Medicaid Transportation Program Manager (HCPM/MPD)

State of Washington • Thurston County – Olympia, WA

19h • Hybrid

About The Position

This is a great opportunity for a strategic, detail-oriented professional to serve as the statewide policy expert for Washington’s Non-Emergency Medical Transportation program (federal and state program ensuring Medicaid clients can access medical care). The ideal candidate brings strong data analysis skills (Excel, Tableau, Power BI), experience managing large transportation systems and statewide projects, and familiarity with the laws governing non-emergency medical transportation. The Medicaid Transportation Program Manager (Health Care Program Manager) will also have the ability to manage complex budgets and communicate effectively across all levels. 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. Within MPD the Community Services Section, the Non-Emergency Medical Transportation Program (NEMT) provides the assurance of access to medical services, as required by federal Centers for Medicare and Medicaid Services (CMS). This assurance of access is one of the conditions placed on the State of Washington to receive federal fiscal participation in the delivery of healthcare services for citizens of this state on Medicaid. As a result, the NEMT program is involved in all Medicaid health care programs that include a transportation benefit, requiring staff to have an exceptionally broad base of knowledge to be successful. Within the NEMT unit, this position is designated as the statewide policy and planning subject matter expert. 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.

Requirements

• Master’s degree or higher in public health, behavioral health, public administration, business administration, social work, or closely related field and three (3) years of professional consultative or supervisory experience in health services, social services, Medicaid, behavioral health, or other health care programs.
• Bachelor's degree in a field identified above, and five (5) years of professional consultative or supervisory experience in health services, social services, Medicaid, behavioral health, or other health care programs.
• Associate degree in a field identified above, and seven (7) years of professional consultative or supervisory experience in health services, social services, Medicaid, behavioral health, or other health care programs.
• Nine (9) years of professional consultative or supervisory experience in health services, social services, Medicaid, behavioral health, or other health care programs.
• The ability to take action to learn and grow.
• The ability to take action to meet the needs of others.

Nice To Haves

• Effectively organize and prioritize in a multi-task, multi-priority environment, balance competing demands, and advance assigned projects from inception to completion. This includes the ability to make decisions independently or as a team member.
• Organize and prioritize a wide range of responsibilities, utilize available resources efficiently and negotiate agreement with stakeholders with differing demands and expectations.
• Think strategically and operate in an environment that includes active legislative and judicial partners and a variety of collaborative stakeholders.
• Experience formulating, interpreting, and implementing policy within large systems.
• Experience implementing and managing large statewide projects across programs and administrations.
• Experience working directly with applicable CFRs, RCWs, WACs, and State Plan governing non-emergency transportation.
• Experience managing a complex budget with multiple funding streams and accounting codes.
• Experience formulating, interpreting, and implementing policy.
• Experience with managing or operating within a large transportation system.
• Effectively communicate orally and in writing across a broad spectrum of professional/managerial levels, with medical care providers, contractors, and with public assistance clients.
• Experience conducting contract negotiations and developing monitoring plans.
• Strong data analysis skills using programs such as MS Office, Excel, Tableau, Power BI, SQL, and Snowflake.
• Strong presentation skills.

Responsibilities

• Ongoing statewide policy development activities for the NEMT program primarily determine policy application and exceptions
• Policy Development and WAC/State Plan writing to update program rules when necessary.
• Process monthly invoices and quarterly performance incentive/penalty calculations.
• Confirm proper account coding, confirm 100% FMAP coding for eligible tribal trips.
• Develop focused pilots to test viability of policy adjustment to improve service delivery.
• Develop and maintain clear Memorandums of Understandings/Working Agreements with internal stakeholders that utilize NEMT program for client access to services.
• Design and develop new incentives/disincentives to improve contractor performance.
• Contract Amendment development and execution.
• Contract Procurement, development, and management activities for the NEMT program.
• Participate as needed in internal/external workgroups; provide expert program oversight and consultation to HCA staff, medical providers, constituents and advocates, and all issues related to the federal NEMT programs
• Review and evaluate proposed legislation; review and interpret federal Code of Federal Regulations (CFR) and state Washington Administrative Code (WAC), and other regulations as needed; amend, as necessary, the State Plan, Revised Code of Washington (RCW) and WAC; analyze and prepare bill analysis.
• Interpret Medicaid scope of care, eligibility for services and applicability of RCWs, WACs, State Plan and state policies, and share this information as appropriate with other parties, including Brokers, State Legislators, and clients.
• Developing and implementing a comprehensive program monitoring plan to ensure broker contract compliance meets the terms and conditions of these statewide contracts; performs on-site and desk monitoring reviews of statewide broker contracts to ensure services are provided according to all contractual terms and conditions.
• Maintain and update Internal Knowledge Base.

Benefits

• 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.
• free parking!

What This Job Offers

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