Digital Forensics Specialist (AGO Senior Inv/Analyst) Medicaid Fraud Control Division, Seattle/Oly
State of Washington
StalePosted Dec 12
⚠ Possibly Stale
Posted: December 9, 2025 (37 days ago)
Added to FreshGovJobs: December 19, 2025 (27 days ago)
This job has been posted for over a month. It may already be filled.
Medicaid Director (EMS5/EXO)
State of Washington
Health Care Authority
Location
Washington, 98504
Salary
$141,000 - $226,320
per year
Type
Full Time
More Management & Supervision jobs →Closes
Not specifiedMore State jobs →
Job Description
Summary
This role involves leading the state's Medicaid program, overseeing services for about 2 million people, and ensuring everything runs smoothly while following federal rules.
The person in this job will work with government officials, health providers, and communities to create policies and programs that improve health care access.
It's ideal for an experienced leader who thinks strategically about complex systems and communicates effectively to build partnerships.
Key Requirements
- Advanced expertise in health care policy and Medicaid administration
- Strong leadership and management skills for executive-level decision-making
- Exceptional communication and presentation abilities
- Systems thinking to handle complex operational and compliance issues
- Experience collaborating with federal agencies, state stakeholders, and health care providers
- Knowledge of equity principles applied to health care processes
- Ability to represent the state at national levels, such as with CMS and NAMD
Full Job Description
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Medicaid Director (EMS5/EXO)
70005185
This job posting will remain open until filled. It is in the applicants’ best interest to submit their application materials as early as possible. The hiring manager reserves the right to make a hiring decision at any time.
If you’re ready to bring your expert, strategic, and advanced management principles to 2 million Washingtonians, this may be for you.
In addition to being a purpose driven health care leader, we are seeking an executive with exceptional communication and presentation skills, as well as a systems thinking mind; able to grasp the depth and complexity of health care policy, operationalize initiatives and policies, institute compliance, and be the bridge of collaboration with managed care plans, providers, and state agencies.
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 position:
The Medicaid Director has full delegated authority by the Director of the Health Care Authority (HCA) and serves as the designated Medicaid and CHIP Director for Washington State.
The Medicaid Director is responsible for the administration of Medicaid services and compliance with Single State Agency requirements.
The Medicaid Director represents Washington State with the United States Department of Health and Human Services (HHS), Center for Medicare and Medicaid Services (CMS), and is a member of the National Association of Medicaid Directors (NAMD).
The Medicaid Director has principal responsibility for all components of Medicaid and provides executive leadership, overall direction, and strategic vision statewide.
This position works closely with the federal government, Governor’s staff, tribal governments, state agencies, the health care community, citizens and other key stakeholders to develop statewide policies and programs.
The Medicaid Director plays a critical role by planning, overseeing, directing, and setting policy regarding national and state health care reform.
This position works closely with health care providers to purchase care through integrated care organizations.
This position is eligible to telework but is frequently 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. HCA has currently suspended the ability to support out-of-state telework.
Requirements
The Medicaid Director is the key advisor to the Director of the Health Care Authority on Medicaid issues.
The position leads and coordinates the state’s Medicaid to ensure efficient, cost-effective, quality care that is based on the best available scientific and medical evidence and provided with exceptional customer service to enrollees.
The Medicaid Director is responsible for the operation of the state’s medical assistance program.
Coordinates, supervises and approves medical services contracts with health care vendors, including managed care health plans.
Oversees planning and division support system to resolve problems and maintain fiscal integrity.
Works with project teams to organize and conduct initiatives and projects aimed at upholding the state’s record as an innovator in healthcare and for upholding standards of accountability.
Strong collaborator with other state agency partners.
This position is responsible for meeting, negotiating with, and enlisting the support of key stakeholder groups and policymakers, including the state’s chief executive and key legislators, public advocacy groups, consumer representatives, families of clients, and provider associations as well as individual providers in leadership or other influential positions.
The Medicaid Director is responsible to position the State of Washington to become the nation’s leader in delivering health care to vulnerable populations.
Requires strategic and intentional efforts to respond to the evolving needs of Washingtonians and close gaps in health disparities to advance health outcomes.
This position also requires a strong partnership with the federal government to acquire the flexibility needed to implement national health care reform in a way best suited to Washington State’s unique needs and demands.
Under federal Medicaid law, the State Medicaid Director is responsible for meeting regularly with a Title XIX Advisory Committee and ensuring the program receives regular and informed feedback on programs and plans.
Qualifications
Required qualifications:
- Master’s degree in social services, public administration, health care policy, law, or closely related field; and
- Five (5) years of experience in health plan administration and/or health care policy; or equivalent experience.
- (Additional experience may substitute year for year of education.)
Senior executive management experience
- Experience working collaboratively with all levels of government service, such as: federal, local (cities/counties), other states, tribal governments, elected officials, appointed boards and commissions.
Communication Skills
- Excellent verbal and written communications skills with a high degree of emphasis on interactions with the Governor’s Office, cabinet members and agency directors, the Legislature, the media including editorial boards, legislative stakeholders, and community organizations.
Positive Influence
- Ability to manage directly and indirectly in areas where influence may be more effective than direct control.
Health Care Purchasing
- A broad base of knowledge on issues related to health care purchasing including state and federal law related to administration of the Medicaid program created under the Title XIX of the Social Security Act.
Health Care Policy
- Knowledge of health care policy, economics, state and federal health care regulations, employee benefit programs.
Negotiation/mediation skills
- Negotiation and mediation skills necessary to garner support for Governor’s initiatives with the public and the Legislature.
Leadership
- Capacity to manage, coach, inspire and motivate staff and others to accomplish the administration's mission and goals by providing clear direction and positive interpersonal influence. Ability to manage directly and indirectly in areas where influence may be more effective than direct control.
Change Management
- The ability to lead and energize staff through large scale, systemic change to reach a common goal.
Partnerships
- Ability to build effective working relationships with constituents, staff, communities, providers, labor unions, and other state agencies.
Integrity/Ethics
- Ability to adhere to the highest ethical and professional standards.
Vision
- Capacity to look ahead strategically and grasp the future, envisioning the organization’s role in the future.
- Ability to elicit support from the health care community (service providers) and their associations (e.g., Hospital, Medical, Pharmacy, labor, media, and other entities outside government in support of the Governor’s priorities.)
Accountability
- Responsive to direction from the Governor and the HCA Director, for providing timely, accurate information, and meeting deadlines.
Values
- Ability to adhere to the highest standards of ethical conduct and personal/professional standards.
Preferred qualifications:
- Specific experience in public health insurance or Medicaid programs health policy.
- Working knowledge of federal health care programs (Medicare) and requirements.
- Senior management-level experience in a complex public or private health care organization, which includes:
- Working collaboratively with local, state, tribal, and federal government agencies and officials developing and negotiating public policy
- Managing a diverse workforce delivering services to a complex client base
- Computer skills including, but not limited to, MMIS, RMS, Internet searching, Microsoft Office Suite.
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 Rachel Tillman at 360-725-1180 or rachel.tillman@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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