Statewide Substance Use Disorder (SUD) Systems Analyst (MA5/DBHR) - Project

Description

Statewide Substance Use Disorder (SUD) Systems Analyst (MA5/DBHR) - Project
71109444

This is a project position funded through 06/30/2027

We are seeking a substance use disorder professional (SUDP) or subject matter expert (SME) to lead statewide initiatives in improving care for individuals who use drugs or are diagnosed with a substance use disorder. As the Statewide SUD Systems Analyst, you’ll drive American Society of Addiction Medicine (ASAM) implementation, support community programs, and collaborate with key HCA partners. As the SME, this position will provide policy recommendations and support best practices under ASAM criteria. Apply today to enjoy telework flexibility and a comprehensive benefits package while making a real impact!

All HCA employees will apply an equity lens to their work, which may include but is not limited to all analyses of core business and processes.

Division philosophy statement:
The Division of Behavioral Health and Recovery values and seeks diversity, equity, and inclusion as integral to the behavioral health field. We support, embrace, and celebrate everyone’s uniqueness, promote inclusion, and commit to remove systemic barriers that affect our workforce, our providers, and the people that receive prevention, treatment, and/or recovery support services.

About the position:
The Statewide SUD Systems Analyst (Management Analyst 5) is critical to the achievement of HCA’s mission of purchasing, delivering, and providing access to high quality health care and health care systems. This role is in the Division of Behavioral Health and Recovery and will lead efforts to implement the latest addiction treatment standards (ASAM 4th edition) and improve community-based overdose response programs. They will also help shape policies affecting treatment providers, Medicaid programs, and billing processes. The MA5 coordinates with various HCA partners to improve care access and expand harm reduction efforts across the community behavioral health system.

Duties

Some of what you will do:

• Plan and coordinate the activities of the ASAM 4th Edition steering committee and everyone involved in the development of comprehensive state-wide reviews, plans, policies, contracts, and billing needed to update provider billing and coding related to new SUD treatment under ASAM-4.
• Design, develop, implement and evaluate agency and state–wide health care policy related to best practices in adopting new standards under ASAM-4.
• Evaluate the effectiveness of health care program policies and initiatives related to implementation of ASAM-4.
• Research and develop new strategies and manage the development and implementation of statewide health care initiatives and policy directives related to ASAM-4 and the associated population-specific sub-criteria.
• Provide subject matter expertise and technical assistance to community behavioral health agencies on the development of policies and procedures which support ASAM-4.
• Research health care trends, reform, innovative models, and connect with counterparts in other states on these items to find evidence-based policy and lessons learned for the development of Washington health policy related to ASAM-4
• Provide recommendations regarding highly complex issues involving broad scope ASAM implementation issues, including process improvements, policy development, and bill procedures that have a significant impact on agencies statewide and the public.
• Provide technical assistance to community providers on program design and implementation, including best practices on billing Medicaid under ASAM-4.
• Provide support and connection to subject matter expertise on ProviderOne enrollment, claims billing and payment conflict resolution related to SUD billing.
• Meet with HCA Rules Team and Department of Health to determine which Washington Administrative Code (WAC) changes are needed to coincide with implementation of ASAM 4th edition
• Work closely with the Office of Insurance Commissioner to coordinate efforts related to implementation of Second Engrossed Substitute Senate Bill 6228.
• Support High Intensity Community Based OUD Treatment Services program goals and objectives, develop timetables and work plans, program policies and procedures

Qualifications

Required qualifications:

Qualifying candidates will meet one of the following criteria options:

Option 1:

Master’s degree or higher in social public health, social services, behavioral health, or a related field and three (3) years of the required experience below

Option 2:

Bachelor's degree in a field identified above, and five (5) years of the required experience below

Option 3:

Associate degree in a field identified above, and seven (7) years of the required experience below

Option 4:

Nine (9) years of the required experience below

The required experience includes two or more of the following in a public health, behavioral health, managed care, or other healthcare system:

• Conducting research
• Analyzing policies, laws, rules, or regulations
• Conducting business analysis and developing requirements
• Leading business projects
• Managing business operations
• Business policy development

Required knowledge, skills, and abilities:

• Knowledge of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) and, knowledge and skills in applying the American Society of Addiction Medicine Criteria (3rd and 4th editions) to help determine level of care for individuals with a substance use disorder
• Extensive knowledge about the health and social service needs of people who use drugs, low-barrier healthcare, and harm reduction
• Demonstrated ability to problem-solve, prioritize workloads, meet deadlines, and provide independent strategic direction/decision making
• Ability to maintain relationships, coordinate, and build consensus among internal and external stakeholders
• Ability to work across systems to develop improved coordination of care for individuals with multiple needs
• Ability to make data-informed decisions and conduct data-based program planning and service recommendations
• Knowledge and understanding of Medicaid Managed Care in Washington state

Preferred qualifications:

• Experience working in a licensed or certified behavioral health agency providing substance use and opioid use disorder services
• Experience working in or receiving services from WA State low-barrier service programs including SSPs and other social service programs
• Project management knowledge, skills, and ability to: apply project management methodologies, tools, and techniques to include planning, executing, controlling, and closing a project
• Knowledge of federal and state substance use disorder statutes, rules, and regulations, including Medicaid rules and regulations
• Knowledge and understanding of primary care systems, including Federally Qualified Health Centers
• Ability to work collaboratively and communicate effectively with multiple stakeholders including consumers, advocates, healthcare providers, legislative staff, and more to develop policies and programming to support improved drug user health outcomes
• Excellent written and verbal communication skills including the ability to develop and conduct presentations to a variety of audiences demonstrating effective organization, communication, and technical skills
• Ability to work independently, think creatively, and organize and prioritize a wide range of responsibilities
• Demonstrated commitment to diversity, equity, quality and inclusion in healthcare
• High level of expertise and experience in stakeholder management and communication planning

How to apply:

Only candidates who reflect the required 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.

Supplemental Information

About HCA:
Functioning as both the state's largest health care purchaser and its behavioral health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible.

There are three pillars of our work: Apple Health (Medicaid); the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs; and behavioral health and recovery. Under these pillars, HCA purchases health care, including behavioral health treatment for more than 2.7 million Washington residents and provides behavioral health prevention, crisis, and recovery supports to all Washington residents.

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. HCA has five employee resource groups (ERGs). ERGs are voluntary, employee-led groups whose aim is to foster a diverse, inclusive workplace aligned with HCA’s mission. Our diversity and inclusion efforts include embracing different cultures, backgrounds and viewpoints while fostering growth and advancement in the workplace. Studies have shown women, racial and ethnic minorities, and persons of disability are less likely to apply for jobs unless they feel they meet every qualification as described in a job description. Persons over 40 years of age, disabled and Vietnam era veterans, as well as people of all sexual orientations and gender identities are also encouraged to apply. If you have any questions about the required qualifications or how your experience relates to them, please contact us at HCAjobs@hca.wa.gov. Persons with disabilities needing assistance in the application process, or those needing this job announcement in an alternative format may contact Lisa Fleming at (360) 725-1723 or lisa.fleming@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.

E-Verify® is a registered trademark of the U.S. Department of Homeland Security.

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