Note: The job is a remote job and is open to candidates in USA. The Washington State Health Care Authority is seeking a Health Care Program Manager to serve as a statewide policy expert for Medicaid Transformation Project initiatives involving Tribal Nations and Indian health care providers. The role leads health care improvement initiatives, policy analysis, compliance activities, rule promulgation, training and resource development, and contract management to improve access and quality of care for American Indian and Alaska Native patients.
Responsibilities
- Manage the development and implementation of new statewide health care improvement initiatives related to the Medicaid Transformation Project - 1115 waiver and the Indian health care delivery system in Washington State as the statewide policy expert
- Develop work plans that outline methods for achieving program goals, including considerations for developing, implementing and maintaining program policies, rules, communications and procedures
- Ensure, through monitoring, evaluations and audits, that all programs are in compliance with state and federal requirements, are operating optimally and are in fiscal compliance
- Lead and manage the most complex rule promulgation of new, revised, and/or highly complex Washington Administrative Codes and provider guide projects that impact multiple statewide health care programs, ensuring compliance with the Administrative Procedures Act (RCW34.05)
- Manage and direct the development of the statewide health care initiative related to SHO Letter #16-002 to maximize federal fiscal participation, fund the Indian Health Improvement Reinvestment Account and ensure patient access to quality care
- As it pertains to SHO Letter #16-002, research, develop, and implement training, program materials, and other resource guides, including new and revised provider billing guides and program communications, for external stakeholders, on program compliance and claims submissions
- Develop, design, implement, and administer contracts as necessary for Care Coordination Agreements and Tribal FQHC Affiliate Agreements and monitor for contract compliance
- Lead and manage the most complex rule promulgation of new, revised, and/or highly complex Washington Administrative Codes and provider guide projects that impact multiple statewide health care programs, ensuring compliance with the Administrative Procedures Act (RCW 34.05)
Skills
- * Bachelor's degree in business administration, public administration, law, public health, health administration, or a related field
- * Four (4) years of experience conducting research and analyzing policies, laws, rules, or regulations or comparable combination of graduate education and experience
- * Eight (8) years of experience conducting research and analyzing policies, laws, rules, or regulations or comparable combination of graduate education and experience
- * Two (2) years of experience working with or for Tribes and/or Indian health care providers (Can be concurrent)
- * The ability to take action to learn and grow
- * The ability to take action to meet the needs of others
- * Ability to take in, analyze and comment on information through a variety of formats, including written, verbal presentations, etc
- * Ability to collaborate with a wide variety people who hold different knowledge and comprehension of the Indian health care system and effectively explain how their work affects Tribes, IHCPs and AI/ANs
- * Knowledge of the Indian health care system, including health care as a treaty right
- * Knowledge of the 1115 waiver
Benefits
- Remote optional / telework eligibility; typically not required to report on-site
- Alternative/flexible schedules and mobile work options
- Meaningful work with friendly co-workers who care about those they serve
- Employees and their families are covered by medical insurance, including vision, dental insurance, and basic life insurance
- Multiple medical plans with affordable monthly premiums and statewide coverage
- Annual enrollment in a medical flexible spending account using tax-deferred dollars for health care expenses
- Long-term disability insurance, with the option to purchase additional coverage amounts
- Washington Wellness workplace wellness programs
- Dependent care assistance allowing employees to save pre-tax dollars for child or elder care expenses
- Auto, boat, home, and renter insurance available through payroll deduction
- Washington State Employee Assistance Program
- Membership in the Washington Public Employees' Retirement System (PERS)
- New employees have the option of two employer-contributed retirement programs
- Deferred Compensation Program with pre-tax salary deferral and multiple investment options
- Coverage under the federal Social Security and Medicare systems, with the state and employee paying equal amounts
- Potential eligibility for student loan forgiveness under the Public Service Loan Forgiveness Program for qualifying government or nonprofit employees
- Paid holidays and one paid personal holiday per calendar year for full-time and part-time employees
- Full-time employees earn eight hours of sick leave per month, subject to eligibility and accrual conditions
- Vacation leave accrual for eligible full-time and part-time employees
- Potential accelerated or lump-sum vacation leave accrual for Washington Management Service recruitment or retention
- 21 days of paid military leave per year
- Five days of paid bereavement leave for most employees whose family or household member dies, or for loss of pregnancy
- Leave sharing
- Parental leave
- Family and Medical Leave Act (FMLA) leave
- Free parking
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