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King County
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Health Care Program Specialist (HCPS/DLS)
State of Washington
Health Care Authority
Job Description
Summary
This job involves helping to create and update clear rules and instructions for government health care programs, ensuring they follow legal standards and are easy for the public and providers to understand.
It supports access to essential services by managing rule-making processes and writing billing guides.
A good fit would be someone with strong organizational skills, experience in legal or regulatory work, and a passion for making complex government processes fair and transparent.
Key Requirements
- Experience in promulgating administrative rules under the Administrative Procedures Act (APA) and Regulatory Fairness Act
- Strong skills in organizing, facilitating, and managing rule development work groups
- Ability to write and edit clear, concise provider billing instructions, manuals, and documents using plain language principles (e.g., Executive Order 23-02)
- Knowledge of Washington Administrative Code (WAC) and ensuring consistency with legal requirements
- Technical assistance in compiling data for Small Business Economic Impact Statements
- Collaboration with subject matter experts and program staff to develop accurate and fair health care policy documents
- Application of an equity lens to all work processes and analyses
Full Job Description
Health Care Program Specialist (HCPS/DLS) – Internal Only
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This opportunity is internal and available to current HCA employees only.
Are you looking for rewarding work that provides a direct link between abstract legal requirements and tangible, positive impacts on the lives of Washington residents?
The satisfaction of the work this position does comes from ensuring fairness, transparency, and access to essential healthcare services by making complex government processes work efficiently and clearly for the public.
If this sounds interesting to please apply today!
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.
About the division:
The Division of Legal Services (DLS) provides professional and legal support to all divisions in Health Care Authority (HCA) to mitigate risks, comply with changing laws, and assist the agency in accomplishing its goals.
The Office of Rules and Publications (ORP) supports HCA in promulgating Washington Administrative Code (WAC or rules), writing and publishing provider billing instructions and other information, and maintaining the Medicaid State Plan.
About the position:This position supports HCA's and ORP's mission by ensuring rules are promulgated according to Chapter 34.05 RCW, the Administrative Procedures Act (APA) and Chapter 19.85 RCW, the Regulatory Fairness Act, and that rules and provider instructions are clearly written according to Executive Order 23-02 on Plain Talk.
By ensuring HCA's rules are legally promulgated and clearly written, this position enables the Agency to implement statewide health care programs.
In turn, clients are able to understand and obtain access to the healthcare services they require.
By ensuring provider instructions are clearly written and widely available, this position enables providers to understand, furnish, and bill for appropriate services to clients.
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. HCA has currently suspended the ability to support out-of-state telework.
Requirements
Some of what you will do:
- Promulgate Washington Administrative Code (WAC or rules) for HCA's programs, including rules shared with DSHS and DOH, and other rules as needed.
- Provide technical assistance to staff to compile program data necessary for the development and writing of Small Business Economic Impact Statements as necessary.
- Independently organize, facilitate, and manage multiple simultaneous rule development work groups, leading them through the rule development process using strong management and communication skills.
- Develop/update provider billing manuals, billing instructions and accompany electronic messages to reflect changes to program WAC, coverage, policy, and billing procedures, payment, etc.
- Review, edit, and approve material written by workgroup team members.
- Collaborate with subject matter experts to write provider documents that are necessary, fair, understandable, consistent, accurate, and concise.
- Ensure final provider documents are consistent with the WAC.
- Provide technical assistance to program staff to ensure consistency and accuracy in provider billing documents.
- Monitor WAC and provider documents websites and inform ORP's web point of contact about issues.
Qualifications
Required qualifications:
- Demonstrated knowledge, understanding, and application of the statutes and rules that regulate Washington State rule making, including the Administrative Procedures Act (Chapter 34.05 RCW), the Regulatory Fairness Act (Chapter 19.85 RCW), and the Code Reviser regulations in Chapter 1-21 WAC.
- Demonstrated ability to write clearly and concisely, applying clear writing and "Plain Talk" principles.
- Demonstrated ability to communicate effectively with diverse groups, including internal colleagues and top management, and external customers.
