Address
Form of workSalary : $98,820.00 - $138,360.00 Annually
Location : Thurston County - Olympia, WA
Job Type: Full Time - Permanent
Remote Employment: Remote Optional
Job Number: 2023-16229
Department: Health Care Authority
Division: PD
Opening Date: 12/22/2023
Closing Date: Continuous
Description
Medicaid Transformation Project Director(WMS3/PD)
71029316
This recruitment is posted continuously. We encourage submission of your application materials as soon as possible. The hiring manager reserves the right to close the posting at any time once a selection has been made.
HCA is seeking a skilled leader to guide the evolution of the Medicaid Transformation Project (MTP) into its 2.0 iteration! This role involves partnering with federal entities, collaborating with external groups and internal colleagues, and establishing innovative Medicaid policies to shape healthcare statewide. From developing pioneering policies and innovative fiscal models and advising on complex policy changes, we need a strategic, thoughtful individual who navigates complex issues and leads diverse teams and resources for impactful health initiatives.
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 Policy Division at the Washington State Health Care Authority oversees the Medicaid Transformation Project (MTP), aiming to improve health and reduce costs for 2 million Medicaid enrollees. Collaborating with multiple agencies and communities, they're driving significant health reforms, securing a $4 billion renewal of MTP for five years. This interdisciplinary effort involves expertise in policy, finance, community engagement, and performance measurement to ensure MTP's success. Join this team to play a crucial role in shaping the future of healthcare in Washington.
About the position:
The Medicaid Transformation Project Director oversees negotiation and development of MTP's Section 1115 waiver renewal (MTP 2.0) and transition of the current MTP, aligning with CMS, Governor, and legislative mandates. Responsible for managing teams, compliance with CMS conditions, and projects totaling $4 billion, ensuring financial planning and direction of the Medicaid Quality Improvement Program. Requires Medicaid policy expertise, leadership, strategic decision-making, policy development, designing processes for distributing infrastructure funding, and executing waivers. Involves policy analysis, stakeholder engagement, cost efficiencies, and reforming healthcare for communities and low-income families throughout the state. Crucial in shaping statewide health policy and maintaining key relationships with stakeholders and national health organizations.
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. Frequency of onsite work will vary based on business and operational needs. HCA may choose, but is not required, to support out-of-state telework on a case-by-case basis.
Duties
Some of what you will do:
Qualifications
Required qualifications:
Note: Related experience may substitute year-for-year for education requirements.
Preferred qualifications:
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:
To take advantage of veteran preference, please do the following:
Supplemental Information
About HCA:
The Washington State Health Care Authority (HCA) is committed to whole-person care, integrating physical health and behavioral health services for better results and healthier residents.
HCA purchases health care for more than 2.5 million Washington residents through Apple Health (Medicaid), the Public Employees Benefits Board (PEBB) Program, and the School Employees Benefits Board (SEBB) Program. As the largest health care purchaser in the state, we lead the effort to transform health care, helping ensure Washington residents have access to better health and better care at a lower cost.
What we have to offer:
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 HCA's mission. Our diversity and inclusion efforts include embracing different cultures, backgrounds and viewpoints while fostering growth and advancement in the workplace. Women, racial and ethnic minorities, persons of disability, persons over 40 years of age, disabled and Vietnam era veterans, as well as people of all sexual orientations and gender identities are encouraged to apply. Persons with disabilities needing assistance in the application process, or those needing this job announcement in an alternative format may contact Lisa Fleming at (360) 725-1723 or
The Washington State Health Care Authority (HCA) is an All applicants with a in the United States are encouraged to apply.
to receive a list of new job postings at HCA.
More than Just a Paycheck!
Employee benefits are not just about the kind of services you get, they are also about how much you may have to pay out of pocket. Washington State offers one of the most competitive benefits packages in the nation.
We understand that your life revolves around more than just your career. Like everyone, your first priority is ensuring that you and your family will maintain health and financial security. That's why choice is a key component of our benefits package. We have a selection of health and retirement plans, paid leave, staff training and other compensation benefits that you can mix and match to meet your current and future needs.
Read about our benefits:
The following information describes typical benefits available for full-time employees who are expected to work more than six months. Actual benefits may vary by appointment type or be prorated for other than full-time work (e.g. part-time); view the job posting for benefits details for job types other than full-time.
Note: If the position offers benefits which differ from the following, the job posting should include the specific benefits.
Insurance Benefits
Employees and their families are covered by medical (including vision), dental and basic life insurance. There are multiple medical plans with affordable monthly premiums that offer coverage throughout the state.
Staff are eligible to enroll each year in a medical flexible spending account which enables them to use tax-deferred dollars toward their health care expenses. Employees are also covered by basic life and long-term disability insurance, with the option to purchase additional coverage amounts.
To view premium rates, coverage choice in your area and how to enroll, please visit the Public Employees Benefits Board (PEBB) website. The Washington Wellness program from the Health Care Authority works with PEBB to support our workplace wellness programs.
Dependent care assistance allows the employee to save pre-tax dollars for a child or elder care expenses.
