Posting number: 2026-08559
Department: Health Care Authority
Division: DAIO
Job classification: WMS BAND 2
Posting type: Open & Promotional
Categories: Legal, Risk Management, Miscellaneous, Project Management, Grants Administration, Health Care Support, Program Management, Insurance
This is a full-time permanent, remote position. Employees may occasionally be asked to attend an in-person meeting or event based on business needs.
All HCA employees are required to be Washington state residents upon their first day of employment.
Protect Washington's Medicaid program and the people it serves. The Division of Audit, Integrity, and Oversight (DAIO) is seeking a High-Risk Provider Management Supervisor to lead HCA's new High-Risk Provider Management Team. This team is HCA's primary authority for overseeing high- and moderate-risk Medicaid providers, administering enhanced oversight mechanisms, and developing provider termination and disenrollment recommendations. You will set the policies and procedures that guide consistent risk determinations and enforcement actions, and coordinate with managed care organizations, sister agencies, and law enforcement to bring accountability and transparency to how Medicaid funds are spent.
You are a steady, detail-oriented leader who meets your commitments, works independently, and stays focused under pressure, making sound decisions even when there is no precedent to follow. You deal with others in a straightforward and honest way, maintain confidentiality, and support agency values. You bring strong interpersonal skills, respond to questions and concerns with professionalism and care, and hold yourself and your team to a high standard of accuracy and continuous quality improvement. You coach your staff in ways that build a strong culture of compliance.
Experience may have been gained through paid or unpaid activities. Please ensure any relevant experience defined below is outlined in your cover letter, resume, and application.
While these are not required, having them may help you stand out as an applicant.
The Division of Audit, Integrity, and Oversight (DAIO) is within the Office of the Chief of Staff (COS) of the Health Care Authority and provides support to all HCA divisions at all employee levels. The goal of DAIO is to combat fraud, waste, and abuse in HCA medical and behavioral health programs, ensuring HCA's programs operate at optimal fidelity and protecting state and federal funds.
Better Health. Better Care. A Healthier Washington.
At HCA, we work to ensure people across Washington have the opportunity to be as healthy as possible. As the State’s largest health care purchaser and behavioral health authority, HCA serves nearly 3 million Washington residents through Apple Health (Medicaid), Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs, and behavioral health services. Through this work, HCA purchases and coordinates care coverage, supports behavioral health prevention, treatment, crisis response, and recovery and helps strengthen access to high-quality care across Washington.
We want our employees to have the support, flexibility, and benefits they need to do their best work and build a career that works for their life. As a Washington State HCA employee, you’ll have access to a comprehensive benefits package that supports your health, financial well-being, and work-life balance. Our benefits are designed to support you today while helping you plan for the future. Learn more about why HCA by visiting the Voices of HCA and the "Who we are" section of our website.
This is a full-time 40-hour-per-week remote position. Our standard business hours are Monday through Friday, 8 a.m. to 5 p.m., with alternative work schedules considered based on business needs and supervisor approval. In this role you will regularly collaborate with colleagues, agency leaders, state and federal partners, and other external partners or customers. Occasional travel may be required for meetings, training, or other business needs. All employees are required to report to our Olympia office on their first and final day of employment.
The Health Care Authority is an equal opportunity employer. We are committed to creating a workplace where employees are respected, included, and supported in bringing their experiences, perspectives, and ideas to work.
Our commitment to inclusion is reflected in how we work together and serve the people of Washington. HCA also supports five voluntary employee led Employee Resource Groups (ERGs), which create opportunities for connection, community, learning, and professional growth.
To be considered, you must complete the online application in full and submit all required materials. Incomplete applications or applications missing required materials will not be considered. When completing your application, please include the following required materials:
We encourage you to apply! If you meet the required qualifications for this position; we want to hear from you. Desired qualifications describe additional experience, knowledge or skills that may be helpful in the role, but they are not required to be considered for the position. We welcome applicants with different backgrounds, experiences, identities, and perspectives.
We value the experience and skill veterans bring to the workforce and encourage veterans, transitioning service members, and military spouses to apply. Eligible veterans may qualify for veterans’ preference in accordance with Washington State Law. If you are claiming veterans’ preference, you must attach your applicable DD-214 documentation to your application. Please redact your social security number, date of birth, and any other sensitive information before uploading and attaching the document.
Need accommodations or have questions? If you have questions, need assistance with the application process, require an accommodation, or would like to request this posting in an alternative format, please contact Lisa Fleming, Human Resources Consultant (Recruiter) at HCAjobs@hca.wa.gov and reference the recruitment title and job number in the subject line.
Technical Support: Reach out to NEOGOV directly at 1-855-524-5627 for technical support and login issues.
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.
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.
