Health Care Program Specialist (HCPS/DLS) – Internal Only

The State of Washington is seeking a Health Care Program Specialist to ensure fairness, transparency, and access to essential healthcare services. This role involves promulgating Washington Administrative Code (WAC) for HCA's programs and developing provider billing manuals and instructions to facilitate clear communication and compliance with healthcare regulations.

Responsibilities

• 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

Skills

• 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
• 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

Benefits

• 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!
• Employees and their families are covered by medical (including vision), dental and basic life insurance.
• Staff are eligible to enroll each year in a medical flexible spending account which enables them to use tax-deferred dollars toward their health care expenses.
• Employees are also covered by basic life and long-term disability insurance, with the option to purchase additional coverage amounts.
• Dependent care assistance allows the employee to save pre-tax dollars for a child or elder care expenses.
• Other insurance coverage for auto, boat, home, and renter insurance is available through payroll deduction.
• The Washington State Employee Assistance Program promotes the health and well-being of employees.
• State Employees are members of the Washington Public Employees' Retirement System (PERS).
• New employees have the option of two employer contributed retirement programs.
• Employees also have the ability to participate in the Deferred Compensation Program (DCP).
• All state employees are covered by the federal Social Security and Medicare systems.
• If you are employed by a government or not-for-profit organization, and meet the qualifying criteria, you may be eligible to receive student loan forgiveness under the Public Service Loan Forgiveness Program.
• Full-time and part-time employees are entitled to paid holidays and one paid personal holiday per calendar year.
• Full-time employees earn eight hours of sick leave per month.
• Full-time employees accrue vacation leave at the rates specified in WAC 357-31-165(1) or the applicable collective bargaining agreement (CBA).
• Washington State supports members of the armed forces with 21 days paid military leave per year.
• Most employees whose family member or household member dies, or for loss of pregnancy, are entitled to five (5) days of paid bereavement leave.

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