Other insurance coverage for auto, boat, home, and renter insurance is available through payroll deduction.
The Washington State Employee Assistance Program promotes the health and well-being of employees.
Retirement and Deferred Compensation
State Employees are members of the Washington Public Employees' Retirement System (PERS). New employees have the option of two employer contributed retirement programs. For additional information, check out the Department of Retirement Systems' web site.
Employees also have the ability to participate in the Deferred Compensation Program (DCP). This is a supplemental retirement savings program (similar to an IRA) that allows you control over the amount of pre-tax salary dollars you defer as well as the flexibility to choose between multiple investment options.
Social Security
All state employees are covered by the federal Social Security and Medicare systems. The state and the employee pay an equal amount into the system.
Public Service Loan Forgiveness
If you are employed by a government or not-for-profit organization, and meet the qualifying criteria, you may be eligible to receive student loan forgiveness under the Public Service Loan Forgiveness Program.
Holidays
Full-time and part-...
Location : Thurston County - Olympia, WA
Job Type: Full Time - Permanent
Remote Employment: Remote Optional
Job Number: 2023-16229
Department: Health Care Authority
Division: PD
Opening Date: 12/22/2023
Closing Date: Continuous
Description
Medicaid Transformation Project Director(WMS3/PD)
71029316
This recruitment is posted continuously. We encourage submission of your application materials as soon as possible. The hiring manager reserves the right to close the posting at any time once a selection has been made.
HCA is seeking a skilled leader to guide the evolution of the Medicaid Transformation Project (MTP) into its 2.0 iteration! This role involves partnering with federal entities, collaborating with external groups and internal colleagues, and establishing innovative Medicaid policies to shape healthcare statewide. From developing pioneering policies and innovative fiscal models and advising on complex policy changes, we need a strategic, thoughtful individual who navigates complex issues and leads diverse teams and resources for impactful health initiatives.
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 Policy Division at the Washington State Health Care Authority oversees the Medicaid Transformation Project (MTP), aiming to improve health and reduce costs for 2 million Medicaid enrollees. Collaborating with multiple agencies and communities, they're driving significant health reforms, securing a $4 billion renewal of MTP for five years. This interdisciplinary effort involves expertise in policy, finance, community engagement, and performance measurement to ensure MTP's success. Join this team to play a crucial role in shaping the future of healthcare in Washington.
About the position:
The Medicaid Transformation Project Director oversees negotiation and development of MTP's Section 1115 waiver renewal (MTP 2.0) and transition of the current MTP, aligning with CMS, Governor, and legislative mandates. Responsible for managing teams, compliance with CMS conditions, and projects totaling $4 billion, ensuring financial planning and direction of the Medicaid Quality Improvement Program. Requires Medicaid policy expertise, leadership, strategic decision-making, policy development, designing processes for distributing infrastructure funding, and executing waivers. Involves policy analysis, stakeholder engagement, cost efficiencies, and reforming healthcare for communities and low-income families throughout the state. Crucial in shaping statewide health policy and maintaining key relationships with stakeholders and national health organizations.
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. Frequency of onsite work will vary based on business and operational needs. HCA may choose, but is not required, to support out-of-state telework on a case-by-case basis.
Duties
Some of what you will do:
- Operate and conclude the MTP and transition policies and programs into MTP 2.0, leading operations, partnerships, financial oversight, federal reporting, and evaluation.
- Lead negotiations with federal partners for MTP 2.0's policies and programs, aligning goals with HCA strategies and involving stakeholders' perspectives.
- Collaborate with DSHS and HCA divisions to develop rationale and potential modifications for MTP 2.0 policies and programs.
- Develop financial policies and budgeting structures for MTP 2.0 in partnership with CMS, consultants, and HCA financial experts.
- Coordinate across HCA divisions and state agencies for MTP 2.0, developing plans to implement innovative policies.
- Develop how to strategically implement MTP 2.0, staging and activating new Medicaid program policies strategically using various authorities.
- Manage MTP 2.0 operations with healthcare agencies, partners, and consultants statewide, overseeing project activities and budgets.
- Establish an evaluation framework for MTP 2.0's performance, metrics, compliance, and potential outcomes and improvements.
- Ensure legislative and CMS compliance for MTP 2.0, collaborating with federal agencies for audits and assessments.
- Recruit, mentor, and lead project staff, oversee contractors, and communicate internally and externally to support MTP 2.0.
- Monitor and assess MTP 2.0 implementation, ensuring quality, continuous improvement, and risk mitigation across projects.
- Anticipate policy impacts, develop strategies, and advise executives, stakeholders, tribes, and legislative committees on health policy changes.
- Plan, coordinate, and manage projects and resources for health policy initiatives and state-purchased health care.
- Manage finances, forecast expenditures, anticipate budget changes, and prepare fiscal notes as needed.
- Plan, negotiate, and execute future strategic renewals of MTP.
Qualifications
Required qualifications:
- Master's degree in a health policy-related field with at least five years of progressive experience in health coverage policy and program development, including three years of experience specifically with Medicaid programs, Medicaid waivers, or managed care, supplemented by knowledge of private health care coverage and delivery system reform efforts.
