Note: The job is a remote job and is open to candidates in USA. The North Carolina Department of Agriculture and Consumer Services is seeking a statewide policy expert for the Medicaid Transformation Project (MTP) initiatives for Tribal Nations and Indian health care providers. This role involves leading health care improvements and ensuring compliance with state and federal requirements while providing analyses to top levels of management.
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
- A healthy work/life balance, including alternative/flexible schedules and mobile work options.
- A great total compensation and benefit package [WA State Government Benefits](https://careers.wa.gov/benefits.html)
- And free parking!
- Meaningful work with friendly co-workers who care about those we serve
- A clear agency mission that drives our work and is person-centered
- A safe, pleasant workplace in a convenient location with restaurants, and shopping nearby.
- Employees and their families are covered by medical (including vision), dental and basic life insurance.
- There are multiple medical plans with affordable monthly premiums that offer coverage throughout the state.
- Employees are eligible to enroll each year in a medical flexible spending account which enables them to use tax-deferred dollars toward their health care expenses.
- Employees are also covered by basic life and long-term disability insurance, with the option to purchase additional coverage amounts.
- The Washington Wellness program from the Health Care Authority works with PEBB to support our workplace wellness programs.
- Dependent care assistance allows the employee to save pre-tax dollars for a child or elder care expenses.
- Other insurance coverage for auto, boat, home, and renter insurance is available through payroll deduction.
- The Washington State Employee Assistance Program promotes the health and well-being of employees.
- State Employees are members of the Washington Public Employees' Retirement System (PERS).
- New employees have the option of two employer contributed retirement programs.
- Employees also have the ability to participate in the Deferred Compensation Program (DCP).
- All state employees are covered by the federal Social Security and Medicare systems.
- Public Service Loan Forgiveness: If you are employed by a government or not-for-profit organization, and meet the qualifying criteria, you may be eligible to receive student loan forgiveness under the Public Service Loan Forgiveness Program.
- Full-time and part-time employees are entitled to paid holidays and one paid personal holiday per calendar year.
- Full-time employees earn eight hours of sick leave per month.
- Full-time employees accrue vacation leave at the rates specified in WAC 357-31-165 (1) or the applicable collective bargaining agreement (CBA).
- Washington State supports members of the armed forces with 21 days paid military leave per year.
- Most employees whose family member or household member dies, or for loss of pregnancy, are entitled to five (5) days of paid bereavement leave.
- Leave Sharing
- Parental Leave
- Family and Medical Leave Act (FMLA)
- Leave Without Pay
- All agency employees are required to report on-site in Olympia on their first and last days of employment to pick up and return state-issued equipment, regardless of telework status or location.
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