Medicaid Director (EMS5EXO)

Medicaid Director (EMS5/EXO)

This job posting will remain open until filled. It is in the applicants best interest to submit their application materials as early as possible. The hiring manager reserves the right to make a hiring decision at any time.

If youre ready to bring your expert strategic and advanced management principles to 2 million Washingtonians this may be for addition to being a purpose driven health care leader we are seeking an executive with exceptional communication and presentation skills as well as a systems thinking mind; able to grasp the depth and complexity of health care policy operationalize initiatives and policies institute compliance and be the bridge of collaboration with managed care plans providers and state agencies.

All HCA employees will apply an equity lens to their work which may include but is not limited to all analyses of core business and processes.

About the position:

The Medicaid Director has full delegated authority by the Director of the Health Care Authority (HCA) and serves as the designated Medicaid and CHIP Director for Washington State. The Medicaid Director is responsible for the administration of Medicaid services and compliance with Single State Agency requirements. The Medicaid Director represents Washington State with the United States Department of Health and Human Services (HHS) Center for Medicare and Medicaid Services (CMS) and is a member of the National Association of Medicaid Directors (NAMD). The Medicaid Director has principal responsibility for all components of Medicaid and provides executive leadership overall direction and strategic vision statewide.

This position works closely with the federal government Governors staff tribal governments state agencies the health care community citizens and other key stakeholders to develop statewide policies and programs. The Medicaid Director plays a critical role by planning overseeing directing and setting policy regarding national and state health care reform. This position works closely with health care providers to purchase care through integrated care organizations.

This position is eligible to telework but is frequently required to report on-site to meet business need. 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. HCA has currently suspended the ability to support out-of-state telework.

• The Medicaid Director is the key advisor to the Director of the Health Care Authority on Medicaid issues. The position leads and coordinates the states Medicaid to ensure efficient cost-effective quality care that is based on the best available scientific and medical evidence and provided with exceptional customer service to enrollees.
• The Medicaid Director is responsible for the operation of the states medical assistance program. Coordinates supervises and approves medical services contracts with health care vendors including managed care health plans. Oversees planning and division support system to resolve problems and maintain fiscal integrity. Works with project teams to organize and conduct initiatives and projects aimed at upholding the states record as an innovator in healthcare and for upholding standards of accountability. Strong collaborator with other state agency partners.
• This position is responsible for meeting negotiating with and enlisting the support of key stakeholder groups and policymakers including the states chief executive and key legislators public advocacy groups consumer representatives families of clients and provider associations as well as individual providers in leadership or other influential positions.

Required qualifications:

• Masters degree in social services public administration health care policy law or closely related field; and
• Five (5) years of experience in health plan administration and/or health care policy; or equivalent experience.
  • (Additional experience may substitute year for year of education.)

Senior executive management experience

Communication Skills

Positive Influence

Health Care Purchasing

Health Care Policy

Negotiation/mediation skills

Leadership

Change Management

Partnerships

Integrity/Ethics

Vision

Accountability

Values

Preferred qualifications:

• Specific experience in public health insurance or Medicaid programs health policy.
• Working knowledge of federal health care programs (Medicare) and requirements.
• Senior management-level experience in a complex public or private health care organization which includes:
  • Working collaboratively with local state tribal and federal government agencies and officials developing and negotiating public policy
  • Managing a diverse workforce delivering services to a complex client base

• Computer skills including but not limited to MMIS RMS Internet searching Microsoft Office Suite.

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.

• 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:

About HCA:
Functioning as both the states largest health care purchaser and its behavioral health authority the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible.

There are three pillars of our work: Apple Health (Medicaid); the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs; and behavioral health and recovery. Under these pillars HCA purchases health care including behavioral health treatment for more than 2.7 million Washington residents and provides behavioral health prevention crisis and recovery supports to all Washington residents.

What we have to offer:

• Meaningful work with friendly co-workers who care about those we serveVoices of HCA
• A clear agency mission that drives our work and is person-centeredHCAs Mission Vision & Values
• A healthy work/life balance including alternative/flexible schedules and mobile work options.
• A great total compensation and benefit packageWA State Government Benefits
• A safe pleasant workplace in a convenient location with restaurants and shopping nearby.
• And free parking!

Notes:

Prior to a new hire a background check including criminal record history will be conducted. Information from the background check will not necessarily preclude employment.

HCA is an equal opportunity employer. We value the importance of creating an environment in which all employees can feel respected included and empowered to bring unique ideas to the agency. HCA has five employee resource groups (ERGs). ERGs are voluntary employee-led groups whose aim is to foster a diverse inclusive workplace aligned with HCAs mission.Our diversity and inclusion efforts include embracing different cultures backgrounds and viewpoints while fostering growth and advancement in the workplace.Studies have shown women racial and ethnic minorities and persons of disability are less likely to apply for jobs unless they feel they meet every qualification as described in a job description. Persons over 40 years of age disabled and Vietnam era veterans as well as people of all sexual orientations and gender identities are also encouraged to apply. If you have any questions about the required qualifications or how your experience relates to them please contact us at. Persons with disabilities needing assistance in the application process or those needing this job announcement in an alternative format may contact Rachel Tillman at or .

The Washington State Health Care Authority (HCA) is anE-Verify employer. All applicants with alegal right to workin 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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