Business Operations Manager (MA5/DAIO)

State of Washington • Thurston County – Olympia, WA

22h • Hybrid

About The Position

The Business Operations Manager will be the Division of Audit, Integrity, and Oversight’s (DAIO) leader for performance tracking and process improvement. The Business Operations Manager will align and track the work of the DAIO to prevent fraud, waste, and abuse of public health care dollars. This position will use presentation and problem solving skills to build data dashboards, perform process improvement, and present reports and plans to agency leadership. If you’re in search of an opportunity to use your Power BI (or other data viz) skills in a job that has a direct impact on the integrity of the use of public funding, this may be the opportunity for you! 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. The Division of Audit, Audit, Integrity, & Oversight’s (DAIO) mission is to identify and prevent improper payments resulting from fraud, waste, and abuse. The position reports directly to the Deputy Division Director for Compliance Operations and assists in managing operational functions across the growing division. This position will take a lead role with coordinating, planning, process improvement, and project management of centralized operational activities while ensuring health equity across DAIO functions. In addition, this position will produce complex reports, assist management in performance analysis, identify program vulnerabilities, make recommendations for process improvement, and assist in change management. This position is eligible to telework but may be required to report on-site to meet business need. 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.

Requirements

• Option 1: Bachelor’s degree in business administration, public administration, law, public health, health administration, or a related field and Five (5) years of demonstrated experience in two or more of the following areas: Conducting research, Analyzing health-related policies, laws, rules, or regulations, Conducting business analysis and developing requirements, Leading business projects, Managing business operations, Business policy development.
• Option 2: Associate degree in business administration, public administration, law, public health, health administration, or a related field and Seven (7) years of demonstrated experience in two or more of the following areas: Conducting research, Analyzing health-related policies, laws, rules, or regulations, Conducting business analysis and developing requirements, Leading business projects, Managing business operations, Business policy development.
• Option 3: Nine (9) years of demonstrated experience in two or more of the following areas: Conducting research, Analyzing health-related policies, laws, rules, or regulations, Conducting business analysis and developing requirements, Leading business projects, Managing business operations, Business policy development.
• Option 4: One (1) year as a Management Analyst 4 in state service, performing duties aligned with what is listed above.
• Option 5: Two (2) years as a Management Analyst 3 in state service, performing duties aligned with what is listed above.
• The ability to take action to learn and grow.
• The ability to take action to meet the needs of others.

Nice To Haves

• Professional experience leading process improvement.
• Professional experience with Power BI or similar data visualization tools.
• Comprehensive knowledge and understanding of HCA organization, mission and goals, the agency’s formal and informal communication approach, and an understanding of sensitivity of public opinion and the impact to our internal staff.
• Ability to anticipate and accommodate for employee and public reaction to those that we serve.
• Strong organizational knowledge including how high performing organizations succeed; principles of administration; effective problem-solving techniques, project management certification; and performance management discipline.
• Demonstrated ability to lead diverse work groups that deal with complex aspects of health plan administration, including work groups that are composed of members with varied professional credentials, education and experience.
• Research and analysis skills necessary to identify performance benchmarks for employee benefit sponsorship.
• Lean Six Sigma Green Belt Certification or equivalent.

Responsibilities

• Perform project management, process improvement, performance management, and quality control for centralized operational activities involving fraud, waste, and abuse prevention and detection.
• Manage multiple projects and assignments focused on identifying critical vulnerabilities in mandated statewide fraud, waste, and abuse prevention and detection program integrity as well as recovery of improper payments.
• Lead the overhaul of strategic plans.
• Implement new cross-divisional workstreams to support program integrity.
• Create visual dashboards for performance metrics and KPIs.
• Lead implementation of a statewide fraud and abuse prevention plan.
• Provide solutions regarding highly complex vulnerabilities to supervisor and executive management.
• Performance reporting, strategic planning, and other tasks required under SB 5497 (2023-24).
• Lead, facilitate, and participate in internal and external, cross-system, state, and stakeholder workgroups.
• Provide consultation to, and facilitate, workgroups and meetings to improve highly complex fraud, waste, and abuse operational processes.
• Identify and recommend performance-based protocols for key operational activities.
• Research and analyze existing and new procedures, policies, regulations, and grant management processes.
• Research Medicaid, federal grant, and other DAIO-related rules and policies, federal and state, to determine potential impacts on program integrity activities.
• Build, develop, and maintain comprehensive visual performance metrics dashboards to be utilized by agency executive leadership.
• Produce and oversee the production of complex reports for use by all levels of management, boards, elected officials, oversight entities, and/or other governmental entities.
• Ensure direct reports have the tools, training, and resources necessary to meet the division goals, objectives, and service delivery standards.
• Ensure that direct reports receive meaningful performance evaluations.

Benefits

• Meaningful work with friendly co-workers who care about those we serve
• A clear agency mission that drives our work and is person-centered
• 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!

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level