Medicaid Transformation Manager (Policy)
Agency Internal Fulltime, Project
The Policy Division (PD) of the Health Care Authority is statutorily directed to study all state-purchased health care, alternative health care delivery systems and strategies for the procurement of health services and to coordinate state agency efforts to develop and implement uniform policies across state purchased health care programs. The PD serves as the focal point for coordinating the agency's strategy and health policy efforts. The division is structured to provide expert direction, consultation and support for these activities. The PD is the health policy and innovation engine of HCA, and is responsible for driving policy design, development and implementation of health reform activities.
The Office of Medicaid Transformation within the Policy Division is a cross-agency, interdisciplinary team of policy, finance, community engagement, performance measurement, communications and other specialists responsible for assuring the success of the Medicaid Transformation Project demonstration (MTP), a five-year agreement between the state and the Centers for Medicare and Medicaid Services (CMS) under a Section 1115 waiver.
The Manager, Medicaid Transformation, is responsible for a broad range of health policy development activities and projects; managing grant and demonstration projects and federal waivers; directing health policy planning and analysis initiatives; stakeholdering, and developing innovative strategies to resolve complex health care coverage issues including Healthier Washington implementation, Medicaid expansion, and payment and delivery reform; where federal policy guidance and state direction is not always clear or not easily applied to current policy direction. The Manager bears particular accountability for exercising these responsibilities with respect to the MTP.
HCA offers you:
A healthy work/life balance, including alternative/flexible schedules and mobile working
A clear agency mission that drives our work and is person-centered
A great total compensation and benefit package
A safe, pleasant workplace in a convenient location
Some of what you will do:
Plan, direct and coordinate projects and resources to support policy research, program development and implementation of federal and/or state health policy initiatives and state purchased health care, including, in particular, Medicaid transformation waivers. Write documents to support these requests and the negotiation of federal financial assistance, as well as applications for federal and other grant funding.
Anticipate impacts of changes in state and federal law on health coverage policy and program development for state purchased health care and alert key executives to implications and potential contingencies needed.
Develop innovative strategies to resolve complex health care coverage issues including aspects of Healthier Washington implementation, Medicaid transformation, and payment and delivery reform, where federal policy guidance is still forthcoming and policy solutions require expert analysis.
Advise Governor's health policy and budget advisors, HCA executives and operations staff, stakeholders, tribes and legislative health and other committees on formulation and change to statewide health coverage policy for state purchased health care. Develop and present updates on health care issues to inform and engage stakeholders at all levels.
Manage contracts with consultants by developing project scope and deliverables and providing additional guidance to ensure project goals and work products meet expectations.
Represent HCA and Washington State in negotiations with state and federal partners on major, substantive and innovative waivers of federal law impacting HCA. Take steps to anticipate and address administrative and financial challenges and proactively coordinate discussions to resolve potential issues.
Research health care trends, reform, innovative models, and connect with counterparts in other states on these items in order to find evidence-based policy and lessons learned for the development of Washington health policy.
Master's degree in health policy related field, or equivalent or comparable education, with five or more years of progressively responsible project management experience in health coverage policy and program development, including appropriate use of research, data, limited resources, and analysis of other state demonstrations, to formulate and advise decision-making, issue resolution and policy development. Additional relevant education may substitute in part for required experience.
Demonstrated experience and work with Medicaid programs and with Medicaid 1115 waiver programs in particular. Broad knowledge of local health care industry; low income populations; Medicaid and other federal law affecting low income populations and mechanisms to waive federal rules. Knowledge of other states' experience developing, financing and implementing federal Medicaid waivers. Strong and proven skills in coordination and motivation of diverse resources to quickly resolve critical health policy issues; project, contractor and stakeholder management; consensus building and negotiation; data analysis and interpretation for policy making; strong written and oral communication skills.
Demonstrated experience in successfully managing complex Medicaid or health care related projects involving multi-agency groups and stakeholders and in making presentations to external audiences on challenging policy concepts.
Experience in systems thinking and planning. Knowledge of historical context of Washington State health policymaking and evolution of federal law impacting low income populations, including Title XIX (Medicaid), national health reform and Washington's Tribes. Ability to conduct research projects requiring utilization of data and statistics. Ability to write and develop successful grant and other funding applications to meet Washington State's needs.
How to Apply:
To apply for this position you will need to complete your profile and attach:
A cover letter
Three professional references
If you have questions about the process, or need reasonable accommodation, please contact the recruiter before the posting closes. The candidate pool certified for this recruitment may be used to fill future similar vacancies for up to the next six months.
Washington State is an equal opportunity employer. Persons with disabilities needing assistance in the application process, or those needing this job announcement in an alternative format may call the Human Resources Office at or email
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 but will be considered in determining the applicant's suitability and competence to perform in the position. *
Salary: $85,044.00 - $119,076.00 Annually
Location:* Thurston County Olympia, WA
Job Type:* Agency Internal - Project
Department:* Health Care Authority
Job Number:* 2018-09521
Closing: 9/27/2018 11:59 PM Pacific
Agency:* State of Washington
Address:* View Job Posting for Agency Information View Job Posting for Location, Washington, 98504
Phone: View Posting for Agency Contact