1915(i) Community Behavioral Health Support (CBHS) Services Program Manager (HCPM/MPD)

State of Washington•Thurston County – Olympia, WA

1d•Remote

About The Position

The 1915(i) Community Behavioral Health Support (CBHS) Services Program Manager oversees day-to-day operations of 1915(i) waivered behavioral health services, including processing referrals and reviewing intakes for Washingtonians seeking to use these services. The role develops procedures and policies to help the unit process high volumes of emails and projects. It serves as a subject matter expert on 1915(i) services and develops and implements services in accordance with state and federal requirements. This is a full-time, permanent, remote position with a 40-hour workweek. Employees may occasionally need to attend in-person meetings or events, and occasional travel may be required. Employees must be Washington state residents on their first day of employment and must report to the Olympia office on their first and final days. Standard business hours are Monday through Friday, 8 a.m. to 5 p.m.; alternative schedules may be considered based on business needs and supervisor approval. The role is within the Medicaid Programs Division of the Washington State Health Care Authority. The division works across the agency and with health care and community partners to develop and manage high-quality, evidence-based health care programs and support access to appropriate care. The position regularly collaborates with colleagues, agency leaders, state and federal partners, and external partners or customers.

Requirements

Demonstrated excellent public relations and customer service skills, including conflict resolution and negotiating techniques, particularly in client and provider interactions.
Familiarity with care coordination contract terms and processes.
Strong written and oral communication skills, including presentations for varied audiences such as community members, provider groups, clients, and client advocates.
Ability to facilitate timely communication and information exchange among diverse internal and external departments, agencies, and the public.
Experience writing technical and non-technical reports for low-literacy audiences and others, including executive leadership, internal staff, contractors, and stakeholders.
Critical systems-thinking skills.
Knowledge of state and federal managed care and related laws, including HIPAA, and laws, policies, regulations, and procedures concerning Medicaid and health care within and outside HCA.
Knowledge of Medicare eligibility, enrollment, Part C, Part D, grievance and appeals, and quality performance rules and regulations.
Ability to consider equity in decisions, processes, and day-to-day work.
Ability to learn and grow by seeking new perspectives, learning from experience, and continuously improving work and service.
Ability to listen, understand different perspectives, and respond with care, respect, and solutions that meet others’ needs.

Nice To Haves

Experience managing projects, including team facilitation and process-improvement methods.
Expertise facilitating meetings with internal and external stakeholders.
Experience analyzing data and clearly communicating complex analysis results to multiple audiences.
Experience processing high volumes of email using a shared inbox.
Ability to collaborate across multiple parts of an organization to accomplish goals.
Knowledge of the structure and functions of HCA and the Department of Social and Health Services, including cross-system collaboration, team building, and aligning resources to support program development and quality services for high-risk clients.
Ability to analyze data related to contract performance and other managed care contract issues.
Seven years of combined experience and/or higher education. Education may be in public health, public administration, business administration, social work, or a closely related field; a bachelor’s degree counts as four years and an associate degree as two years. Experience may be consultative or supervisory in health services, social services, Medicare, Medicaid, or Social Security disability programs.
Four years of experience with managed care operations, delivery systems, customer service activities, and policy issues to ensure high-quality care for Medical Assistance enrollees.
Two years of experience in Medicare program development, implementation, and evaluation.
Four years of experience working with diverse client populations with chronic illnesses, especially behavioral health issues, including cultural competency with ethnically diverse populations.
Two years of experience participating in and facilitating meetings and task forces involving internal partners.
One year of experience operating the ProviderOne MMIS system and related data and information systems.

Responsibilities

Serve as a subject matter expert on 1915(i) waivered services, including the Community Behavioral Health Support Services Program.
Develop and implement 1915(i) waivered services within state and federal requirements, including setting and adjusting program goals, objectives, and priorities.
Review and investigate managed care organization and enrollee referrals for service requests.
Monitor, evaluate, and audit program compliance with state and federal requirements.
Own the HCA 1915(i) mailbox and coordinate communications and consultations with clinical staff on responses.
Research, develop, and implement training, program materials, and resource guides for external stakeholders.
Recommend, oversee, and communicate process improvements and changes to affected external stakeholders.
Develop policies and procedures related to 1915(i) services and provide input to clinical staff on process and coordination.
Develop and draft contract language for managed care contracts covering 1915(i) services.