- Comprehensive understanding of local healthcare, health equity, health-related social needs, and federal laws impacting low-income populations, such as the ACA, and mechanisms for waiving federal rules.
- Proficient in data analysis, interpretation for policy making, written and oral communication, and delivering presentations on complex policy concepts.
- Proficiency in negotiation, coalition building, and consensus development.
- Demonstrated persistence in achieving sustainable long-term goals.
- Strong coordination and motivation skills to resolve critical health policy issues efficiently, including project, contractor, and stakeholder management.
- Proficiency in Microsoft tools and analytic tools, including inferential statistics, along with the ability to develop and present stakeholder presentations and materials.
Note: Related experience may substitute year-for-year for education requirements.
Preferred qualifications:
- Proficiency in systems thinking and planning.
- Extensive track record in effectively managing intricate projects involving multi-agency groups and stakeholders.
- Demonstrated expertise in developing and overseeing Centers for Medicare and Medicaid Innovation (CMMI) grants, state and national quality priorities.
- Experience in managing federal grants, understanding state and national priorities, and historical context in Washington State health policy and federal law evolution impacting low-income populations.
- Knowledgeable about Title XIX (Medicaid), Title XXI (CHIP), Title XVIII (Medicare), national health reform, Section 1115 Medicaid Demonstration waivers, and their impact on Washington's tribes.
- Capable of conducting and interpreting research projects that involve the use of quantitative and qualitative statistics.
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:
- 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.
Supplemental Information
About HCA:
The Washington State Health Care Authority (HCA) is committed to whole-person care, integrating physical health and behavioral health services for better results and healthier residents.
HCA purchases health care for more than 2.5 million Washington residents through Apple Health (Medicaid), the Public Employees Benefits Board (PEBB) Program, and the School Employees Benefits Board (SEBB) Program. As the largest health care purchaser in the state, we lead the effort to transform health care, helping ensure Washington residents have access to better health and better care at a lower cost.
What we have to offer:
- 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.
- Tuition reimbursement
- 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 HCA's mission. Our diversity and inclusion efforts include embracing different cultures, backgrounds and viewpoints while fostering growth and advancement in the workplace. Women, racial and ethnic minorities, persons of disability, persons over 40 years of age, disabled and Vietnam era veterans, as well as people of all sexual orientations and gender identities are encouraged to apply. Persons with disabilities needing assistance in the application process, or those needing this job announcement in an alternative format may contact Lisa Fleming at (360) 725-1723 or
The Washington State Health Care Authority (HCA) is an All applicants with a in the United States are encouraged to apply.
to receive a list of new job postings at HCA.
More than Just a Paycheck!
Employee benefits are not just about the kind of services you get, they are also about how much you may have to pay out of pocket. Washington State offers one of the most competitive benefits packages in the nation.
We understand that your life revolves around more than just your career. Like everyone, your first priority is ensuring that you and your family will maintain health and financial security. That's why choice is a key component of our benefits package. We have a selection of health and retirement plans, paid leave, staff training and other compensation benefits that you can mix and match to meet your current and future needs.
Read about our benefits:
The following information describes typical benefits available for full-time employees who are expected to work more than six months. Actual benefits may vary by appointment type or be prorated for other than full-time work (e.g. part-time); view the job posting for benefits details for job types other than full-time.
Note: If the position offers benefits which differ from the following, the job posting should include the specific benefits.
Insurance Benefits
Employees and their families are covered by medical (including vision), dental and basic life insurance. There are multiple medical plans with affordable monthly premiums that offer coverage throughout the state.
Staff are eligible to enroll each year in a medical flexible spending account which enables them to use tax-deferred dollars toward their health care expenses. Employees are also covered by basic life and long-term disability insurance, with the option to purchase additional coverage amounts.
To view premium rates, coverage choice in your area and how to enroll, please visit the Public Employees Benefits Board (PEBB) website. The Washington Wellness program from the Health Care Authority works with PEBB to support our workplace wellness programs.
Dependent care assistance allows the employee to save pre-tax dollars for a child or elder care expenses.
Other insurance coverage for auto, boat, home, and renter insurance is available through payroll deduction.
The Washington State Employee Assistance Program promotes the health and well-being of employees.
Retirement and Deferred Compensation
State Employees are members of the Washington Public Employees' Retirement System (PERS). New employees have the option of two employer contributed retirement programs. For additional information, check out the Department of Retirement Systems' web site.
Employees also have the ability to participate in the Deferred Compensation Program (DCP). This is a supplemental retirement savings program (similar to an IRA) that allows you control over the amount of pre-tax salary dollars you defer as well as the flexibility to choose between multiple investment options.
Social Security
All state employees are covered by the federal Social Security and Medicare systems. The state and the employee pay an equal amount into the system.
Public Service Loan Forgiveness
If you are employed by a government or not-for-profit organization, and meet the qualifying criteria, you may be eligible to receive student loan forgiveness under the Public Service Loan Forgiveness Program.
Holidays
Full-time and part-...
