NEOGOV · 13 hours ago
Health Care Program Manager (HCPM/FS)
NEOGOV is seeking a Health Care Program Manager (HCPM) to act as the state-wide subject matter expert for Medicaid supplemental payments. The role involves managing various payment programs, ensuring compliance with federal regulations, and facilitating stakeholder communications.
GovTechHuman ResourcesInformation TechnologySoftware
Responsibilities
Program management for the following supplemental payment programs: Academic Medical Center ODP and IDP, ASSP, PSSP, PAP, and other supplemental payment programs as assigned
Manage all aspects of assigned supplemental payment programs including inpatient and outpatient academic medical center providers, professional services at public hospitals and publicly owned airlift services for both Fee-For-Service (FFS) and Managed Care enrolled clients
Plan, design, develop, and maintain documentation and fiscal modeling of the ODP, IDP, ASSP, PSSP, PAP, and other supplemental payment programs, as assigned, to include program communications, provider inquiries, WAC, policy documentation and program manuals
Extensively review, design, develop, and maintain systems for tracking, analyzing and reporting assigned supplemental payment programs utilizing Excel at the expert level and SQL at the intermediate level
Prepare budget allotment requests and justifications for ODP, IDP, ASSP, PSSP, and PAP programs and other supplemental payment programs as assigned; verify adequacy and accuracy of supporting data
Supports the development of the bi-annual forecast through subject matter expertise and fiscal analysis
Develop and generate provider communications and invoices for support of ODP, IDP, ASSP, PSSP, PAP programs and other supplemental payment programs as assigned
Manage and facilitate the state directed payments with CMS to obtain authority for ODP, IDP, ASSP, PSSP, and PAP programs and other supplemental payment programs as assigned
Qualification
Required
Master's degree with major study in public health, behavioral health, public administration, business administration, social work, or closely related field
Three (3) years consultative or supervisory experience in health services, social services, Medicaid, behavioral health, or other health care programs
Bachelor's degree with a major study in public health, behavioral health, public administration, business administration, social work, or closely related field
Five (5) years consultative or supervisory experience in health services, social services, Medicaid, behavioral health, or other health care programs
Nine (9) years consultative or supervisory experience in health services, social services, Medicaid, behavioral health, or other health care programs
One (1) year as a Health Care Program Specialist
The ability to take action to learn and grow
The ability to take action to meet the needs of others
Must be able to communicate in a positive manner with diverse audiences and facilitate large and small teams
The ability to anticipate, assess, and respond effectively to the needs of diverse customers; making excellent Customer service a high priority in order to attract, support, and maintain our customer base
The employee's ability to take responsibility for their own performance by setting clear goals and balancing critical job requirements through the proper use of task management, results orientation, stress management and problem-solving skills
Consistent with Procurement Reform Law (RCW 39.26.110), this position requires the completion of the following DES contracts training courses within 90 days of hire: All courses required for School of Contract Managers and Monitors
Preferred
Four (4) years working experience and in-depth working knowledge of hospital payment methodologies related to Medicaid, Medicare and commercial payers and federal supplemental payment programs
Intermediate skills utilizing and interpreting structured query language or other related database query language
Experience with MMIS (ProviderOne) system
Ability to perform complex financial analyses using financial data and financial modeling
Ability to perform statistical analyses
Ability to analyze and interpret Medicare/Medicaid cost reports
Advanced project management skills involving stakeholders with varied interests both internal and external to HCA
Advanced level knowledge of hospital related claims and billing policy, ICD-10 diagnosis codes and operating procedures, Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS)
Benefits
Medical (including vision), dental and basic life insurance
Medical flexible spending account
Basic life and long-term disability insurance
Dependent care assistance
Washington State Employee Assistance Program
Washington Public Employees' Retirement System (PERS)
Deferred Compensation Program
Social Security
Public Service Loan Forgiveness
Paid holidays and one paid personal holiday per calendar year
Sick leave
Vacation leave
Military Leave
Bereavement Leave
Leave Sharing
Parental Leave
Family and Medical Leave Act (FMLA)
Leave Without Pay
Company
NEOGOV
NEOGOV is the leading provider of workforce management software uniquely designed for the public sector, education, and public safety.
H1B Sponsorship
NEOGOV has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
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Trends of Total Sponsorships
2025 (13)
2024 (10)
2023 (10)
2022 (18)
2021 (14)
2020 (16)
Funding
Current Stage
Late StageTotal Funding
$700MKey Investors
Warburg Pincus
2025-07-28Secondary Market· $700M
2025-07-28Acquired
2021-06-02Private Equity
Recent News
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