: Current State of Oregon employees must apply through their employee Workday login Be sure to follow all application submission requirements.
• Applicants who fail to upload resume and cover letter will not be considered. Your cover letter should describe how you meet the desired attributes for this position; your cover letter should be a maximum of 2 pages.

After You Apply:

• Before the job announcement closes, log in to your Workday account to check for pending tasks under “My Applications” and complete them.
• Remember to check your email (including your junk folder) and Workday inbox for updates on your application.
• We value our veterans! To ensure the security of your information, kindly follow the instructions for how to submit your Veteran documents for preference found here. Please do not attach your Veterans’ preference documentation in the Resume/CV field of your application.

Reminders:

• Your candidate profile and application materials are great opportunities to showcase your interest in the position and highlight your skills and experience. Submissions will be screened for consistency and communication skills, including attention to detail, spelling, and grammar. For more tips and guidance, check out What you need to know to get the job!
• Please check SECTION 4. WORKING CONDITIONS, of the position description linked above to review more details regarding the details surrounding the working conditions.
• Please download and save a copy of this job announcement and linked position description, as it is not available after the application deadline. For questions about the announcement, or if you require an alternate format to apply, please contact the Senior Recruiter, Tracy Blach at: | 503-509-5513

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 for this position or participate in the selection process, please contact the recruiter listed above.

Benefits of Joining Our Team

We offer a workplace that balances productivity with enjoyment; promote an atmosphere of mutual respect, dedication, and enthusiasm. You will collaborate with a team of bright individuals to work with and learn from. If you're driven by the passion to do something meaningful that changes lives, the Oregon Health Authority is the place for you. We also offer a competitive benefits package including:

• Excellent medical, vision, and dental benefits package for the employee and qualified family members with a very low monthly out-of-pocket cost.
• Optional life insurance, short-term disability, long-term disability, deferred compensation savings program, and flexible spending accounts for health care and childcare expenses.
• Employee benefits include 11 paid holidays, 3 personal business days, 8 hours of monthly sick leave, and vacation accrual starting at 8 hours per month.
• Possible eligibility for the Public Service Loan Forgiveness Program
• Membership in the Public Employees Retirement System (PERS)/ Oregon Public Service Retirement Plan (OPSRP).

• Training opportunities that will help grow your career with the State of Oregon.

Additional Details

• The information in your application will be used to complete an Equal Pay Analysis to determine salary placement upon hire. Visit the Department of Administrative Services Equal Pay Analysis Webpage for more information.
• The salary listed is the non-PERS qualifying salary range. If the successful candidate is PERS qualifying, the salary range will reflect the additional 6.95%. Review the Classification and Compensation page for more details on the classification.
• Employment is contingent upon a criminal records check and a driving records check that meets OHA criteria at the time of hire and throughout employment.
• The salary listed is the non-PERS qualifying range. If the successful candidate qualifies for PERS, the salary range will increase by 6.95%. For more information, see the Classification and Compensation page.
• The State of Oregon does not request or require your age, date of birth, attendance or graduation dates from an education institution during the application process.
• This position does not provide visa sponsorship. Within three days of hire, you will be required to complete I-9 documentation and confirm authorization to work in the United States. OHA will use E-Verify to verify work authorization. If your employment eligibility depends on sponsorship now or in the future, you will not meet the requirements for this position.
• We evaluate candidates based on their own skills and experience. Unless explicitly approved, outside resources – including Artificial Intelligence (AI) tools – are not permitted during assessments or interviews. Use of unauthorized resources will disqualify a candidate from further consideration.

Helpful Links & Resources

How to Set Job Alerts | Workday Applicant FAQ | Oregon Health Authority | Facebook | Instagram | LinkedIn | Veterans Resources | What You Need to Know to Get the Job

The Oregon Health Authority is an affirmative action and equal opportunity employer, committed to fair employment practices and pay equity for all employees. We do not discriminate based on protected class – including race, sex, veteran status, disability, age, color, religion, national origin, marital status, or sexual orientation – and does not screen applicants based on current or past compensation. Salary is determined through a fair review of your education, experience, and training as it relates to the position.

OHA is an anti-racist organization working to eliminate health inequities and dismantle structural barriers that impact underserved communities. Join us in advancing our Strategic Plan and building a more equitable Oregon.