NEOGOV · 18 hours ago
Health Home / 1915(i) Program Specialist (HCPS/MPD)
Thurston County – Olympia, WA
Full-time
Hybrid
Mid, Senior Level
$68K/yr - $91K/yr
2+ years expNEOGOV is seeking a Health Home / 1915(i) Program Specialist to support innovative public health programs. The ideal candidate will provide consultation and coordination for Health Home and 1915(i) Medicaid programs, ensuring compliance and effective service delivery.
GovernmentSoftwareHuman ResourcesInformation TechnologyGovTech
Responsibilities
Act as a Program Specialist for the Statewide Community Behavioral Health Support Services 1915(i) Program
Collaborates with the CBHS Program Manager on the oversight and compliance with policies and procedures for the statewide Community Behavioral Health Support Services Program, funded through a Medicaid 1915(i) waiver
Provides reviews of 1915i service referrals using program knowledge and research
Coordinates with MCOs and DSHS to resolve eligibility issues and support medical records reviews
Represents the agency with external stakeholders in communications around eligibility for services as well as coordinating the implementation of guides, manuals, and WACs
Coordinates with MCOs and the Adult Family Home Council (AFHC) clearinghouse on the use of ProviderOne or other systems related to eligibility and payments
Coordinates the oversight and contract management of the CBHS Clearinghouse for Adult Family Homes
Prepares and assists in the preparation of policy and contract documents for internal discussion, presentation to executive leadership, and communication with stakeholders
Act as Program Specialist for Dual Special Needs Plan (DSNP) Health Home
Partners with the DSNP subject matter expert (SME) and Health Homes SME on 1945 of the Social Security Act as it relates to Health Home services
Collaborates with the Medicare Advantage SME in the ongoing efforts to advance Medicare-Medicaid integration consistent with federal expectations
Provides support to the agency’s SME supporting oversight of one or more State Medicaid Agency Contracts (SMAC) including monitoring of service delivery
Qualification
Required
Master's degree with major study in public health, behavioral health, public administration, business administration, social work, or closely related field and Two (2) years of consultative or supervisory experience in health services, social services, Medicaid, behavioral health, or other health care programs
Bachelor's degree with major study in public health, behavioral health, public administration, business administration, social work, or closely related field and Four (4) years of consultative or supervisory experience in health services, social services, Medicaid, behavioral health, or other health care programs
Associate degree with major study in public health, behavioral health, public administration, business administration, social work, or closely related field and Six (6) years of consultative or supervisory experience in health services, social services, Medicaid, behavioral health, or other health care programs
Eight (8) years of consultative or supervisory experience in health services, social services, Medicaid, behavioral health, or other health care programs
One year as a Health Care Program Consultant
The ability to take action to learn and grow
The ability to take action to meet the needs of others
Excellent oral and written communication skills required
Expert in computer software: Windows Excel, Access, PowerPoint
Expertise in communications
Preferred
Four (4) years of experience in working with managed care operations, delivery systems, customer service activities, and policy issues to ensure provision of high-quality care to Medical Assistance enrollees
Two (2) years of experience in program development, implementation, and evaluation of Medicare
Two (2) years of experience in providing behavioral health services at a patient level, including working with culturally diverse populations
Knowledge of the structure and function of the various sub-divisions of the Health Care Authority and the Department of Social and Health Services, including experience in cross system collaboration, team building and aligning internal and external resources in support of program development to ensure the delivery of quality health care services to high-risk clients
Ability to analyze data related to contract performance and other issues relating to managed care contracts
State and federal managed care and related laws (e.g., HIPAA) laws, policies, regulations, and procedures on Medicaid and healthcare both within and outside HCA
Familiarity with Care Coordination contract terms and processes
Communication skills, including written and oral presentations for a wide variety of audiences, community members, provider groups, clients, and client advocates
Benefits
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).
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.
Company
NEOGOV
NEOGOV is the leading provider of workforce management software uniquely designed for the public sector, education, and public safety.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
$700MKey Investors
The Carlyle Group,Warburg PincusWarburg Pincus
2025-07-28Secondary Market· $700M
2025-07-28Acquired
2021-06-02Private Equity
Leadership Team
Shane Evangelist
CEO
Brandon McDonald
Head Of Marketing
Recent News
Canada NewsWire
2025-11-14
2025-11-14
Government Technology US
2025-10-31
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