September 10, 2024

State of Washington Health Care Authority

Olympia

Medical Assistance Program Specialist 3 (MAPS3/MPD)

Description

Medical Assistance Program Specialist 3 (MAPS3/MPD) - Project

71106751

This is a project position funded through June 30, 2027

Are you an expert in health care administration with a passion for shaping programs? We are seeking a subject matter expert to lead the development, planning, and oversight of our Centers for Medicare & Medicaid Services (CMS) School-Based Services grant. In this role, you’ll drive program design, policy development, and compliance efforts to ensure continued and increased access to Medicaid school-based services across the state. If you’re ready to make a statewide impact, we want to hear from you!

All HCA employees will apply an equity lens to their work, which may include but is not limited to all analyses of core business and processes .

About the division:

Within the HCA’s Medicaid Programs Division (MPD), Community Services Section, this position assists in achieving HCA’s mission and supports the agency’s vision and values by administering innovative programs and contracts that promote access to health care coverage for Medicaid eligible individuals. Through contracts and partnerships with local education agencies (LEAs) and other state agencies, this position supports access and funding for school-based services.

About the position:
As HCA’s statewide subject matter expert, the Medical Assistance Program Specialist 3 is a direct report to the Family Health Care Services Section Supervisor and provides consultative professional and technical subject matter expertise and recommendations to the HCA executive leadership, affected state, local, and federal government partners, non-profit and for-profit organizations, and community partners. This position is independently responsible for the ongoing development, planning, and oversight of the statewide CMS school-based services grant and contributes to the work of HCA Medicaid in Schools.

This position is eligible to telework and is typically not required to report on-site. The default assigned work location of all Health Care Authority (HCA) positions – both on-site and telework eligible positions – is within the State of Washington. Frequency of onsite work will vary based on business and operational needs. HCA may choose, but is not required, to support out-of-state telework on a case-by-case basis.

Duties

Some of what you will do:

Directly responsible for using independent judgment and program subject matter expertise and knowledge to develop, write, and oversee all aspects of the statewide CMS school-based services grant including business requirements, policy promulgation, contract administration, contract monitoring, claiming processes and payment.
Contribute to the work of HCA Medicaid in Schools: Recommendations for CMS Compliance and Expansion Charter work group.
Provide project management, oversight, and monitoring related to implementing cross-sector Medicaid and CHIP school-based initiatives and strategies.
Assist in coordinating with CMS in developing, writing, updating, and managing state plan amendments related to Medicaid and school-based services.
Provide expert consultation on all aspects of the Medicaid school-based services and related programs, contracts, and initiatives including but not limited to; program design, contract administration, time sampling methodologies, claiming and invoicing requirements, national trends and/or concerns related to assigned programs and contracts and technical subject matter expertise.
Develop, write, stakeholder, and implement needed State Plan Amendments, Washington Administrative Code, and Medicaid Billing Guides to ensure adherence to all applicable federal and state rules and regulations regarding Medicaid school-based reimbursable services, billing requirements, and reimbursement processes.
Collaborate with the Office of Superintendent of Public Instruction (OSPI), school districts and educational service districts to ensure the Medicaid State Plan is effectively and efficiently administered. Solicit feedback from LEAs, state and local government agency, tribes, and community to evaluate and recommend program or policy changes.
Work with agency staff and external partners to develop and implement policy and programmatic decisions related to aligning and coordinating Medicaid and school-based services.
Explain Medicaid and school-based services recommendations, findings, initiatives, activities and opportunities for stakeholder engagement.
Evaluate the impact of cross-sector initiatives and activities and provide recommendations to agency leadership for continuing improvement.
Represent and participate in or facilitate meetings with CMS, LEAs, other state agencies, cross-agency and stakeholder workgroups, and subcommittees.
Convene, lead, and attend internal and external meetings with federal and state agency partners, stakeholders, service providers, students, and families to present and gather information and feedback on Medicaid and school-based alignment and coordination initiatives and financing strategies.
Subject matter expert to advise on policy and fiscal impacts to programs, providers and clients. Provide consultative expertise regarding school-based services to executive leadership within the HCA and to affected state, local, federal government.
Consult with partner agencies, service providers, and contractors in developing recommendations and implementation strategies.
Respond to legislative and constituent inquiries regarding cross-agency Medicaid and school-based alignment and financing initiatives and opportunities.
Develop and maintain internal and external Medicaid and school-based services network and conduct program outreach and engagement activities related to school-based services.

