State of Washington
Eligibility Initiatives Manager (MA5/MCS)
State of Washington, Walla Walla, Washington, United States
Overview
Eligibility Initiatives Manager (MA5/MCS) at State of Washington. This management analyst works on a strategic initiatives team to review and analyze evolving Apple Health (Medicaid) rules and policies being utilized to determine Apple Health eligibility in Washington state. The role is involved primarily in coordinating the transition of information from a legacy system (ACES) to a modernized system (Washington Healthplanfinder). They will contribute to unit initiatives, including facilitating work groups with state agencies, medical staff, and legal professionals. The ideal candidate will be highly organized and bring familiarity with Apple Health to this detail-focused position. Note:
All HCA employees apply an equity lens to their work. Responsibilities
Serve as the subject matter expert on Washington’s Streamlining Eligibility rules technical workstreams. Lead and facilitate internal, external, and cross-system workgroups as the subject matter expert in eligibility procedural, systems, and policy alignment as it relates to new eligibility and policy implementation. Research and analyze new and/or existing Apple Health eligibility procedures, policies, and regulations for state and federal compliance. Make recommendations for updates to impacted Apple Health eligibility systems based on analysis. Coordinate rule review from ACES to the Eligibility Service and Washington Healthplanfinder to ensure procedural, systematic, and policy alignment. Coordinate procedural updates with the EPICS outreach and training team for impacted staff, community assisters, and stakeholders. Establish and coordinate eligibility operational changes and standards to Apple Health eligibility delivery systems with staff, internal and external partners, and stakeholders. Manage multiple projects and assignments concurrently with a considerable degree of self-directed initiative. Facilitate process improvement projects, workgroups, and meetings across the section and agency related to Apple Health eligibility policy, procedures, and workflows impacting Apple Health eligibility systems. Provide policy managers with data and analysis to support policy development and programmatic maintenance. Track eligibility data and coordinate requests through the data analysts within the section. Resolve issues, respond to inquiries, and review legislation to ensure consistency with strategic, long-range plans. Qualifications
Required qualifications: Qualifying candidates will meet one of the following criteria options: Option 1 Nine (9) years of experience as defined below.
Option 2 Associate degree with major study in health, social sciences, public administration, education, or closely related field, and Seven (7) years of experience as defined below.
Option 3 Bachelor’s degree with major study in health, social sciences, public administration, education, or closely related field, and Five (5) years of experience as defined below.
Qualifying experience areas (two or more) Conducting research Analyzing policies, laws, rules, or regulations Policy development Conducting business analysis and developing requirements Leading business projects Using process improvement methodologies (i.e. Lean, organizational change management)
Two years of experience in one or more of the following areas Drafting Medicaid policy and procedures Researching Medicaid policy in other states Developing scenarios or strategies for long and short-term division planning Reviewing implementation of programs for compliance with legal requirements Conducting analyses of Medicaid system, facts, statistics, and other relevant materials to resolve questions concerning Medicaid and state medical programs eligibility policy, legislative changes, and budgetary constraints
Preferred Qualifications Working in or alongside state government with knowledge of Washington State governmental structure and Medicaid policies Experience leading diverse work groups on health plan administration Experience in project management, change management, and/or process improvement Demonstrated knowledge of management principles and organizational practice Certifications in project management, change management, and/or process improvement methodologies Applied knowledge of ACES, Barcode, ProviderOne, Washington Healthplanfinder and related data sources; strong MS Office skills Strong oral and written communication with clients and management Knowledge of state and federal Medicaid laws, regulations, and procedures Proficiency in complex project design, planning and management How To Apply
Only candidates who reflect the minimum qualifications on their NEOGOV profile will be considered. To apply, complete your profile with three professional references and attach a cover letter and resume in separate files: a cover letter addressing how you meet the qualifications, and your current resume. To take advantage of veteran preference, attach a copy of your DD214 (Member 4 long-form), NGB 22, or USDVA signed verification of service letter, and black out any PII data. Include your name as it appears on your application in careers.wa.gov. About HCA
