[Hiring] Medical Assistance Specialist 3 @State of Washington

Role Description

This recruitment will be used to fill multiple positions. These positions determine individual and family eligibility for Washington State medical assistance programs. Within the Apple Health Eligibility and Access (AHEA) Division, this position supports the Health Care Authority (HCA) mission to provide access to medical care for all eligible Washington citizens.

This position supports the HCA mission to provide access to medical care for all eligible Washington citizens. The position determines initial eligibility and/or ongoing individual and family medical eligibility for Medicaid Title XIX, Children’s Health Insurance Program (CHIP) Title XXI program, and other Medicaid and state funded medical assistance programs available in Washington State.

This position is eligible to telework and is typically not required to report on-site. The default assigned work location of all Health Care Authority (HCA) positions – both on-site and telework eligible positions – is within the State of Washington. This position reports to Olympia, WA. Frequency of onsite work will vary based on business and operational needs.

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.

Some of what you will do:

• Independently determine initial and/or ongoing eligibility for Health Care Authority Medicaid Title XIX, CHIP Title XXI, and other Medicaid and state funded medical assistance programs administered by the MEDS office.
• Apply complex federal and state eligibility regulations published in WAC and RCW to specific household circumstances resulting in accurate eligibility decisions.
• Use and manage multiple interdependent electronic systems including Automated Client Eligibility System (ACES), HealthPlanFinder, ProviderOne, Audit Plus, Microsoft Office, SOLQ, Document Management System (DMS), and Employment Security Department (ESD).
• Analyze, research, and resolve complex eligibility issues applying proper rules and procedures with a high degree of independence.
• Conduct interviews over the telephone, in person, and/or through written correspondence with clients, providers and/or third parties to obtain information for required documentation and verification to support program eligibility.
• Establish effective working relationships with clients and their advocates and manage difficult interactions with tact and diplomacy.
• Work with individual Take Charge providers to answer inquiries and resolve issues related to eligibility for the Take Charge Family Planning program.
• Answer inquiries, resolve questions, update eligibility records and otherwise maintain and expand access to medical care for eligible Washington citizens.

Qualifications

• Demonstrated ability to independently research, analyze, and evaluate complex information to make accurate determinations and resolve program-related issues within established authority.
• Demonstrated ability to interpret and apply regulations, policies, and procedures.
• Demonstrated ability to identify, analyze, and resolve complex issues.
• Demonstrated ability to research and interpret complex program rules, regulations, policies, procedures, and other authoritative information and appropriately apply findings to individual circumstances.
• Demonstrated ability to provide accurate technical information, consultation, and assistance to customers, providers, members, partners, and other stakeholders regarding complex issues and requirements.
• Demonstrated ability to communicate complex or technical information clearly, accurately, and professionally, both verbally and in writing, to individuals with varying levels of program knowledge.
• Demonstrated ability to independently produce accurate, complete, and timely work while ensuring compliance with applicable laws, regulations, policies, procedures, and established program standards.
• Demonstrated ability to independently organize and prioritize complex assignments, manage competing demands, meet established timelines, and exercise sound judgment with limited supervisory direction.

Requirements

• 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 ability to resolve conflicts with customers professionally and effectively while maintaining positive working relationships.
• Demonstrated ability to effectively utilize Microsoft Office applications, including Outlook, Word, and SharePoint, to support business operations and communication.
• Demonstrated ability to apply knowledge of Medicaid programs and eligibility requirements when performing assigned work.

How to apply

Only candidates who reflect the minimum qualifications on their NEOGOV profile will be considered. Failure to follow the application instructions below may lead to disqualification.

To apply for this position, you will need to complete your profile which includes three professional references and attach in separate files:

• A cover letter that specifically addresses how you meet the qualifications for this position.
• Current resume.

To take advantage of veteran preference, please do the following:

• Attach a copy of your DD214 (Member 4 long-form copy), NGB 22, or USDVA signed verification of service letter.
• Please black out any PII (personally identifiable information) data such as social security numbers. Include your name as it appears on your application in careers.wa.gov.

Benefits

• 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 healthy work/life balance, including alternative/flexible schedules and mobile work options.
• A great total compensation and benefit package.
• A safe, pleasant workplace in a convenient location with restaurants and shopping nearby.
• And free parking!