[Hiring] Reentry Eligibility Program Manager @State of Washington

Role Description

This is a full-time project, remote position. Employees may occasionally be asked to attend an in-person meeting or event based on business needs. This project position is funded through June 30, 2028. All HCA employees are required to be Washington state residents upon their first day of employment.

Help people leaving incarceration connect to the health coverage they need to rebuild their lives. As the MTP Reentry Eligibility Program Manager (Health Care Program Manager) in the Eligibility Policy Innovation and Community Support (EPICS) section, you will serve as the agency's subject matter expert on Apple Health eligibility policy for the Reentry Initiative under the Medicaid Transformation Project (MTP) Washington's 1115 demonstration waiver. You will turn federal and state requirements into clear, workable policy and processes, partnering with carceral facilities, community organizations, and agencies across the state to support coverage for the nearly 2 million Washingtonians who rely on Apple Health.

Key Responsibilities

• Serve as a subject matter expert in eligibility policy and technical application for the Reentry Initiative, 1115 demonstration waiver, coordinating, analyzing, and implementing eligibility policy deliverables for the reentry 1115 waiver demonstration project.
• Collaborate with carceral facilities, developing and supporting eligibility processes that ensure compliance with federal and state policy.
• Coordinate monthly Centers for Medicare & Medicaid Services (CMS) meetings to ensure HCA follows Medicaid and Title XXI/CHIP requirements.
• Develop and clarify Apple Health eligibility state and federal policy and procedures for legislative staff, constituents, other state agencies, HCA staff, and community-based organizations.
• Lead and manage partner relations for implementing necessary changes, including with federal partners as necessary.
• Consult with the Health Benefit Exchange, the Department of Social and Health Services, and their contractors in the development of statewide eligibility and enrollment tools.
• Monitor implementation of health care initiatives and strategies, lead HCA and other agencies on progress and challenges, update federal State Plans as required, and provide project management for Apple Health policy implementation using human-centered design principles and a diversity, equity, and inclusion lens.
• Train local partners and staff to ensure communities understand Apple Health and the Affordable Care Act as it relates to enrollment policies and procedures, including continuous outreach to local communities and assessing staff training needs.
• Respond to legislative and constituent inquiries on behalf of the Director and other senior managers, and review legislative bills that have potential impacts to Apple Health, making recommendations consistent with strategic long-range plans.
• Monitor enrollment strategies carried out by HCA staff and community-based organizations, and provide long- and short-range policy plans that meet client needs, meet federal Medicaid and CHIP guidelines, and create cost-efficient plans for policy implementation.
• Direct implementation of policy, negotiate with partners on behalf of the agency, serve as a point of contact in a region for the agency on policy and implementation guidelines, and manage divisional contracts as needed.
• Resolve local issues regarding the incorrect use of policy or procedures and complex issues with community-based organizations and HCA staff independently, and engage, communicate with, and present to community partners and leadership using the best methods to share ideas and achieve optimum results.

Qualifications

• Demonstrated knowledge of health care delivery systems, public health programs, and applicable federal and state requirements to support effective program administration.
• Demonstrated experience developing, implementing, monitoring, and evaluating health care programs, policies, and operational initiatives to achieve established objectives.
• Demonstrated expertise interpreting and applying laws, administrative rules, policies, and contractual requirements to complex program issues.
• Demonstrated skill in analyzing program data, assessing risks and operational impacts, and developing informed recommendations for management decisions.
• Demonstrated skill in communicating complex health care program information clearly and providing sound technical guidance to leadership, staff, and external partners.
• Demonstrated understanding of barriers to health care access and approaches that support responsive, inclusive, and culturally appropriate services.
• Demonstrated experience coordinating cross-functional activities, setting priorities, and supporting staff and partners through operational or policy changes.
• Demonstrated sound judgment in resolving complex program concerns, balancing competing priorities, and implementing practical improvements consistent with program requirements.

Requirements

• 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 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 by listening, understanding different perspectives, and responding with care, respect, and solutions that support the people of the communities we serve.

Preferred Qualifications

• Demonstrated working knowledge of Washington State government structure and divisional functions, particularly Apple Health (Medicaid) policies, procedures, programs, and services, to support the appropriate delivery of Medicaid services to eligible individuals.
• Experience applying state and federal laws, regulations, policies, and procedures related to Medicaid, health care reform, and the administration and delivery of medical assistance programs.
• Demonstrated knowledge and practical application of management principles and organizational practices, including group processes, problem solving methodologies, conflict resolution, negotiation, and effective organizational decision-making.
• Demonstrated proficiency in oral and written communication with clients, business partners, professional and managerial groups, and executive leadership, including public speaking, independent decision making, interpersonal communication, planning, project management, and leadership.
• Experience drafting Medicaid policies and procedures, researching Medicaid policies and practices in other states, developing short-term and long-term planning strategies, and evaluating program implementation for compliance with applicable legal and regulatory requirements.
• Experience analyzing Medicaid systems, program data, statistics, and other relevant information to identify and resolve complex issues involving Medicaid and state-funded medical program eligibility policies, legislative changes, and budgetary constraints.
• Experience educating communities about federal Medicaid and state-funded medical program eligibility policies and services, including developing and delivering clear, accurate policy to partners, legislators, and community leaders in a precise, understandable manner.
• Demonstrated knowledge and experience using health care eligibility and information systems, including ACES, Barcode, ProviderOne, Washington Healthplanfinder, and related client data systems, as well as proficiency with word processing, spreadsheets, databases, and flowchart applications.
• A master's degree with major study in public health, behavioral health, public administration, business administration, social work, or a closely related field.
• Consultative or supervisory experience in health services, social services, Medicaid, behavioral health, or other health care programs.

Benefits

• Remote work and flexible schedules
• Medical, dental, vision, and basic life insurance
• Paid vacation, sick leave, and 12 paid holidays
• Paid Family and Medical Leave (PFML)
• Retirement options to plan for the future
• Training and professional development opportunities
• Employee wellness programs