Medical Assistance Specialist 4 (MAS4/ERB) - Internal

Full Job Description

Medical Assistance Specialist 4 (MAS4/ERB) - Internal

71058386

This opportunity is internal and available to current HCA employees only.

This position supports public employee (PEBB) and school employee (SEBB) benefit programs that provide medical, dental, and insurance coverage to staff, retirees, and their families across Washington.

The role focuses on delivering high-quality customer service by helping employers navigate complex eligibility and enrollment questions.

As a MAS4, you’ll act as a subject matter expert and provide coaching, training, and support to employers to ensure benefits are administered accurately and consistently.

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 Employees and Retirees Benefits (ERB) Division within HCA is comprised of two programs (PEBB and SEBB) with an overall spending budget of almost $5 billion dollars for over 725,000 covered lives.

The PEBB Program provides insurance coverage and administers benefits for eligible employees of state agencies, higher-education institutions, employer groups, and their dependents.

The SEBB Program provides coverage for eligible employees of K-12 schools, Educational School Districts, Charter Schools, and their dependents.

About the position:

This MAS4 position aligns with the HCA mission and Governor's health care priorities by providing support in the delivery of quality customer service to PEBB and SEBB Programs' subscribers and their dependent regarding complex member questions on eligibility and enrollment.

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:

• Provide guidance and subject matter expertise to employers on complex employee eligibility, enrollment, and data entry questions.
• Deliver one-on-one instruction, training, technical support, and interpretive guidance to Benefits Administrators at employing agencies to ensure accurate and consistent application of rules and policies.
• Independently review and monitor employer-submitted work for compliance with PEBB and SEBB Program rules.
• Provide technical support and assistance through HCA Support and the 1-800 line.
• Based on employer inquiries, recommend additional training or guidance to the supervisor.
• Assist employers in implementing HCA procedures, operational processes, and best practices.
• Research and resolve complex eligibility, enrollment, and data-entry issues in PAY1 and Benefits 24/7.
• Make recommendations to the supervisor regarding appropriate action in accordance with WACs, RCWs, and PEBB/SEBB policy.
• Support employers in interpreting carrier contracts (e.g., MetLife, The Standard), Employer Group Interlocal Agreements, and changes to HCA-administered benefits
• Review data submitted by employer groups for accuracy and completeness; provide individualized guidance and training to employer staff to correct identified errors.
• Manage internal operational reports for the PEBB and/or SEBB Programs (e.g., dual eligibility reports) and initiate appropriate corrective actions in coordination with the employer, PEBB, and SEBB.
• Review content intended for inclusion in PEBB and SEBB materials, benefits booklets, HCA memos, and administrative manuals to ensure accuracy, alignment with current policies and processes, consistency with other messaging, and clarity for the intended audience.
• Participate in testing of PAY1 and Benefits 24/7 system enhancements and updates related to open enrollment, as assigned.

Qualifications

Required qualifications:

Qualifying candidates will meet one of the following criteria options:

Option 1:

Bachelor’s degree or higher and two (2) years of the required experience below

Option 2:

Six (6) years of the required experience below

Option 3:

One year as a Medical Assistance Specialist 3 (MAS3) for the Health Care Authority

Note: Minimal travel may be required to attend training, conferences, or events.

The required experience includes the following:

• Experience providing direct client services or counseling of customers in the areas of health insurance, retirement, unemployment, disability, or other related benefit programs.

Required competencies:

• The ability to take action to learn and grow.
• The ability to take action to meet the needs of others.

Preferred qualifications:

• Excellent knowledge of PEBB and SEBB information sources, including WACs, policies and procedures.
• Superior communication, customer service, time management, and interpersonal skills. Ability to achieve results and stay calm during stressful circumstances.
• Experience using the PAY1 system, Benefits 24/7, and with database and software programs.
• Excellent mathematical skills.
• Ability to handle competing priorities and multiple deadlines.

How to apply:

Only candidates who reflect the required 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:

• 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 Lisa Fleming at (360) 725-1723 or lisa.fleming@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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