Apple Health and Homes Program Manager (MPS2/DBHR) - Project

Description

Apple Health and Homes Program Manager (MPS2/DBHR) - Project

71101750

This is a project position funded through 12/31/2027.

Join a team dedicated to improving health care access and housing stability through the Apple Health and Homes (AHAH) initiative. In this role, you’ll help develop policies, create training materials, manage key programs, and analyze important data to support vital services. We’re looking for someone with experience in health care systems, program management, and working with various agencies. Strong problem-solving and communication skills are essential. This position offers telework flexibility and the chance to contribute to meaningful health and housing initiatives across Washington State.

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 division:

The Division of Behavioral Health and Recovery is part of a cross-agency, interdisciplinary team of policy, finance, community engagement, performance measurement, communications, and other specialists responsible for ensuring the success of the Medicaid Transformation Project (MTP) demonstration, a five-year agreement between the state and the Centers for Medicare and Medicaid Services (CMS) under a Section 1115 waiver. The MTP encompasses multiple initiatives, one of which Foundational Community Supports (FCS) undertakes to demonstrate the effectiveness of supportive housing and supported employment services in achieving whole-person health for Medicaid beneficiaries in need.

About the position:

The Apple Health and Homes (AHAH) initiative aligns health care and housing for individuals with complex needs by combining the acquisition and development of permanent supportive housing with community support services. The FCS Apple Health and Homes Program Manager, reporting to the FCS Supervisor and assisting the FCS Program Administrator, plays a key role in managing the program’s operations. Primary responsibilities include identifying and addressing program risks, creating training and resource materials for partners, implementing stakeholder engagement plans, supporting contract management with the Third-Party Administrator (TPA), coordinating enrollment efforts, and conducting research and analysis for program design and policy development.

This position is eligible to telework but is occasionally required to report on-site to meet business need. The default assigned work location of all Health Care Authority (HCA) positions – both on-site and telework eligible positions – is within the State of Washington. This position reports to Olympia, WA. Frequency of onsite work will vary based on business and operational needs. HCA may choose, but is not required, to support out-of-state telework on a case-by-case basis.

Duties

Some of what you will do:

• Develop and implement Apple Health and Homes program policies and procedures, coordinating input from HCA, Department of Commerce, DSHS, and other internal and external partners and stakeholders.
• Provide technical and consultative assistance to community FCS providers regarding AHAH enrollment and Medicaid billing and coding under FCS.
• Plan and develop training materials for staff of FCS AHAH service providers to ensure appropriate, accurate, and timely Medicaid billing and coding; coordinate and develop policies, procedures, and content for FCS and AHAH provider manuals.
• Prepare and implement AHAH training and communication materials for partner agencies and community FCS providers to provide guidance and instruction on Medicaid participation and enrollment and other program requirements.
• Facilitate regular meetings of cross-agency stakeholders and partner agencies.
• Participate in and provide data for quarterly AHAH advisory council; track issues related to Medicaid billing and coding, service reimbursement rates, and short and long-term housing subsidies.
• Support FCS Program Manager with the compilation, review, submission, and troubleshooting of enrollment and disenrollment reports from the TPA.
• Review, troubleshoot, and monitor the enrollment of AHAH participants in ProviderOne; track expenditures related to AHAH administration and services budget, ensuring appropriate billing and coding.
• Design reporting systems necessary to track AHAH program implementation; create and implement monitoring reports for FCS Administrator, Supervisor, and other division leadership.
• Coordinate and track enrollment in and utilization of short-term housing resources by AHAH participants.
• Provide data and support to FCS Program Administrator on development and drafting of AHAH legislative report and fact sheets.

Qualifications

Required qualifications:

Qualifying candidates will meet one of the following criteria options:

Option 1:

Master’s degree in public health, public administration, behavioral health, health administration, communications, business administration, or closely related field and two (2) years of supervisory or consultative experience in a health services program (e.g., permanent supportive housing)

Option 2:

Bachelor's degree in a field identified above, and four (4) years of supervisory or consultative experience in a health services program (e.g., permanent supportive housing)

Option 3:

Eight (8) years of experience in health services programs (e.g., permanent supportive housing)

Option 4:

One-year experience as a Medical Program Specialist 1

Preferred qualifications:

• Experience in managing budgets and external consulting resources.
• Experience with intra and interagency coordination.
• Experience with public or private health care delivery systems.
• Experience in stakeholder identification, management, and community engagement.
• Knowledge of state and federal laws and regulations related to health care policy and purchasing, including Medicare and Medicaid.
• Familiarity with state policies and regulations related to health care programs and health improvement initiatives.
• Understanding of principles and practices of program planning and evaluation.
• Awareness of current trends and economic issues affecting health and health care costs, including state and national health care reform.
• Knowledge of health organizations and associations at various levels.
• Ability to embrace ambiguity and innovation, responding with initiative, creativity, and agility.
• Ability to support a team-oriented approach focused on the success and coordination of multiple teams rather than individual contributions.
• Capacity to think at a systems level, understanding how different programs, agencies, and investments can work toward a common goal.
• Strong collaboration skills with program staff, leadership, and partners, coupled with high political awareness and emotional intelligence.
• Skill in analyzing and resolving complex problems related to health care programs.
• Ability to interpret and apply health data from various sources to solve complex problems.
• Proficiency in creating and proposing policies and solutions without established protocols, models, or processes.
• Excellent oral and written communication skills.
• Expertise in evaluating systems and providing qualitative and quantitative analysis.
• Experience in developing, implementing, managing, and evaluating programs and contracts.
• Familiarity with the state budget and legislative processes.
• Experience managing databases or Customer Relationship Management systems, such as ProviderOne.

