Medical Assistance Program Specialist 3 (MAPS3/MPD)-Non-Permanent

Full Time
Olympia, WA
Posted
Job description
Description

Medical Assistance Program Specialist 3 (MAPS3/MPD)-Non-Permanent
This will be used to fill multiple positions.
This posting has been extended until April 5,2023due to small applicant pool.

This is a non-permanent position funded through April 30, 2024.

Per Governor Inslee’s
Directive 22-13.1 , state employees must be fully vaccinated. Your vaccine status will be verified upon acceptance of a contingent job offer. Please note, medical or religious accommodation may be available once an offer of employment is made.

About the division:
The Office of Medicaid, Eligibility and Policy (OMEP), within the Medicaid Programs division of Health Care Authority consists of staff who represent the Director of the Health Care Authority and speak with the authority of the agency in communities across the state. Staff advise external stakeholders in community-based health organizations on behalf of the agency. Staff also evaluate and analyze federal statutes and regulations; they formulate state policy for Medicaid/CHIP eligibility. Staff participate in long range strategic planning for Medicaid eligibility policy and service delivery while at the same time being responsive to short-term objectives. Actions taken, decisions made, and directions given by this office have significant impact on 1.8 million residents of the state of Washington who are eligible for Medicaid/CHIP and who need these programs in order to receive affordable medical services. These programs include the Expansion Adult group under the Affordable Care Act.

About the position:

This Medical Assistance Program Specialist 3 (MAPS3) reports to the Medicaid Eligibility Manager of the Office of Medicaid Eligibility Policy and is one of the subject matter experts on regulatory and analysis in Medicaid eligibility policy. They provide expertise in Modified Adjusted Gross income (MAGI) and non-MAGI methodologies, including the 65 different Apple Health programs and various regulatory eligibility criteria that extends over each program area. This position works as a technical expert in the maintenance, development, and implementation of eligibility policy changes from the state and federal levels. This position helps to support the ongoing success of the Medicaid program in Washington State.

This position is eligible to telework and is typically not required to report on-site.

Duties

Some of what you will do:
  • For Medicaid eligibility programs, plan agency strategy for implementing federal and state law; identify long-term strategies and short-term goals, objectives, and implementation plans. This includes but not limited to eligibility programs under MAGI and Classic methodologies and governing eligibility principles.
  • Develop and clarify Medicaid eligibility state and federal policy and procedures for legislative staff, constituents, other state agencies, HCA staff and community-based organizations.
  • Lead and manage stakeholder relations for implementing necessary changes including federal partners as necessary. Stakeholders can include the public, community assisters, financial councils, providers, legal advocates, tribal partners, agency and internal partners, and other interested parties.
  • Translate Federal policy and guidance to formulate statewide Medicaid policy through Washington Administrative Code development and adoption.
  • Train local stakeholders and staff to ensure communities understand Medicaid, the Affordable Care Act as it relates to implemented strategies for enrollment policies and procedures.
  • Responds to legislative and constituent inquiries on behalf of the Director and other senior managers.
  • As the representative of the Director, resolve local issues regarding the incorrect use of policy or procedures which impact the accurate implementation of the Medicaid program.
  • Expertise in Medicaid policy is utilized to implement policy and train staff at an agency level and the community-based environment.
  • Monitor enrollment strategies that are being carried out by HCA staff and community-based organizations (CBO). Provide long and short-range policy plans that seek to meet client needs, meets federal Medicaid guidelines, and create cost efficient plans in policy implementation.
  • Resolve complex issues with CBO’s and HCA staff independently when appropriate, and involve leadership as needed.
  • Engage, communicate with and present to community partners, stakeholders, and leadership by webinars, stakeholder meetings, and/or conference calls.

Qualifications

Required qualifications:
  • A bachelor’s degree with a major study in health, social sciences, public administration, education, or closely related field,
AND
  • Five (5) years of experience supervising or providing consultative experience in health services, social services or Medicaid programs.
OR
  • One (1) year of experience as a Medical Assistance Program Specialist 2
OR
  • Two (2) years of experience as a Medical Assistance Program Specialist 1

Additional qualifying experience may substitute year of year for required education.

Preferred qualifications:
  • A working knowledge of Washington State governmental structure and function of division, especially Medicaid policies, procedures, and services to ensure appropriate Medicaid services to participants of the division’s programs.
  • Two years working knowledge of state and federal laws, regulations, and procedures as they relate to Medicaid, health care reform and delivery of medical programs.
  • Knowledge and applied skills in the principles of management and organizational practice. This includes group process and problem-solving methodologies, conflict management and negotiation skills.
  • Effective oral and written communications with clients, business community, and other professional/managerial groups including top agency management, public speaking; independent decision making; strong interpersonal skills; planning and project management; leadership.
  • Applied knowledge and experience in computer skills, including a knowledge and experience in ACES, Barcode, ProviderOne, Washington Healthplanfinder, and other related client data sources. Considerable experience with software programs including work processing, spreadsheets, database, and flow charts.
  • Two years of experience in drafting Medicaid policy and procedures; researching Medicaid policy in other states, developing scenarios or strategies for long and short-term division planning, and reviewing implementation of programs for compliance with legal requirements.
  • Two years of experience in conducting analyses of Medicaid system, facts, statistics, and other relevant materials to resolve the questions or problems concerning Medicaid and state medical programs eligibility policy, legislative changes, and budgetary constraints.
  • Two years of experience in educating communities regarding federal Medicaid and state-funded medical program eligibility policy, and program offerings; and developing and presenting Medicaid and state medical program eligibility policy to stakeholders, legislators, and community leaders in a precise, understandable manner.

Supplemental Information

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.
About HCA:
The Washington State Health Care Authority (HCA) is committed to whole-person care, integrating physical health and behavioral health services for better results and healthier residents.

HCA purchases health care for more than 2.5 million Washington residents through Apple Health (Medicaid), the Public Employees Benefits Board (PEBB) Program, and the School Employees Benefits Board (SEBB) Program. As the largest health care purchaser in the state, we lead the effort to transform health care, helping ensure Washington residents have access to better health and better care at a lower cost.

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. Our diversity and inclusion efforts include embracing different cultures, backgrounds and viewpoints while fostering growth and advancement in the workplace. Women, racial and ethnic minorities, persons of disability, persons over 40 years of age, disabled and Vietnam era veterans, as well as people of all sexual orientations and gender identities are encouraged to apply. Persons with disabilities needing assistance in the application process, or those needing this job announcement in an alternative format may contact Angel Matthews at angel.matthews@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.

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