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NEOGOV · 1 month ago

Section Manager, Strategic Design and Program Oversight, Medicaid Programs Division (WMS3/MPD)

Thurston County – Olympia, WA

Full-time

Hybrid

Senior Level, Lead/Staff

$99K/yr - $139K/yr

10+ years exp

NEOGOV is seeking a Section Manager for the Strategic Design and Program Oversight in the Medicaid Programs Division. The successful candidate will oversee a diverse section of professionals managing high-quality healthcare programs, focusing on behavioral health integration and enhancing access to care for Medicaid clients.

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Responsibilities

Directly supervises four professional and one administrative staff, including two unit supervisors: one who oversees 11 Behavioral Health contract managers and another who oversees seven staff who manage DSNP integration efforts, HH, and the CBHS Program, respectively

Responsible for the development and submission of behavioral health State Plan Amendments and Waivers in furtherance of our agency mission towards behavioral health integration and whole person care

Leads the process of developing and implementing behavioral health related Federal Waivers

Manages coordination between various programs to ensure high quality and continuity of care between various program options such as managed care, DSNP/Medicare, and fee-for-service

Fosters positive work relationships and coordination with areas of the Apple Health Administration and divisions across HCA

Provides strategic direction and planning to the programs and initiatives assigned to the SDPO division

Oversees staff performing contract management, development, and implementation; development and dissemination of client informational materials; coordination with other areas of HCA, including rates and finance; and coordination and communication with external stakeholders

Provides oversight and direction to the state-wide HH and DSNP integration and care coordination efforts

Provides oversight and direction to the CBHS program

Leads management of new programs, including participation in work groups, developing contracts, and obtaining federal approval for State Plan Amendments and Waivers

Qualification

Medicaid program managementContract developmentBehavioral health integrationManaged care operationsData analysisRelationship managementStrategic planningTeam collaborationProblem solving

Required

Qualifying candidates will satisfy one of the following criteria options:

Option 1: Bachelor's degree in business administration, public administration, public health, or related field, 10 years of experience implementing and operating Medicaid programs (including, but not limited to, experience such as clinic administration, billing and financing, and/or working with insurers and/or managed care plans), and 5 years of experience developing, overseeing or writing contracts

Option 2: Associate degree in business administration, public administration, public health, or related field, 12 years of experience implementing and operating Medicaid programs (including, but not limited to, experience such as clinic administration, billing and financing, and/or working with insurers and/or managed care plans), and 5 years of experience developing, overseeing or writing contracts

Option 3: 14 years of experience implementing and operating Medicaid programs (including, but not limited to, experience such as clinic administration, billing and financing, and/or working with insurers and/or managed care plans), and 5 years of experience developing, overseeing or writing contracts

Required experience types may be gained concurrently

Required competencies: Facilitate timely communications and interchange between diverse groups of internal and external departments, agencies, and the public

Work effectively with agency staff, providers, and other affected parties to develop managed care programs

Analyze and resolve complex problems related to managed care programs

Collaborate across health care purchasing systems, build teams and work cooperatively with internal and external resources to support program development

Analyze data related to contract performance and other issues related to the managed care contracts

Preferred

Experience as a clinician, supervisor, or manager in a community or public behavioral health agency or insurer

Experience writing and amending complex contracts and other complex documents

Experience in managed care operations

Experience in complex projects or initiative management within state government

Experience with Medicaid rules and regulations

Direct knowledge of Washington State's community behavioral health system, including outpatient and inpatient care, systems and coordination of treatment (e.g. MCOs, Behavioral Health Agencies, Department of Corrections, DCRs and involuntary treatment, Aging and Long-Term Services Administration, and Developmental Disabilities Administration), understanding of crisis and commitment services, community psychiatric hospitalization, and state hospitals

Benefits

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.

And free parking!

Employees and their families are covered by medical (including vision), dental and basic life insurance.

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.

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.

State Employees are members of the Washington Public Employees' Retirement System (PERS).

New employees have the option of two employer contributed retirement programs.

Employees also have the ability to participate in the Deferred Compensation Program.

All state employees are covered by the federal Social Security and Medicare systems.

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.

Full-time and part-time employees are entitled to paid holidays and one paid personal holiday per calendar year.

Full-time employees earn eight hours of sick leave per month.

Full-time employees accrue vacation leave at the rates specified in WAC 357-31-165.

Washington State supports members of the armed forces with 21 days paid military leave per year.

Most employees whose family member or household member dies, or for loss of pregnancy, are entitled to five (5) days of paid bereavement leave.