Section Manager, Strategic Design and Program Oversight, Medicaid Programs Division

Thurston County – Olympia, WA

Full Time - Permanent - $99, $139,236.00 Annually

Are you interested in helping the state take the next steps for behavioral health integration to serve the nearly 1.9 million people who rely on Medicaid and other behavioral health services?

This manager oversees a diverse section of professionals who work across HCA, between partner agencies, and with clients, health care providers, and community partners to implement and manage high-quality, evidence-based health care programs, and purchase services that enhance access to care for Medicaid clients and clients of the crisis system. The successful candidate will be a strong relationship manager and strategic thinker who is prepared to take these innovative programs to the next level with a goal of improving patient care. If you are experienced with Medicaid and behavioral health and excited to build and develop groundbreaking programs serving Washingtonians, this may be the opportunity for 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:

The Medicaid Programs Division (MPD) is responsible for the implementation and oversight of Washington Medicaid managed care programs serving approximately 1.9 million Washington residents in all 39 counties. Additionally, the division and this section manager provide contractual oversight to 8 Behavioral Health Administrative Service Organizations (BH-ASOs), manages programs that support the entire Medicaid population, and provides oversight into the state's Dually Eligible Special Needs Program (DSNP).

MPD works across HCA and in partnership with the health care community at the local, state, and federal levels, to develop, and manage high-quality, evidence based, health care programs and purchases that meet the needs of Apple Health (Medicaid) clients, and ensures clients are able to access appropriate and quality health care. The mission of MPD and HCA is to provide high quality administrative services to assist in the purchase and delivery of whole person, equitable health care for the medical assistance program services to approximately 1.9 million Washington citizens.

This position is eligible to telework but is frequently required to report on-site to meet business need.
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. This position reports to Olympia, WA. Frequency of onsite work will vary based on business and operational needs. 
HCA has currently suspended the ability to support out-of-state telework.

Some of what you will do:

• Directly supervises four professional and one administrative staff, including two unit supervisors: one who oversees 11 Behavioral Health contract managers and another who oversees seven staff who manage DSNP integration efforts,
  Community Behavioral Health Supports (CBHS), and Health Homes (HH)
  Program, respectively.
• Responsible for the development and submission of behavioral health State Plan Amendments and Waivers in furtherance of our agency mission towards behavioral health integration and whole person care.
• Leads the process of developing and implementing behavioral health related Federal Waivers.
• Manages coordination between various programs to ensure high quality and continuity of care between various program options such as managed care, DSNP/Medicare, and fee-for-service.
• Fosters positive work relationships and coordination with areas of the Apple Health Administration and divisions across HCA.
• Provides strategic direction and planning to the programs and initiatives assigned to the
  Strategic Design and Program Oversight (SDPO) Section
  .
• Oversees staff performing contract management, development, and implementation; development and dissemination of client informational materials; coordination with other areas of HCA, including rates and finance; and coordination and communication with external stakeholders.
• Provides oversight and direction to the state-wide HH and DSNP integration and care coordination efforts.
• Provides oversight and direction to the CBHS program.
• Leads management of new programs, including participation in work groups, developing contracts, and obtaining federal approval for State Plan Amendments and Waivers.

Required qualifications:

Qualifying candidates will satisfy 
one
 of the following criteria options:

Option 1:

• Bachelor's degree in business administration, public administration, public health, or related field,
• 10 years of experience implementing and operating Medicaid programs (including, but not limited to, experience such as clinic administration, billing and financing, and/or working with insurers and/or managed care plans), and
• 5 years of experience developing, overseeing or writing contracts.

Note:
 
Required experience types may be gained concurrently.

Option 2:

• Associate degree in business administration, public administration, public health, or related field,
• 12 years of experience implementing and operating Medicaid programs (including, but not limited to, experience such as clinic administration, billing and financing, and/or working with insurers and/or managed care plans), and
• 5 years of experience developing, overseeing or writing contracts.

Note:
 
Required experience types may be gained concurrently.

Option 3:

• 14 years of experience implementing and operating Medicaid programs (including, but not limited to, experience such as clinic administration, billing and financing, and/or working with insurers and/or managed care plans), and
• 5 years of experience developing, overseeing or writing contracts.

Note:
 
Required experience types may be gained concurrently.

Required competencies:

• Facilitate timely communications and interchange between diverse groups of internal and external departments, agencies, and the public.
• Work effectively with agency staff, providers, and other affected parties to develop managed care programs.
• Analyze and resolve complex problems related to managed care programs.
• Collaborate across health care purchasing systems, build teams and work cooperatively with internal and external resources to support program development.
• Analyze data related to contract performance and other issues related to the managed care contracts.

Preferred qualifications:

• Experience as a clinician, supervisor, or manager in a community or public behavioral health agency or insurer.
• Experience writing and amending complex contracts and other complex documents.
• Experience in managed care operations.
• Experience in complex projects or initiative management within state government.
• Experience with Medicaid rules and regulations.
• Direct knowledge of Washington State's community behavioral health system, including outpatient and inpatient care, systems and coordination of treatment (e.g. MCOs, Behavioral Health Agencies, Department of Corrections, DCRs and involuntary treatment, Aging and Long-Term Services Administration, and Developmental Disabilities Administration), understanding of crisis and commitment services, community psychiatric hospitalization, and state hospitals.

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 in separate files:

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

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.

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  Persons with disabilities needing assistance in the application process, or those needing this job announcement in an alternative format may contact Jake Nelko at  or