Job Description

Posting number: 2026-07100

Department: Dept. of Labor & Industries

Division: Insurance Services - Health Services Analysis

Job classification: MEDICAL PROGRAM SPECIALIST 2

Posting type: Open & Promotional

Categories: Project Management, Research, Health Care Support, Insurance

Our Mission: Keep Washington Safe and Working!
Our Values: Customer Focus, One L&I, Respect, Diversity, Equity and Inclusion, Learning and Growth, Reliability

Please Note: This recruitment is open to current Labor & Industries employees only. If you apply and are not a current employee, you will not be considered.
This recruitment will be used to fill multiple permanent positions in different units.

Job Highlights

Are you looking for an opportunity to take your experience in analysis, research, program coordination, and project management to the next level? Do you want to work on a positive, goal-oriented team and focus on implementing new legislation to help injured workers access medical services? If so, check out this opportunity and consider joining our team as one of our next Medical Program Specialist 2’s.

Why Work for us:

The Department of Labor & Industries (L&I) is a diverse state agency dedicated to the safety, health, and security of Washington's workers. We help employers meet safety and health standards and inspect workplaces when alerted to hazards. As administrators of the state's workers' compensation system, we are similar to a large insurance company providing medical and limited wage-replacement coverage to workers who suffer job-related injuries and illness. Our rules and enforcement programs help ensure workers are paid what they are owed, that children and teens' work hours are limited, and that consumers are protected from unsound business practices.

Insurance Services is the largest division within the agency and administers one of the premier workers’ compensation organizations in the nation serving over 3.8 million employees working for 260,000 employers.

The Insurance Services Health Services Analysis program is comprised of various work units with a shared vision to achieve provider excellence to reduce work disability by ensuring worker access to high-quality care.

The Medical Program Specialist 2 located in our Healthcare Policy and Payment Methods Unit is intended to support implementation of legislation in E2SSB5847 concerning access to medical care. In this role you will serve as the business operations lead, using project management methodologies and best practices for providing support and outreach as the agency implements this bill in full.

You will lead professional staff in health services projects to improve the utilization, cost, quality of or access to medical services provided to Washington workers who are injured on the job. You will work closely with project sponsors, leaders, and management, and regularly report on project progress.

Your ability to be a high-level strategic thinker as well as someone who can manage multiple day-to-day task assignments will be necessary for your success in this role.

The Medical Program Specialist 2 located in our Provider Support and Outreach Unit will specifically focus on providing support to injured workers who are unable to identify a network provider, and to non-network healthcare providers treating these injured workers. As a critical part of maintaining access to care for injured workers, you will be the primary contact for identifying and resolving complex issues encountered by non-network healthcare providers.

Using your analytic problem-solving skills, you will gather and synthesize data, break down issues and problems, develop workable solutions, and work collaboratively with a team to improve L&I’s outreach to healthcare providers.

Your interpersonal skills working with individuals with varying perspectives and diverse priorities, as well as your ability to listen and engage with others will be beneficial for your success in this role.

Here is what we are looking for:

• Demonstrated critical thinking and analytical skills.
• Demonstrated ability to research, analyze information, and provide consultation.
• Strong customer service skills with the ability to authentically listen and connect with others to build and maintain internal and external customer satisfaction.
• Project management skills to ensure work progresses toward the achievement of goals and objectives.
• Ability to effectively communicate complex information clearly and succinctly in a way that is easy to understand for a variety of audiences both orally and in written format.
• Ability to effectively organize multiple assignments and remain focused on priorities and progress to produce work products that are accurate, thorough and on time.
• Your willingness to learn by showing self-initiative to develop and upgrade your skills, enhance your knowledge, and learn new technology.
• Demonstrated ability to build rapport and partner with others to contribute to team cohesion.

Examples of duties

Some of what you will do in the MPS 2 in the Healthcare Policy and Payment Methods Unit:

• Initiate, plan, lead, and manage projects and process improvement efforts related to implementation of legislation related to health services.
• Lead professional staff in work related to health care projects in all aspects of project management methodology.
• Define and implement change activities which include planning and developing project scope, goals, milestones, work breakdown structures, and critical path analysis.
• Monitor staff performance and provide technical assistance interpreting medical policies, procedures, and program analysis.
• Work with internal and external customers to identify process, workflow or communication problems and develop solutions.
• Facilitate discussions to reach consensus on project or process improvement decisions.
• Lead staff in identifying, analyzing and resolving complex operational business process and policy issues.
• Direct and implement focused communication strategies for L&I management and other customers.
• Conduct presentations and briefings to customers.
• And much more!

Some of what you will do in the MPS 2 in the Provider Support and Outreach Unit:

• Support injured workers who are unable to identify a network provider and non-network healthcare providers treating these workers through department initiatives, projects and processes.
• Serve as liaison for billing and payment policy issues for non-network providers and other stakeholders.
• Create and map the work processes required to help workers find providers as outlined in legislation E2SSB5847.
• Identify and initiate process improvement health services related projects.
• Gather and analyze qualitative and quantitative data to independently develop decision papers for L&I management and stakeholders.
• Implement focused communication strategies for L&I management and other internal and external stakeholders.
• Develop physical and online resources for staff and providers about new initiatives, payment or policy changes.
• Develop project fact sheets, public presentations, materials and articles for the internet and intranet.
• Conduct presentations and briefings to customers.
• And much more!

