Job Description

Posting number: 2026-05767

Department: Health Care Authority

Division: AHSO

Job classification: IT BUSINESS ANALYST - SENIOR/SPECIALIST

Posting type: Open & Promotional

Categories: IT and Computers

IT Business Analyst – Senior/Specialist (ITBA-SS/AHSO) – Non-permanent

71114858

This is a non-permanent position with an end date of 6/30/2027.

This senior-level business analyst works across multiple teams and organizations to support the implementation, design, and development of features in Medicaid eligibility systems. These systems require changes to align with Centers for Medicaid & Medicare Services requirements that this BA will ensure work together to aid the processing of eligibility determinations. The ideal candidate will be a seasoned business analyst with experience collaborating across groups and working with Medicaid eligibility systems.

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:

HCA’s Medicaid Enterprise System (MES) is comprised of multiple critical systems within Washington State, including:

• ProviderOne Medicaid Management Information System operated by HCA
• Automated Client Eligibility System (ACES) operated by the Department of Social and Health Services (DSHS)
• HealthPlanFinder operated by the WA Health Benefits Exchange (HBE)

This large-scale enterprise is operated and managed across multiple organizations within the Health and Human Services (HHS) Coalition. Oversight and management of the MES for Washington State sits within Apple Health Services & Operations (AHSO) Division, Medicaid Services Information Technology (MSIT).

About the position:

The MES Eligibility and Enrollment Business Analyst is a senior level position designated to provide technical leadership and organizational system management for Medicaid Eligibility rules and eligibility system integrations. This position is designated as the technical specialist for eligibility system rules and eligibility system integrations in order to implement new eligibility system rules and H.R. 1 related eligibility requirements and see them through to successful operations.

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.

Examples of duties

Some of what you will do:

• Engage in discussions at the executive level on possible resolutions to unfolding business changes.
• Provide direction and oversight to workgroups and staff to develop a strategy for implementing new eligibility solutions, integrations, and programs.
• Manage and resolve complex eligibility system issues.
• Evaluate potential solutions and lead the effort to ensure new technology solutions can be integrated.
• Liaise and negotiate between the business, stakeholders and the vendor (system integrator) to ensure consistency, understanding, and efficiency in processes and logic.
• Apply senior level IT rules engine expertise to ensure eligibility rules comply with all department policies, procedures, and federal and state rules.
• Coordinate with external agency’s technical experts to analyze multi-system interfaces.
• Propose options to vendor/system integrator, stakeholders, and management for new system features and process improvements.
• Analyze, design, recommend, implement, and support complex eligibility integrations and technology solutions and processes.
• Function as the technical specialist on eligibility system integrations, functionality, and features.
• Coordinate interaction with the vendors/system integrators.
• Oversees the daily operations of eligibility system integrations and eligibility rules.
• Lead user acceptance testing.

Qualifications

Required qualifications:

Qualifying candidates will meet one of the following criteria options:

Option 1:

• Nine (9) years of progressive professional IT experience in one or more of the following areas:

  • consulting, analyzing, designing, programming, installing and/or maintaining computer software applications, hardware, telecommunications, or network infrastructure equipment;
  • directing IT projects;
  • providing IT customer or technical support; or
  • administering or supervising staff who performed work in any of these IT disciplines.

Option 2:

• Associate degree in IT, computer science, or IT-related field or equivalent and
• Seven (7) years of progressive professional IT experience in one or more of the areas listed above.

Option 3:

• Bachelor’s degree in IT, computer science, or IT-related field or equivalent and
• Five (5) years of progressive professional IT experience in one or more of the areas listed above.

Option 4:

• Master’s degree in IT, computer science, or IT-related field or equivalent and
• Three (3) years of progressive professional IT experience in one or more of the areas listed above.

Option 5:

• Three (3) years as a journey level IT professional in state government performing work in one or more of the areas listed above.

Required competencies (experience may be gained concurrently):

• The ability to take action to learn and grow.
• The ability to take action to meet the needs of others.
• Two (2) years of direct hands-on experience developing and managing requirements of major systems or system / subsystem components including eliciting, analyzing, validating, and documenting business, organization, functional, and non-functional requirements.
• Three (3) years of experience with vendor / System Integrator management and facilitating systems development sessions and relationships.
• Two years (2) of knowledge and hands-on experience with Software Development Lifecycle (SDLC). Advanced system skills with a strong understanding of techniques and methodologies necessary to support the System Development Life Cycle (SDLC). This includes requirements definition, design, development, system/integration testing, end user acceptance testing, conversion, training, and implementation.
• Two (2) years of demonstrated experience with best practice Business Analysis methodologies based on the International Institute of Business Analysis, Business Analysis Body of Knowledge (BABOK Guide and Standards).
• Experience and knowledge of testing methodologies to ensure both positive and negative tests are performed with test scripts. Understanding the difference between unit, integration, and regression testing in order to complete testing tasks.

Preferred qualifications:

• Professional experience working collaboratively with multiple stakeholder groups to implement new system functionality.
• Professional experience working with Medicaid or Medicaid eligibility systems.
• Expert level analytical, facilitation, systems and organizational skills.
• Certified or professional level certification as a Business Analyst.

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:

• 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.
• And free parking!

Notes:

This position is covered by the Washington Federation of State Employees (WFSE). Once the listed position(s) is(are) filled, this recruitment announcement may also be used to fill additional position(s) for up to sixty (60) days.

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 Jake Nelko at 360-725-0945 or jake.nelko@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.

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