Medical Specialist Job at State of Washington Health Care Authority
State of Washington Health Care Authority Olympia, WA
$50,592 - $68,076 a year
Description
Medical Assistance Specialist 5 (MAS5/MCS)
71028709
This recruitment has been extended due to a small candidate pool.
The Legislature has approved a 4% general wage increase for all state employees, effective July 1, 2023.
About the division:
The Health Care Authority (HCA) is Washington’s largest health care purchaser responsible for providing comprehensive health coverage to more than 2 million residents through the Public Employees Benefits and Medicaid programs. HCA’s mission is to provide high quality health care through innovative health policies and purchasing strategies. The Division of
Medicaid Customer Service (MC
S) works across the Health Care Authority (HCA) and in partnership with the health care community at a local, state, and federal levels, in order to develop, and manage high quality, and evidence-based health care programs and purchase services that enhance Apple Health (Medicaid) clients' ability to access appropriate, quality health care.
About the position:
This Medical Assistance Specialist 5 (MAS5) supervises staff of 11 or more MAS3 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. 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:
- Using 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; plans, assigns and reviews the work of staff, adjusting assignments and schedules to maintain adequate staffing levels and respond to fluctuating workloads. Evaluates employee performance and prepares performance appraisals. Assesses training needs of staff and arranges for or provides instruction. Reviews applicants’ credentials, conducts interview and hires or effectively recommends hiring staff. Resolves staff issues, disciplines, and recognizes employees; works with and counsel’s 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. Compile performance statistics on at least a monthly basis for reporting to Division Director. 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.
- Represent MEDS on workgroups and agency wide committees, coordinate with other agencies and offices within HCA as required to achieve the goals and objectives of MEDS.
Qualifications
Required qualifications:
Bachelor’s Degree AND four (4) years of experience providing one (1) or more of the following:
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 process, adjusting, and investigation.
Other medical premiums/claims related experience.
OR
- One (1) year as a Medical Assistance Specialist 4.
OR
- Two (2) years as a Medical Assistance Specialist 3.
Additional experience may substitute, year for year, for the required education.
Preferred qualifications:
- Experience supervising in a collective bargaining environment.
- Experience working with eligibility rules.
- Experience working with Barcode, ACES and Healthplanfinder
Supplemental Information
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.
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 Voices of HCA
- A clear agency mission that drives our work and is person-centered HCA's 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.
- 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. 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 Angel Matthews at angel.matthews@hca.wa.gov.
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.
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