Apple Health Eligibility Policy Manager; HCPM​/AHSO - Project

Description

Apple Health Eligibility Policy Manager (HCPM/AHSO) – Project

Salary:
The salary advertised reflects the statewide 2% GWI for employees as of 7/1/2026.

Funding:
This is a project position funded through 6/30/2028.

This position will support the implementation of changes being made to Apple Health (Medicaid) coverage for kids ages 0-6. This program manager will convene work groups and coordinate with interagency stakeholders to analyze policy, create outreach materials, and communicate these changes. If you have professional experience with Medicaid policies, strong communication skills, and are prepared to jump into this evolving landscape, this may be the opportunity for you!

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 Apple Health Services and Operations (AHSO) division works across HCA and in partnership with the health care community at local, state and federal levels to develop and manage high quality and evidence-based health care programs and purchase services that enhance Washington State residents’ ability to access appropriate, quality health care.

Within AHSO, the Eligibility Policy Innovation and Community Support (EPICS) section consists of staff who advise external stakeholders in community-based health organizations on behalf of the agency and evaluate and analyze federal statutes and regulations. EPICS staff formulate state policy for Apple Health eligibility and participate in long range strategic planning for Apple Health eligibility policy and service delivery while being responsive to short-term objectives that have significant impact for 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.

About the position:

This position works as a technical 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. This is a project position that will help support the ongoing implementation and maintenance of continuous eligibility for kids 0-6 through this 1115 waiver demonstration approval period and lead the waiver project to remove these waiver provision within Apple Health programs after 2028.

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 on site 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, analyze and maintain current eligibility policy deliverables for the continuous eligibility for kids aged 0-6, 1115 waiver demonstration project.
• Lead the efforts to remove this waiver provision post waiver approval in 2028.
• Collaborate with business partners to develop eligibility processes ensuring compliance with federal and state policy.
• Develop and assist in executing an outreach and education campaign to educate customers and community on upcoming changes.
• Coordinate monthly CMS meetings.
• Develop and provide clarification and policy expertise regarding Apple Health eligibility state and federal policy and procedures.
• Lead and manage stakeholder relations to implement necessary changes. Stakeholders can include the public, community assisters, 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.
• Analyze agency policy and operations, make decisions on improvements, and work with agency staff to implement.
• Develop proposals for review by executive management on Apple Health policy,…