1915(i) Community Behavioral Health Support (CBHS) Services Program Manager (HCPM/MPD)

1915(i) Community Behavioral Health Support (CBHS) Services Program Manager

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.

All HCA employees are required to be Washington state residents upon their first day of employment.

The Opportunity

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

Why You’ll Love This Role

• You will work on a developing program that goes through regular evolution.
• You will develop policy and procedures at the state level, which has broad direct impact on Washingtonians accessing health care services.
• You will have the opportunity to creatively solve problems, often with limited information or with evolving conditions.

What You Bring

Required Qualifications

Experience may have been gained through paid or unpaid activities. Please ensure any relevant experience defined below is outlined in your cover letter, resume, and application.

• 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

Preferred Qualifications

While these are not required, having them may help you stand out as an applicant.

• 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.

About the Division

The mission of the Medicaid Programs Division (MPD) within the Health Care Authority (HCA) is to provide high-quality administrative services to assist in the purchase and delivery of medical assistance program services to clients and members. MPD works across the agency and in partnership with the health care community and community stakeholders to develop and manage high-quality, evidence-based health care programs and purchase services that enhance Medicaid clients’ ability to access appropriate, quality health care. This supports the mission of providing quality services that enhance our clients’ ability to obtain and access health care.

The Washington State Health Care Authority:

Better Health. Better Care. A Healthier Washington.

At HCA, we work to ensure people across Washington have the opportunity to be as healthy as possible. As the State’s largest health care purchaser and behavioral health authority, HCA serves nearly 3 million Washington residents through Apple Health (Medicaid), Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs, and behavioral health services. Through this work, HCA purchases and coordinated care coverage, supports behavioral health prevention, treatment, crisis response, and recovery and helps strengthen access to high -quality care across Washington.

More than a benefits package:

We want our employees to have the support, flexibility, and benefits they need to do their best work and build a career that works for their life. As a Washington State HCA employee, you’ll have access to a comprehensive benefits package that supports your health, financial well-being, and work-life balance. Our benefits are designed to support you today while helping you plan for the future. Learn more about why HCA by visiting the Voices of HCA and the "Who we are" section of our website.

Your total compensation is more than your paycheck:

Work Location and Schedule:

This is a full-time 40-hour-per-week remote position. Our standard business hours are Monday through Friday, 8 a.m. to 5 p.m., with alternative work schedules considered based on business needs and supervisor approval. In this role you will regularly collaborate with colleagues, agency leaders, state and federal partners, and other external partners or customers. Occasional travel may be required for meetings, training, or other business needs. All employees are required to report to our Olympia office on their first and final day of employment.

Our commitment to an inclusive workplace

The Health Care Authority is an equal opportunity employer. We are committed to creating a workplace where employees are respected, included, and supported in bringing their experiences, perspectives, and ideas to work.

Our commitment to inclusion is reflected in how we work together and serve the people of Washington. HCA also supports five voluntary employee led Employee Resources Groups (ERGs), which create opportunities for connection, community, learning, and professional growth.

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:

We encourage you to apply! 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.

Veterans: We value the experience and skill veterans bring to the workforce and encourage veterans, transitioning service members, and military spouses to apply. Eligible veterans may qualify for veterans’ preference in accordance with Washington State Law. If you are claiming veterans’ preference, you must attach your applicable DD-214 documentation to your application. Please redact your social security number, date of birth, and any other sensitive information before uploading and attaching the document.

Need accommodations or have questions?: If you have questions, need assistance with the application process, require an accommodation, or would like to request this posting in an alternative format, please contact Jake Nelko, human resources consultant – recruiter, at HCAjobs@hca.wa.gov and reference the recruitment title and job number in the subject line.

Technical Support: Reach out to NEOGOV directly at 1-855-524-5627 for technical support and login issues.

The Washington State Health Care Authority (HCA) is an E-Verify employer. All applicants with a legal right to work in the United States are encouraged to apply.

E-Verify® is a registered trademark of the U.S. Department of Homeland Security.

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