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State of Washington · 1 month ago

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

Walla Walla, WA

Full-time

Hybrid

Director/Executive

10+ years exp

The State of Washington is seeking a Section Manager for the Strategic Design and Program Oversight in the Medicaid Programs Division. This role involves overseeing a diverse team to implement and manage high-quality health care programs for Medicaid clients, focusing on behavioral health integration and improving patient care.

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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 collaboration

Required

Bachelor's degree in business administration, public administration, public health, or related field, and 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

Associate degree in business administration, public administration, public health, or related field, and 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

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

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