Medical Assistance Specialist 5 (MAS5AHSO) – Internal

Medical Assistance Specialist 5 (MAS5/AHSO) Internal

This opportunity is internal and available to current HCA employees only.

This recruitment will be used to fill multiple positions.

Lead a team of 12 eligibility specialists helping connect Washington residents to Medicaid programs including Apple Health for Kids pregnancy coverage and family planning this supervisory role you will guide day-to-day operations of the Medical Eligibility Determination Services (MEDS) section supporting accurate and timely eligibility decisions that directly impact individuals and families across the state. If you are a collaborative leader who values people purpose and public service this is an opportunity to make a meaningful difference every day.

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 division:

The organizations mission is to provide high quality health care through innovative health policies and purchasing strategies. The Apple Health Services and Operations (AHSO) Division works across the Health Care Authority (HCA) and in partnership with the health care community at local state and federal levels in order to develop and manage high quality and evidence-based health care programs and purchase services that enhance Washington States citizens ability to access appropriate quality health care.

About the position:

The Medical Assistance Specialist 5 (MAS5) will supervise staff of 11 or more MAS 3 and 1 MAS4 positions in the MEDS section responsible for determining and maintaining eligibility for Medicaid programs including but not limited to Apple Health for Kids Pregnancy Medical Breast and Cervical Cancer Treatment Program and the Take Charge Family Planning Programs.

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:

• Use multiple eligibility systems such as but not limited to the Document Management System (DMS) Automated Client eligibility System (ACES) Barcode systems and the EAZ policy manual.
• Plan assign and review the work of staff adjusting assignments and schedules to maintain adequate staffing levels and respond to fluctuating workloads.
• Evaluate employee performance and prepare performance appraisals.
• Assess training needs of staff and provide instruction.
• Review applicants credentials conduct interviews and effectively recommend hiring staff.
• Resolve staff issues provide discipline and recognition of employees work with and counsel employees on all work-related activities and career development.
• Monitor workload and performance using multiple systems to ensure tasks are distributed maintained and processed within federally established timelines.
• Use multiple systems to track employee performance and accuracy and identify training needs.
• Develop performance standards and ensure standards are clearly communicated to all staff.
• Monitor performance and establish performance improvement plans as necessary.
• Monitor monthly audits via ACES Barcode and SharePoint to analyze and identify trends requiring training and/or system corrections.
• Monitor and evaluate work processes to align with established practices and eligibility rules.
• Collaborate with other supervisors and management to develop consistent processes and procedures.
• Direct training as required to implement changes in rules and/or procedures.
• Interpret policies related to Medicaid programs as they apply to MEDS staff and clients.

Required qualifications:

Qualified candidates will satisfyone of the following options:

Option 1:

• Bachelors degree and four (4) years of the experience as defined below

Option 2:

• Associate degree and six (6) years of the experience as defined below

Option 3:

• Eight (8) years of the experience as defined below

Option 4:

• One (1) year as a Medical Assistance Specialist 4

Option 5:

• Two (2) years as a Medical Assistance Specialist 3

Qualifying experience includes the following:

• 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;
• Other medical premiums/claims related experience.

Required competencies:

• The ability to take action to learn and grow.
• The ability to take action to meet the needs of others.

Preferred qualifications:

• Experience leading in a collective bargaining environment.
• Experience working with eligibility rules.
• Experience working with Barcode ACES and Healthplanfinder

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 .

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 serve Voices of HCA
• A clear agency mission that drives our work and is person-centered HCAs Mission Vision & Values
• A healthy work/life balance including alternative/flexible schedules and mobile work options.
• A great total compensation and benefit package WA 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 Lisa Fleming at or

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.

Subscribe to our weekly newsletter to receive a list of new job postings at HCA.