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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More than Just a Paycheck!
Employee benefits are not just about the kind of services you get, they are also about how much you may have to pay out of pocket. Washington State offers one of the most competitive benefits packages in the nation.

We understand that your life revolves around more than just your career. Like everyone, your first priority is ensuring that you and your family will maintain health and financial security. That's why choice is a key component of our benefits package. We have a selection of health and retirement plans, paid leave, staff training and other compensation benefits that you can mix and match to meet your current and future needs.

Read about our benefits:
The following information describes typical benefits available for full-time employees who are expected to work more than six months. Actual benefits may vary by appointment type or be prorated for other than full-time work (e.g. part-time); view the job posting for benefits details for job types other than full-time.

Note: If the position offers benefits which differ from the following, the job posting should include the specific benefits.

Insurance Benefits
Employees and their families are covered by medical (including vision), dental and basic life insurance. There are multiple medical plans with affordable monthly premiums that offer coverage throughout the state.

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.

To view premium rates, coverage choice in your area and how to enroll, please visit the Public Employees Benefits Board (PEBB) website. The Washington Wellness program from the Health Care Authority works with PEBB to support our workplace wellness programs.

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.

Retirement and Deferred Compensation
State Employees are members of the Washington Public Employees' Retirement System (PERS). New employees have the option of two employer contributed retirement programs. For additional information, check out the Department of Retirement Systems' web site.

Employees also have the ability to participate in the Deferred Compensation Program (DCP). This is a supplemental retirement savings program (similar to an IRA) that allows you control over the amount of pre-tax salary dollars you defer as well as the flexibility to choose between multiple investment options.

Social Security
All state employees are covered by the federal Social Security and Medicare systems. The state and the employee pay an equal amount into the system.

Public Service Loan Forgiveness
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.

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

Note: Employees who are members of certain Unions may be entitled to additional personal leave day(s), please refer to position specific Collective Bargaining Agreements for more information.

Full-time employees who work full monthly schedules qualify for holiday compensation if they are employed before the holiday and are in pay status for at least 80 nonovertime hours during the month of the holiday; or for the entire work shift preceding the holiday.

Part-time employees who are in pay status during the month of the holiday qualify for the holiday on a pro-rata basis. Compensation for holidays (including personal holiday) will be proportionate to the number of hours in pay status in the month to that required for full-time employment, excluding all holiday hours. Pay status includes hours worked and time on paid leave.

Sick Leave
Full-time employees earn eight hours of sick leave per month. Overtime eligible employees who are in pay status for less than 80 hours per month, earn a monthly proportionate to the number of hours in pay status, in the month to that required for full-time employment. Overtime exempt employees who are in pay status for less than 80 hours per month do not earn a monthly accrual of sick leave.

Sick leave accruals for part-time employees will be proportionate to the number of hours in pay status, in the month to that required for full-time employment. Pay status includes hours worked, time on paid leave and paid holiday.

Vacation (Annual Leave)
Full-time employees accrue vacation leave at the rates specified in WAC 357-31-165(1) or the applicable collective bargaining agreement (CBA). Full-time employees who are in pay status for less than 80 nonovertime hours in a month do not earn a monthly accrual of vacation leave.

Part-time employees accrue vacation leave hours in accordance with WAC 357-31-165(1) or the applicable collective bargaining agreement (CBA) on a pro rata basis. Vacation leave accrual will be proportionate to the number of hours in pay status, in the month to that required for full-time employment.

Pay status includes hours worked, time on paid leave and paid holiday.

As provided in WAC 357-58-175, an employer may authorize a lump-sum accrual of vacation leave or accelerate the vacation leave accrual rate to support the recruitment and/or retention of a candidate or employee for a Washington Management Service position. Vacation leave accrual rates may only be accelerated using the rates established WAC 357-31-165.

Note: Most agencies follow the civil service rules covering leave and holidays for exempt employees even though there is no requirement for them to do so. However, agencies are required to adhere to the applicable RCWs pertaining holidays and leave.

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

Bereavement Leave
Most employees whose family member or household member dies, are entitled to three (3) days of paid bereavement leave. In addition, the employer may approve other available leave types for the purpose of bereavement leave.

Additional Leave
Leave Sharing
Parental Leave
Family and Medical Leave Act (FMLA)
Leave Without Pay

Please visit the State HR Website for more detailed information regarding benefits.

Updated 12-31-2022