Apple Health Eligibility Policy Manager; HCPM​/AHSO​/EPICS

Apple Health Eligibility Policy Manager (HCPM/AHSO/EPICS)

Are you driven by public service, high-impact policy work, and work‑life balance? This Health Care Program Manager (HCPM) position offers the chance to directly shape Adult Medicaid and the Affordable Care Act (ACA) within Washington's Apple Health program. We are looking for someone with experience managing programs, working with policy and project management, if any of this sounds like you, please apply!

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.

Eligibility Policy Innovation and Community Support (EPICS) within AHSO consists of staff who represent the Director of HCA and speak with the authority of the agency in the communities across the state. Staff advise external stakeholders in community-based health organizations on behalf of the agency. Staff also evaluate and analyze federal statutes and regulations; they formulate state policy for Apple Health eligibility.

Staff participate in long‑range strategic planning for Apple Health eligibility policy and service delivery while at the same time being responsive to short‑term objectives. Actions taken, decisions made, and directions given by this office have significant impact on almost 2 million residents of the state of Washington who are eligible for Apple health and who need these programs in order to receive affordable medical services.

This position reports to the Senior Policy Analyst of EPICS. This position works as an expert in the maintenance, development, and implementation of eligibility policy changes from the state and federal levels. This position helps to support the ongoing success of the Apple Health program in Washington State. All program managers in EPICS have a broad understanding of all eligibility policy areas with specific areas of expertise.

This position’s area of subject matter expertise is Adult Medicaid as authorized by the Affordable Care Act. This includes new and changing initiatives and programmatic impacts across the Apple Health delivery system.

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.

• Coordinate, lead, analyze and maintain current and changing eligibility policy initiatives for policies impacting the Apple Health for Adults, Medicaid program. This includes eligibility changes under House Resolution One (HR1).
• Collaborate with federal partners, stakeholders, staff, and system partners to ensure shared understanding and implementation of changing initiatives.
• Coordinate and lead work groups with business partners to develop eligibility processes ensuring compliance with federal and state policy current and future eligibility compliance.
• Develop and assist in executing an outreach and education campaign to educate customers and community on these upcoming changes that will impact these forthcoming changes.
• Coordinate monthly CMS meetings to ensure HCA follows Medicaid and Title XXI/CHIP.
• Develop and provide clarification and policy expertise regarding Apple Health eligibility state and federal policy and procedures for legislative staff, constituents, other state agencies, HCA staff and community‑based organizations.
• Lead and manage stakeholder relations to implement necessary changes including federal partners as necessary. Stakeholders can include the public, community assistants, financial councils, providers, legal advocates, tribal partners, agency and internal partners, and other interested parties.
• Translate Federal policy and guidance to formulate statewide Apple Health policy…