Qualifications

Required:

• One-year of experience as a Medical Program Specialist 1, OR
  
  
• A Master’s degree with major study in public health, public administration, nursing, health administration, economics, mathematics, accounting, business administration, or closely allied field
  AND
  Two years of supervisory or consultative experience in analysis, research, program coordination, or project management in a health services, medical insurance, social services, or workers compensation program, OR
  
• A Bachelor’s degree with major study in public health, public administration, nursing, health administration, economics, mathematics, accounting, business administration, or closely allied field
  AND
  Four years of consultative experience in analysis, research, program coordination, or project management in a health services, medical insurance, social services, cost account, financial management, or workers compensation program, OR
  
  
• A total of eight years of demonstrated relevant professional experience in analysis, research, program coordination, or project management in a health services, medical insurance, social services, cost account, financial management, or workers compensation program will substitute for education.

AND the following Competencies:

• The ability to take action to learn and grow.
• The ability to take action to meet the needs of others.

Desired:

• Project Management Professional (PMP) certification or relevant certificate or coursework.
• Change Management certification.

Supplemental information

Things You Need To Know

At L&I, your voice matters. L&I is a diverse state agency dedicated to the safety, health and security of Washington's 3.3 million workers. Watch this brief video and learn more about why L&I is an employer of choice.

L&I provides a modern work environment and excellent benefits including paid leave, tuition reimbursement, Infants at Work Program and a generous retirement package for qualified employees at the end of their career. Click on the “Benefits” tab to learn more.

We value our employees and their work-life balance. We support a hybrid work model and offer flexible custom work schedules. This position is eligible for a flexible schedule (4/10’s, 9/80’s, 5/8’s, etc.) upon approval by management.

For this position, teleworking is permitted up to full time with the expectation of working from the office one day a month In addition, you may be expected to work from the office on occasion to attend in-person meetings, training, or upon business need. The assigned duty station for this position is Tumwater, Washington.

To receive more information on opportunities at L&I sign up for GovDelivery and select L&I job alerts.

Application process

To be considered for this opportunity, you must submit a complete online application including detailed work history and professional references with current phone numbers.

Please include the following documents with your application:

1. A cover letter describing your specific qualifications.
2. A current resume detailing your applicable experience and education.

We will contact the top candidates directly to advance in the selection process. Because we base the selection on the information you provide, please ensure your application clearly demonstrates how your experience relates to the qualifications and responsibilities described in this announcement.

Applications with incomplete work history, references to a resume in place of detailed work experience, or missing attachments may be considered incomplete and not considered for further review.

Please do not attach or place any medical information within the application, resume, or cover letter. If you do, we will have to reject your application to safeguard others from receiving your confidential information. You will have to remove the confidential information before you can apply again.

To learn more about our hiring process timeline at L&I please visit our L&I recruiting page at Hiring Process at L&I If you would like to read our website in a language other than English, scroll up to the top of the page to select your language of choice from the banner.

Background Check Notice

Prior to placement in this position, a background check, including criminal history records will be conducted. Information from your background check will not necessarily preclude employment but will be considered in determining your eligibility to perform the requirements of the position.

Other information

• Applicants selected to move forward in the hiring process will be contacted to complete a skills assessment prior to the interview. Assessments are conducted virtually via Microsoft Teams.
• For positions requiring travel, you must have a valid unrestricted driver's license and have insurance if driving a privately owned vehicle on state business.
• This position is represented bytheWashington Federation of State Employees (WFSE).
• Candidates who are offered a job with L&I must possess work authorization that does not require sponsorship by the employer for a visa now or in the future.
• The Department of Labor & Industries complies with the employment eligibility verification requirements of the federal employment eligibility verification form, I-9. The selected candidate must be able to provide proof of identity and eligibility to work in the United States consistent with the requirements of that form on the first day of employment.
• Please note: L&I may use this announcement to fill multiple permanent and/or non-permanent positions.

Did You Know?

Washington is America's Top State to live, play, and work, according to U.S. News (2021). Join the L&I team and enjoy all the Evergreen State has to offer.

Veterans Preference

Applicants wishing to claim Veterans Preference should attach to their application a copy of their DD-214 (Member 4 copy), NGB 22, or signed verification of service letter from the United States Department of Veterans Affairs. Please blackout any personally identifiable data such as Social Security numbers. For further information, contact L&I’s Jobs@lni.wa.gov

Diversity, Equity, and Inclusion Employer

L&I employees come from all walks of life. We strive to hire great people from a wide variety of backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

We believe in the importance of recognizing the value each of us contributes to the success of the agency mission. Having a diverse workforce is this agency’s greatest source of strength and knowledge. It is through the combination of talents and abilities that we can pursue finding effective measures to provide the best customer service. We are committed to building a diverse and inclusive workplace for everyone and we strongly mean everyone.

The State of Washington is an equal opportunity employer. Persons with a disability who need an accommodation in the application process or testing process, or those needing this announcement in an alternative format, may call 360-902-5700. TTY users should first call 711 to access the Washington Relay Service.

You are welcome to include the name and pronoun you would like to be referred to in your materials, and we will honor this as you interact with our award-winning diverse and inclusive organization.

For more Information

If you have any questions regarding this job posting, program, or the agency, please contact Angela Laramie at hrbtu@lni.wa.gov
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