Qualifications

Required qualifications:

Qualifying candidates will meet one of the following criteria options:

Option 1:

A master’s degree from an accredited college with a major study in public health, public administration, business administration, social work or closely related field

AND

Three (3) years supervisory or consultative experience in health services, social service, Medicaid programs. Two (2) additional years of qualifying experience will substitute for the required master’s degree provided a bachelor’s degree from an accredited college has been achieved.

Option 2:

Nine (9) year’s total experience supervisory or consultative experience in health services, social service, and Medicaid programs

Option 3:

One (1) year as a Medical Assistance Program Specialist 2

Preferred qualifications:

Experience writing Medicaid State Plan Amendments and/or Medicaid Provider billing guides.
Experience with Provider One (Medicaid Management Information System (MMIS).

How to apply:

Only candidates who reflect the minimum qualifications on their NEOGOV profile will be considered. Failure to follow the application instructions below may lead to disqualification. To apply for this position, you will need to complete your profile which includes three professional references and attach:

A cover letter that specifically addresses how you meet the qualifications for this position
Current resume

To take advantage of veteran preference, please do the following:

Attach a copy of your DD214 (Member 4 long-form copy), NGB 22, or USDVA signed verification of service letter.
Please black out any PII (personally identifiable information) data such as social security numbers. Include your name as it appears on your application in careers.wa.gov.

Supplemental Information

About HCA:
Functioning as both the state's largest health care purchaser and its behavioral health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible.

There are three pillars of our work: Apple Health (Medicaid); the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs; and behavioral health and recovery. Under these pillars, HCA purchases health care, including behavioral health treatment for more than 2.7 million Washington residents and provides behavioral health prevention, crisis, and recovery supports to all Washington residents.

What we have to offer:

Meaningful work with friendly co-workers who care about those we serve Voices of HCA
A clear agency mission that drives our work and is person-centered HCA's Mission, Vision & Values
A healthy work/life balance, including alternative/flexible schedules and mobile work options.
A great total compensation and benefit package WA State Government Benefits
A safe, pleasant workplace in a convenient location with restaurants, and shopping nearby.
Tuition reimbursement
And free parking!

Notes:

Prior to a new hire, a background check including criminal record history will be conducted. Information from the background check will not necessarily preclude employment.

HCA is an equal opportunity employer. We value the importance of creating an environment in which all employees can feel respected, included, and empowered to bring unique ideas to the agency. HCA has five employee resource groups (ERGs). ERGs are voluntary, employee-led groups whose aim is to foster a diverse, inclusive workplace aligned with HCA’s mission. Our diversity and inclusion efforts include embracing different cultures, backgrounds and viewpoints while fostering growth and advancement in the workplace. Studies have shown women, racial and ethnic minorities, and persons of disability are less likely to apply for jobs unless they feel they meet every qualification as described in a job description. Persons over 40 years of age, disabled and Vietnam era veterans, as well as people of all sexual orientations and gender identities are also encouraged to apply. If you have any questions about the required qualifications or how your experience relates to them, please contact us at HCAjobs@hca.wa.gov. Persons with disabilities needing assistance in the application process, or those needing this job announcement in an alternative format may contact Julie Laney at (360) 725.5130 or julie.laney@hca.wa.gov.

The Washington State Health Care Authority (HCA) is an E-Verify employer. All applicants with a legal right to work in the United States are encouraged to apply.

E-Verify® is a registered trademark of the U.S. Department of Homeland Security.

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