[Hiring] Community Behavioral Health Support Services Program Manager @State of Washington

Role Description

This health care program manager oversees the day-to-day operations of 1915(i) waivered behavioral health services, which includes processing referrals and reviewing intakes for Washingtonians applying to utilize these services. This program manager will also develop procedures and policies to enhance the unit’s ability to process the high volume of emails and projects that arise.

Key Responsibilities

• Serve as a subject matter expert on 1915(i) waivered services, including the Community Behavioral Health Support Services (CBHS) Program.
• Develop and implement 1915(i) waivered services within state and federal requirements, including setting and adjusting program goals, objectives, and priorities.
• Review and investigate managed care organization (MCO) and enrollee referrals for service requests.
• Monitor, evaluate, and audit program compliance within state and federal requirements.
• Serve as owner of the HCA 1915(i) mailbox. Coordinate all communication and consults with clinical staff on responses.
• Research, develop, and implement training, program materials, and other resource guides for external stakeholders.
• Make recommendations, provide oversight of process improvement, and communicate any changes to affected external stakeholders.
• Develop policy and procedures related to 1915(i) services and provides input to clinical staff on process and coordination.
• Develop and draft contract language for the managed care contracts for 1915(i) services.

What You Bring

• Flexibility: You can adapt to system changes, at times with limited guidance.
• Creative problem solving: You are able to ask the right questions in coming up with creative solutions.
• High-volume environment: You work well in a high-volume environment where you may perform similar tasks day-to-day at a high level.
• Collaboration: You work well with external partners who have competing priorities.

Qualifications

• Demonstrated ability in excellent public relations and customer service skills, including conflict resolution and negotiating techniques, especially relating to client/provider interactions.
• Demonstrated ability in familiarity with care coordination contract terms and processes.
• Demonstrated ability in communication skills, including written and oral presentations for a wide variety of audiences, community members, provider groups, clients and client advocates.
• Demonstrated ability in ability to facilitate timely communication and interchange between diverse groups of internal and external departments, agencies and the public.
• Demonstrated ability in experience in technical and non-technical report writing for both low-literacy audiences and others, such as executive leadership, internal staff, contractors and interested stakeholders.
• Demonstrated ability in critical systems thinking skills.
• Demonstrated ability in State and federal managed care and related laws (e.g., HIPAA) laws, policies, regulations and procedures on Medicaid and healthcare both within and outside HCA.
• Demonstrated ability in Medicare rules and regulations on eligibility, enrollment, Part C, Part D, grievance and appeals, and quality performance.

Required Competencies

• Equity lens – All HCA employees are required to consider equity in their decisions, processes, and day-to-day work, including how their work may affect the people and communities we serve.
• The ability to take action to learn and grow – You take action to learn and grow by seeking new perspectives, learning from experiences, and using what you’ve learned to continuously improve how you work and serve others.
• The ability to take action to meet the needs of others – You take action to meet the needs of others by listening, understanding different perspectives, and responding with care, respect, and solutions that support the people of the communities we serve.

Preferred Qualifications

• Demonstrated experience managing projects, including team facilitation and process improvement methods.
• Expertise in facilitating meetings with internal and external stakeholders.
• Demonstrated experience in data analysis and clear communication of complex data analysis results for multiple audiences.
• Demonstrated experience processing a high volume of email communications utilizing a shared inbox.
• Demonstrated skills in collaboration across multiple parts of an organization to accomplish goals.
• Knowledge of the structure and function of the various sub-divisions of the Health Care Authority and the Department of Social and Health Services, including experience in cross system collaboration, team building and aligning internal and external resources in support of program development to ensure the delivery of quality health care services to high-risk clients.
• Ability to analyze data related to contract performance and other issues relating to managed care contracts.
• Seven years of a combination of experience and/or higher education.
• Education is in public health, public administration, business administration, social work or closely related field. (Bachelor’s degree = 4 years, associate degree = 2 years)
• Experience is consultative or supervisory in health services, social services, Medicare programs, Medicaid programs or social security disability programs.
• Four (4) years of experience working with managed care operations, delivery systems, customer service activities and policy issues to ensure provision of high-quality care to Medical Assistance enrollees.
• Two (2) years of experience in program development, implementation and evaluation of Medicare.
• Four (4) years of experience working with diverse client populations with chronic illnesses, especially clients with behavioral health issues; including cultural competency in working with an ethnically diverse population.
• Two (2) years of experience in participating in and facilitating meetings and task forces involving internal partners.
• One (1) year of experience in operating the ProviderOne MMIS system and related data and information systems.

Application Directions

• To be considered, you must complete the online application in full and submit all required materials. Incomplete applications or applications missing required materials will not be considered.
• Cover letter: describing your qualifications for this specific position.
• Resume: that details your applicable experience and education.
• Three (3) professional references: References must be entered directly into the designated references section of your application. We require 3 professional references including at least one current or recent supervisor.