Note: The job is a remote job and is open to candidates in USA. The Washington State Health Care Authority is a state health care purchaser and behavioral health authority supporting Medicaid, employee benefits, and behavioral health programs. The MTP Tribal Program Manager leads statewide Medicaid Transformation Project initiatives for Tribal Nations and Indian health care providers, including policy development, program implementation, regulatory compliance, contracts, and health care delivery improvements.
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
- This position is eligible to telework and is typically not required to report on-site.
- A healthy work/life balance, including alternative/flexible schedules and mobile work options.
- Free parking.
- Medical insurance, including vision, for employees and their families.
- Dental insurance for employees and their families.
- Basic life insurance for employees and their families.
- Multiple medical plans with affordable monthly premiums that offer coverage throughout the state.
- Medical flexible spending account using tax-deferred dollars toward health care expenses.
- Long-term disability insurance, with the option to purchase additional coverage amounts.
- Dependent care assistance using pre-tax dollars for child or elder care expenses.
- Auto, boat, home, and renter insurance available through payroll deduction.
- Washington State Employee Assistance Program.
- Washington Wellness workplace wellness programs.
- Membership in the Washington Public Employees' Retirement System (PERS).
- Option of two employer-contributed retirement programs for new employees.
- Deferred Compensation Program (DCP), a supplemental retirement savings program with pre-tax salary deferrals and multiple investment options.
- Coverage by the federal Social Security and Medicare systems, with the state and employee paying equal amounts.
- Eligible government or not-for-profit employees may receive student loan forgiveness under the Public Service Loan Forgiveness Program, subject to qualifying criteria.
- 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 the stated pay-status requirements.
- Vacation leave for full-time employees at rates specified in WAC 357-31-165(1) or the applicable collective bargaining agreement.
- Vacation leave for part-time employees on a pro rata basis, subject to the stated pay-status requirements.
- An employer may authorize a lump-sum accrual of vacation leave or accelerate the vacation leave accrual rate for a Washington Management Service position to support recruitment or retention, subject to the stated conditions.
- 21 days of paid military leave per year for members of the armed forces.
- Most employees whose family member or household member dies, or for loss of pregnancy, are entitled to five days of paid bereavement leave.
- Leave sharing.
- Parental leave.
- Family and Medical Leave Act (FMLA) leave.
- Meaningful work with friendly co-workers who care about those we serve.
- A clear agency mission that drives work and is person-centered.
- A safe, pleasant workplace in a convenient location with restaurants and shopping nearby.
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