Medicaid and Non-Medicaid Program Manager, Project​/Program Manager III

king county's department of community and human services (dchs) provides equitable opportunities for people to be healthy, happy, and connected to community.

at king county department of community and human services (dchs), we believe in working as one team that solves problems—striving to be customer-focused and drive for the best results. We envision a welcoming community that is racially just. We believe the field of human services exists to undo and mitigate unfair structures. We seek to lead the way by working as respectful and responsible stewards for our community.

the medicaid and non-medicaid benefits program manager, project/program manager iii, in the utilization management and clinical coordination section of the behavioral health and recovery division (bhrd) plays a critical role in helping king county residents access medicaid and non-medicaid behavioral health benefits
and stewarding king county’s behavioral health investments for non-medicaid mental health and substance use disorder (sud) outpatient services.

this position supports king county behavioral health providers by organizing resources and delivering technical assistance to help them guide individuals through medicaid and non-medicaid benefit processes. The role focuses on assisting providers with activities such as helping individuals qualify for initial medicaid coverage, supporting individuals in meeting federal requirements for medicaid renewal, facilitating “spend downs” to initiate medicaid eligibility, and connecting individuals to non-medicaid benefits.

They are a critical connector across providers, bhrd internal teams, and system partners—facilitating alignment, resolving operational issues, and ensuring consistent implementation of policies, procedures, and contract requirements related to medicaid and non-medicaid enrollment. The position will entail highly detailed and technical work, assisting with development and monitoring compliance with complex processes and system navigation, allowing for improved access to critical benefits for those with significant behavioral health care needs.

this position also oversees the midd funded non-medicaid program, with an annual budget of more than $12 million. This position ensures that these limited non-medicaid resources are used effectively, equitably, and in alignment with king county’s commitment to a racially just, person centered behavioral health system. This role is responsible for managing and monitoring the non-medicaid outpatient budget, overseeing program operations, and ensuring providers have the guidance, tools, and support needed to deliver non-medicaid services.

the position reports to the utilization management and clinical coordination section manager and functions as a subject matter lead for medicaid enrollment and non-medicaid program operations, provider support, and internal coordination. The medicaid and non-medicaid benefits program manager, project/program manager iii ensures that program expectations are clear, workflows are consistent, and spending aligns with established strategic priorities and contractual obligations.

to be considered minimally qualified applicant must demonstrate a background that provides the knowledge, skills and ability to:

• develop job aids that support consistent staff and provider workflows.
• develop, maintain, and implement program policies and procedures.
• develop and maintain scope within the provider manual to ensure clear and current operational guidance and contract compliance requirements.
• monitor and enforce contract requirements to ensure program compliance.
• oversee and monitor local bh provider performance in obtaining medicaid coverage for eligible clients (including initial enrollment, re-enrollment, and accomplishing spend downs)
• oversee and document internal non-medicaid approvals.
• facilitate steering committee sessions to drive alignment, decision-making, and program direction.
• coordinate and facilitate internal meetings to ensure cross-team clarity and progress.
• collaborate with other sections to align processes, resolve issues, and support integrated program operations.
• provide continuous technical assistance to support provider performance, program fidelity, and medicaid…