- Demonstrated strategic planning skills to ensure appropriate rule and document development.
- Demonstrated computer skills, including Microsoft Word and Outlook.
- Documented regular and reliable attendance.
- The ability to take action to learn and grow.
- The ability to take action to meet the needs of others.
- Demonstrated skills necessary to effectively lead and manage multiple rule and document development workgroups involving a variety of topics, issues, and personalities, maintaining a focus on program needs. Includes strong skills in:
- Initiative
- Leadership
- Written and oral communication
- Customer service
- Group facilitation
- Team building
- Decision making processes
- Consensus building
- Problem resolution
- Negotiation
- Organization
Qualifying candidates will also meet one of the following criteria options:
Option 1:
- Master's degree involving major studies in technical writing, English, communications, project management, or a closely allied field.
- Two (2) years' experience in rule, technical, or manual writing.
Option 2:
- Bachelor's degree involving major study in technical writing, English, communications, project management, or a closely allied field.
- Four (4) years' experience in rule, technical, or manual writing.
Option 3:
- Eight (8) years' experience in rule, technical, or manual writing.
Option 4:
- One year as a Health Care Program Consultant.
Preferred qualifications:
- Minimum 1 year experience in writing and promulgating Washington Administrative Code for a state agency.
- Master's degree with major studies in public health, public administration, or closely related field and minor studies in English, technical writing, or closely related field.
- Two (2) years' consultative experience in health services or Medicaid programs.
- Certified Public Manager certification.
- Web development skills using Share Point, html, and/or other applications.
How to apply:
Only candidates who reflect the minimum qualifications on their NEOGOV profile will be considered. Failure to follow the application instructions below may lead to disqualification.
To apply for this position, you will need to complete your profile which includes three professional references and attach in separate files:
- A cover letter that specifically addresses how you meet the qualifications for this position
- Current resume
To take advantage of veteran preference, please do the following:
- Attach a copy of your DD214 (Member 4 long-form copy), NGB 22, or USDVA signed verification of service letter.
- Please black out any PII (personally identifiable information) data such as social security numbers. Include your name as it appears on your application in careers.wa.gov.
Additional Information
About HCA:
Functioning as both the state's largest health care purchaser and its behavioral health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible.
There are three pillars of our work: Apple Health (Medicaid); the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs; and behavioral health and recovery.
Under these pillars, HCA purchases health care, including behavioral health treatment for more than 2.7 million Washington residents and provides behavioral health prevention, crisis, and recovery supports to all Washington residents.
What we have to offer:
- Meaningful work with friendly co-workers who care about those we serve Voices of HCA.
- A clear agency mission that drives our work and is person-centered HCA's Mission, Vision & Values.
- 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!
Notes:
Prior to a new hire, a background check including criminal record history will be conducted. Information from the background check will not necessarily preclude employment.
HCA is an equal opportunity employer. We value the importance of creating an environment in which all employees can feel respected, included, and empowered to bring unique ideas to the agency.
HCA has five employee resource groups (ERGs). ERGs are voluntary, employee-led groups whose aim is to foster a diverse, inclusive workplace aligned with HCA’s mission.
Our diversity and inclusion efforts include embracing different cultures, backgrounds and viewpoints while fostering growth and advancement in the workplace.
Studies have shown women, racial and ethnic minorities, and persons of disability are less likely to apply for jobs unless they feel they meet every qualification as described in a job description.
Persons over 40 years of age, disabled and Vietnam era veterans, as well as people of all sexual orientations and gender identities are also encouraged to apply.
If you have any questions about the required qualifications or how your experience relates to them, please contact us at HCAjobs@hca.wa.gov.
Persons with disabilities needing assistance in the application process, or those needing this job announcement in an alternative format may contact Angelic Matthews at Angel.Matthews@HCA.WA.GOV
The Washington State Health Care Authority (HCA) is an E-Verify employer. All applicants with a legal right to work in the United States are encouraged to apply.
E-Verify® is a registered trademark of the U.S. Department of Homeland Security.
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