Medical Assistance Specialist 5 (MAS5/MCS)
Full Time
Olympia, WA
Posted
Job description
Description
Medical Assistance Specialist 5 (MAS5/MCS)
70076868
70076868
Per Governor Inslee’s Directive 22-13.1, state employees must be fully vaccinated. Your vaccine status will be verified upon acceptance of a contingent job offer. Please note, medical or religious accommodation may be available once an offer of employment is made.
About the division:
The Health Care Authority (HCA) is Washington’s largest health care purchaser responsible for providing comprehensive health coverage to more than 2 million residents through the Public Employees Benefits and Medicaid programs. HCA’s mission is to provide high quality health care through innovative health policies and purchasing strategies. The Division of
Medicaid Customer Service (MCS) works across the Health Care Authority (HCA) and in partnership with the health care community at a local, state, and federal levels, in order to develop, and manage high quality, and evidence-based health care programs and purchase services that enhance Apple Health (Medicaid) clients' ability to access appropriate, quality health care.
About the position:
The
Medical Assistance Specialist 5 (MAS5) supervises a staff of 11 or more MAS 3 and 1 MAS4 positions in the MEDS section, responsible for determining and maintaining eligibility for Medicaid programs, including but not limited to Apple Health for Kids, Pregnancy Medical, Breast and Cervical Cancer Treatment Program, and the Take Charge Family Planning Programs.
This position is eligible to telework and is typically not required to report on-site.
Duties
Some of what you will do:
- Using multiple eligibility systems such as, but not limited to the Document Management System (DMS), Automated Client Eligibility System (ACES), Barcode systems and the EAZ policy manual.
- Plans, assigns, and reviews the work of staff, adjusting assignments and schedules to maintain adequate staffing levels and respond to fluctuating workloads.
- Evaluates employee performance and prepares performance appraisals.
- Assesses training needs of staff and arranges for or provides instruction.
- Reviews applicants’ credentials, conducts interview, and hires or effectively recommends hiring staff.
- Resolves staff issues, disciplines, and recognizes employees; works with and counsel’s employees on all work-related activities and career development.
- Plans, assigns, and reviews the work of staff, adjusting assignments and schedules to maintain adequate staffing levels and respond to fluctuating workloads.
- Manage workload performance within established standards of processing time and accuracy.
- Maintain work procedures and processes according to eligibility rules published in WAC.
- Collaborate with other supervisors and management to develop consistent processes and procedures. Direct training as required to implement changes in rules and/or procedures. Interpret policies related to Medicaid programs as they apply to MEDS staff and clients.
- Represent MEDS on workgroups and agency wide committees, coordinate with other agencies and offices within HCA as required to achieve the goals and objectives of MEDS.
Qualifications
Required qualifications:
- A Bachelor’s Degree.
AND
- Four (4) years of experience providing direct client services or counseling of customers in the areas of health insurance, disability, or other related health benefits; public assistance eligibility determination; health insurance premiums/claims process, adjusting, and investigation; or other medical premiums/claims related experience.
OR
- One (1) year as a Medical Assistance Specialist 4.
OR
- Two (2) years as a Medical Assistance Specialist 3.
Additional experience may substitute, year for year, for the required education.
Preferred qualifications:
- Experience supervising in a collective bargaining environment.
- Experience working with eligibility rules.
- Experience working with Barcode, ACES and Healthplanfinder
Supplemental Information
How to apply:
Only candidates who reflect the minimum 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 and attach:
A cover letter that specifically addresses how you meet the qualifications for this position- Current resume
- Three professional references
About HCA:
The Washington State Health Care Authority (HCA) is committed to whole-person care, integrating physical health and behavioral health services for better results and healthier residents.
HCA purchases health care for more than 2.5 million Washington residents through Apple Health (Medicaid), the Public Employees Benefits Board (PEBB) Program, and the School Employees Benefits Board (SEBB) Program. As the largest health care purchaser in the state, we lead the effort to transform health care, helping ensure Washington residents have access to better health and better care at a lower cost.
HCA purchases health care for more than 2.5 million Washington residents through Apple Health (Medicaid), the Public Employees Benefits Board (PEBB) Program, and the School Employees Benefits Board (SEBB) Program. As the largest health care purchaser in the state, we lead the effort to transform health care, helping ensure Washington residents have access to better health and better care at a lower cost.
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.
- Tuition reimbursement
- And free parking!
Notes:
At HCA, we understand the importance of having a diverse workforce. It’s imperative we reflect the image of America in all our programs throughout our workforce which includes our supervisory, management, and executive leadership positions. Therefore, we’re actively involved in promoting a diverse work environment. At HCA, we assist our recruitment team with their DEI staffing objectives. Additionally, we promote diversity, equity, and inclusion through internal discussions, meetings, and written instructions. Furthermore, we must be extremely vigilant to recognize shortfalls and recommend solutions to those challenges. Lastly, we know that the most successful organizations in America are ones that promote diversity throughout their workforce, and our goal is to ensure HCA does the same.
The Washington State Health Care Authority is an equal opportunity employer. We strive to create a working environment that provides equal access and opportunity to anyone who qualifies, regardless of sex, race, age, color, religion, mental or physical disability, national origin, sexual orientation, gender identity and expression and/or military status. Persons with disabilities needing assistance in the application process, or those needing this job announcement in an alternative format may contact Angel Matthews at Angel.Matthews@hca.wa.gov
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.
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