[Hiring] Medical Assistance Specialist 4 (Lead) @State of Washington

Role Description

This is a full-time, permanent, remote position. Employees may occasionally be asked to attend an in-person meeting or event based on business needs. This is an internal opportunity and is only open to current HCA employees. All HCA employees are required to be Washington state residents upon their first day of employment.

Lead a team that connects Washington residents to the health coverage they need. The Medical Eligibility Determination Services (MEDS) office in HCA's Apple Health Eligibility and Access (AHEA) Division is seeking a Medical Assistance Specialist 4 to serve as the lead worker for a team of eight or more Medical Assistance Specialists. As the team's eligibility expert, you will:

• Guide staff through complex Apple Health (Medicaid) and Children's Health Insurance Program (CHIP) cases.
• Develop and deliver training.
• Step in for the supervisor when needed to keep day-to-day operations running smoothly.

Qualifications

• Demonstrated ability to apply advanced knowledge of federal and state laws, regulations, policies, procedures, and program requirements to complex medical assistance program issues and circumstances.
• Demonstrated skill to analyze complex, unusual, or escalated program issues, evaluate relevant information and requirements, and develop accurate and well-supported determinations, recommendations, or solutions.
• Demonstrated knowledge to provide technical leadership, guidance, consultation, and expertise to staff and partners regarding complex program requirements, policies, procedures, and work processes.
• Demonstrated proficiency to develop, deliver, or support formal training and provide coaching and technical instruction that promotes accurate and uniform application of program rules, policies, procedures, and requirements.
• Demonstrated ability to review and evaluate work for accuracy, quality, and compliance; identify errors, trends, or inconsistencies; and provide guidance or recommendations to improve consistent application of program requirements.
• Demonstrated skill to interpret complex policies, regulations, and program requirements; evaluate their impact on program operations; and provide technical guidance regarding appropriate implementation and application.
• Demonstrated proficiency to coordinate and prioritize work, provide direction and technical assistance to staff, monitor workflow, and support effective and timely completion of program responsibilities.
• Demonstrated ability to communicate complex, sensitive, or technical program information and provide effective consultation to staff, management, providers, customers, and other partners.

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 – 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

• Experience as a Medical Assistance Specialist 3.
• Demonstrated professional experience providing direct client services or counseling of customers in the areas of health insurance, disability, or other related health benefits; public assistance eligibility determination; health insurance premiums/claims processing, adjusting, and investigation; or other medical premiums/claims-related experience.
• Demonstrated experience with ACES, Washington Healthplanfinder, MVP, ProviderOne, and/or Barcode/DMS.

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. When completing your application, please include the following required materials:

• 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.

If you meet the required qualifications for this position, we want to hear from you. Desired qualifications describe additional experience, knowledge or skills that may be helpful in the role, but they are not required to be considered for the position. We welcome applicants with different backgrounds, experiences, identities, and perspectives.