JOB
Medicaid Transportation Program Manager (HCPM/MPD)
71028910
This is a great opportunity for a strategic, detail-oriented professional to serve as the statewide policy expert for Washington’s Non-Emergency Medical Transportation program (federal and state program ensuring Medicaid clients can access medical care). The ideal candidate brings strong data analysis skills (Excel, Tableau, Power BI), experience managing large transportation systems and statewide projects, and familiarity with the laws governing non-emergency medical transportation. The Medicaid Transportation Program Manager (Health Care Program Manager) will also have the ability to manage complex budgets and communicate effectively across all levels.
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 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.
About the position:
Within MPD the Community Services Section, the Non-Emergency Medical Transportation Program (NEMT) provides the assurance of access to medical services, as required by federal Centers for Medicare and Medicaid Services (CMS). This assurance of access is one of the conditions placed on the State of Washington to receive federal fiscal participation in the delivery of healthcare services for citizens of this state on Medicaid. As a result, the NEMT program is involved in all Medicaid health care programs that include a transportation benefit, requiring staff to have an exceptionally broad base of knowledge to be successful. Within the NEMT unit, this position is designated as the statewide policy and planning subject matter expert.
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.
EXAMPLE OF DUTIES
Some of what you will do:
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Ongoing statewide policy development activities for the NEMT program primarily determine policy application and exceptions
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Policy Development and WAC/State Plan writing to update program rules when necessary.
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Process monthly invoices and quarterly performance incentive/penalty calculations. Confirm proper account coding, confirm 100% FMAP coding for eligible tribal trips.
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Develop focused pilots to test viability of policy adjustment to improve service delivery.
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Develop and maintain clear Memorandums of Understandings/Working Agreements with internal stakeholders that utilize NEMT program for client access to services.
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Design and develop new incentives/disincentives to improve contractor performance.
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Contract Amendment development and execution.
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Contract Procurement, development, and management activities for the NEMT program.
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Participate as needed in internal/external workgroups; provide expert program oversight and consultation to HCA staff, medical providers, constituents and advocates, and all issues related to the federal NEMT programs
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Review and evaluate proposed legislation; review and interpret federal Code of Federal Regulations (CFR) and state Washington Administrative Code (WAC), and other regulations as needed; amend, as necessary, the State Plan, Revised Code of Washington (RCW) and WAC; analyze and prepare bill analysis.
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Interpret Medicaid scope of care, eligibility for services and applicability of RCWs, WACs, State Plan and state policies, and share this information as appropriate with other parties, including Brokers, State Legislators, and clients.
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Developing and implementing a comprehensive program monitoring plan to ensure broker contract compliance meets the terms and conditions of these statewide contracts; performs on-site and desk monitoring reviews of statewide broker contracts to ensure services are provided according to all contractual terms and conditions.
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Maintain and update Internal Knowledge Base.
SUPPLEMENTAL INFORMATION
About HCA:
Functioning as both the state's 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:
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Meaningful work with friendly co-workers who care about those we serve Voices of HCA
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A clear agency mission that drives our work and is person-centered HCA's Mission, Vision & Values
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A healthy work/life balance, including alternative/flexible schedules and mobile work options.
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A great total compensation and benefit package WA State Government Benefits
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A safe, pleasant workplace in a convenient location with restaurants, and shopping nearby.
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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. 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 [email protected] 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 [email protected]
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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