Medicaid Reentry Program Coordinator - WA

MEDIKO INC•Spokane, WA

3d•$27 - $32•Onsite

About The Position

MEDIKO: Mission driven & committed to delivering high-quality medical care to the communities we serve. Our dedicated Healthcare Professionals find meaning, support and new opportunities to learn and grow their skills every day. It’s what sets us apart from other healthcare industries and drives our success in the correctional healthcare space. Whether you are just graduating from nursing school or bringing years of experience to your new position at MEDIKO, you will benefit from our competitive compensation, commitment to safety and exposure to the diverse healthcare needs of the clients we serve. If you’re ready to take on a role that will enrich your career and make a real impact to your community, we encourage you to APPLY TODAY to get the conversation started! The Medicaid Reentry Program Coordinator supports the coordination and administration of services associated with Washington’s Medicaid 1115 Reentry Waiver for justice-involved individuals. This role ensures required pre-release healthcare services, documentation, and coordination activities are completed to support continuity of care and compliance with program requirements. The Coordinator works closely with healthcare providers, care managers, correctional facility staff, Managed Care Organizations (MCOs), and external partners to facilitate the delivery and documentation of waiver-eligible services. The role supports program implementation by tracking services, coordinating required documentation, and ensuring individuals transitioning from custody have appropriate healthcare connections and coverage.

Requirements

Associate’s degree in healthcare administration, social services, public health, or related field preferred.
Minimum of 2-3 years of relevant experience in the specific functional area (e.g., HR, Finance, Sales, Marketing, Operations, etc.).
Demonstrated success in applying function-specific skills (e.g., employee relations for HR, financial reporting for Finance, or sales strategy for Sales) is required.
Active CPR/BLS certificate required (American Heart Association/American Red Cross guideline approved), if role is located in a correctional facility.

Nice To Haves

Additional certifications or specialized training may be required depending on the function (e.g., Certified Human Resources Professional (PHR) for HR roles, Certified Public Accountant (CPA) for Finance roles, etc.).
Experience in healthcare, correctional healthcare, or a regulated industry is preferred.
Knowledge of relevant industry-specific regulations, compliance standards, and best practices may be required, particularly for roles in highly regulated functions like HR and Finance.
Relevant industry certifications based on the role (e.g., PHR, SHRM-CP, CPA, etc.).

Responsibilities

Coordinate activities related to Washington’s Medicaid 1115 Reentry Waiver program within the correctional healthcare setting.
Track individuals eligible for reentry services and support coordination of required pre-release healthcare services.
Collaborate with clinical staff, care managers, and facility personnel to ensure required waiver services are delivered and documented appropriately.
Coordinate with Washington Health Care Authority (HCA), Managed Care Organizations (MCOs), and community healthcare providers regarding reentry care coordination activities.
Maintain records of waiver-related services provided prior to release, including documentation required for program compliance and reporting.
Prepare, review, and submit claims for Medicaid 1115 Reentry Waiver services in accordance with state requirements and contractual agreements with the facility.
Ensure all required documentation supports accurate and compliant billing, including coordination with clinical and care coordination staff to resolve discrepancies and maintain audit readiness.
Monitor program workflows to ensure required services are completed within established timelines prior to an individual’s release.
Support communication and coordination between correctional healthcare staff and community healthcare providers to facilitate continuity of care.
Assist with preparation of documentation supporting program reporting, audits, and compliance monitoring.
Track program participation metrics and assist with internal reporting related to waiver services.
Ensure patient authorizations and consent documentation are obtained when required for information exchange.
Identify operational barriers that may impact timely delivery of reentry services and escalate concerns to program leadership as appropriate.
Stay informed on Washington Medicaid program updates and policies related to justice-involved populations and reentry services.
Assist with additional administrative or coordination tasks related to the Medicaid Reentry program as assigned.
Perform other related duties as assigned.

Benefits

Competitive Pay and MVP Bonus Program
Benefits package including Medical, Dental, and Vision insurance for you and your family
Preferred Pharmacy Network options
MDLIVE virtual Provider telehealth options
Wellness program
Health Savings Accounts and Health Reimbursement Account options with company match
Employer-paid Life Insurance Policy/AD&D, Long-Term Disability and Short-Term Disability coverage
Optional Voluntary coverage for Life Insurance, Accident, Critical Illness, and Hospital Indemnity plans
Paid portion of Maternity Leaves
Employee Assistance Program
Generous Paid Time Off (PTO) including 10 Holidays and flexible Floating Holidays
Participation in the MEDIKO 401(k) Retirement Plan with company match
Employee Referral Bonuses
Tuition Reimbursement Assistance Plan
Free Continuing Education
Access to Perks and Discounts at nationally recognized chains, service providers and retailers