Posting number: 2026-06591
Department: Health Care Authority
Division: MPD
Job classification: HEALTH CARE PROGRAM SPECIALIST
Posting type: Open & Promotional
Categories: Miscellaneous, Project Management, Medical Billing & Coding, Medical/Dental, Program Management, Medical
DSNP Program Specialist (HCPS/MPD)
71115035
Someone would want this job if they are passionate about healthcare policy, Medicare-Medicaid integration, and making a tangible impact on vulnerable populations. You would directly shape and improve healthcare access for "dually eligible" individuals (those who qualify for both Medicare and Medicaid) in Washington state. Providing consultative expertise to top-level managers, state agencies, and Managed Care Organizations (MCOs), directly supporting the Washington State Health Care Authority's mission. Help develop Agency policy, monitor compliance with federal guidelines (like the Affordable Care Act and mental health parity), and bridge the gap between physical and behavioral health services.
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
About the division:
The mission of the Medicaid Programs Division (MPD) within the Health Care Authority (HCA) is to provide high quality administrative services to assist in the purchase and delivery of medical assistance program services to clients and members. MPD works across the agency and in partnership with the health care community and community stakeholders to develop and manage high-quality, evidence-based health care programs and purchase services that enhance Medicaid clients’ ability to access appropriate, quality health care. This supports the mission of providing quality services that enhance our clients’ ability to obtain and access health care.
About the position:
This position reports to the SDPO Unit Supervisor in the Strategic Design and Program Oversight section and will provide contract management assistance for our Dual Eligible Special Needs plans and work toward Advancing Medicaid and Medicare Integration. This position provides consultative expertise on this program to top level managers within the Health Care Authority and to other state agency staff, Managed Care Organizations, Contracted Leads, and community providers. This position supports HCA’s mission by leading a program that is innovative in its array of services and in the authorizing environment, by utilizing existing approvals and integration of Highly Integrated Special Needs plans and coordination with Medicaid Managed Care Organizations.
This position is eligible to telework and is typically not required to report on-site. 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. All agency employees are required to report on-site in Olympia on their first and last days of employment to pick up and return state-issued equipment, regardless of telework status or location.
Some of what you will do:
Required qualifications:
Qualifying candidates will meet one of the following criteria options:
Option 1:
Option 2:
Option 3:
Required competencies:
Preferred qualifications:
Competencies:
How to apply:
Only candidates who reflect the minimum 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 in separate files:
To take advantage of veteran preference, please do the following:
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:
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 Angelic Matthews at Angelic.Matthews@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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With its great natural beauty, Clark County, Washington, always has attracted people and settlements. Framed by the scenic Cascade Range to the east and the majestic Columbia River to the south and west, the area is a picturesque place to work, play and live.
Named for Captain William Clark of Lewis and Clark Expedition frame, our county is one of the fastest growing regions in Washington state and the Portland, Oregon metropolitan area. Today, more than 440,000 people call Clark County home.
Clark County government is one of the county's largest employers, providing a wide range of challenging positions for about 1,570 people. You can learn about current job openings, the application process, job descriptions, pay schedule and employee benefits on the Clark County Human Resources website at https://www.clark.wa.gov/human-resources.
The mission of Clark County government is to enhance the quality of life in our diverse community by providing services with integrity, openness and accountability.