Functioning as the state’s largest health care purchaser and its behavioral health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible. Three pillars of our work are Apple Health (Medicaid); PEBB/SEBB programs; and behavioral health and recovery. HCA purchases health care and provides behavioral health supports to more than 2.7 million residents. What We Have To Offer
Meaningful work with friendly coworkers and a mission-driven agency Healthy work/life balance with flexible schedules and mobile options Competitive benefits package Safe workplace with nearby amenities Tuition reimbursement Free parking Notes
Background check will be conducted. HCA is an equal opportunity employer. We value diversity and inclusion. Questions about qualifications or experience can be directed to HCAjobs@hca.wa.gov. For accessibility needs, contact jake.nelko@hca.wa.gov. Updated 07-21-2025
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Eligibility Initiatives Manager (MA5/MCS) at State of Washington. This management analyst works on a strategic initiatives team to review and analyze evolving Apple Health (Medicaid) rules and policies being utilized to determine Apple Health eligibility in Washington state. The role is involved primarily in coordinating the transition of information from a legacy system (ACES) to a modernized system (Washington Healthplanfinder). They will contribute to unit initiatives, including facilitating work groups with state agencies, medical staff, and legal professionals. The ideal candidate will be highly organized and bring familiarity with Apple Health to this detail-focused position. Note:
All HCA employees apply an equity lens to their work. Responsibilities
Serve as the subject matter expert on Washington’s Streamlining Eligibility rules technical workstreams. Lead and facilitate internal, external, and cross-system workgroups as the subject matter expert in eligibility procedural, systems, and policy alignment as it relates to new eligibility and policy implementation. Research and analyze new and/or existing Apple Health eligibility procedures, policies, and regulations for state and federal compliance. Make recommendations for updates to impacted Apple Health eligibility systems based on analysis. Coordinate rule review from ACES to the Eligibility Service and Washington Healthplanfinder to ensure procedural, systematic, and policy alignment. Coordinate procedural updates with the EPICS outreach and training team for impacted staff, community assisters, and stakeholders. Establish and coordinate eligibility operational changes and standards to Apple Health eligibility delivery systems with staff, internal and external partners, and stakeholders. Manage multiple projects and assignments concurrently with a considerable degree of self-directed initiative. Facilitate process improvement projects, workgroups, and meetings across the section and agency related to Apple Health eligibility policy, procedures, and workflows impacting Apple Health eligibility systems. Provide policy managers with data and analysis to support policy development and programmatic maintenance. Track eligibility data and coordinate requests through the data analysts within the section. Resolve issues, respond to inquiries, and review legislation to ensure consistency with strategic, long-range plans. Qualifications
Required qualifications: Qualifying candidates will meet one of the following criteria options: Option 1 Nine (9) years of experience as defined below.
Option 2 Associate degree with major study in health, social sciences, public administration, education, or closely related field, and Seven (7) years of experience as defined below.
Option 3 Bachelor’s degree with major study in health, social sciences, public administration, education, or closely related field, and Five (5) years of experience as defined below.
Qualifying experience areas (two or more) Conducting research Analyzing policies, laws, rules, or regulations Policy development Conducting business analysis and developing requirements Leading business projects Using process improvement methodologies (i.e. Lean, organizational change management)
Two years of experience in one or more of the following areas Drafting Medicaid policy and procedures Researching Medicaid policy in other states Developing scenarios or strategies for long and short-term division planning Reviewing implementation of programs for compliance with legal requirements Conducting analyses of Medicaid system, facts, statistics, and other relevant materials to resolve questions concerning Medicaid and state medical programs eligibility policy, legislative changes, and budgetary constraints
Preferred Qualifications Working in or alongside state government with knowledge of Washington State governmental structure and Medicaid policies Experience leading diverse work groups on health plan administration Experience in project management, change management, and/or process improvement Demonstrated knowledge of management principles and organizational practice Certifications in project management, change management, and/or process improvement methodologies Applied knowledge of ACES, Barcode, ProviderOne, Washington Healthplanfinder and related data sources; strong MS Office skills Strong oral and written communication with clients and management Knowledge of state and federal Medicaid laws, regulations, and procedures Proficiency in complex project design, planning and management How To Apply
Only candidates who reflect the minimum qualifications on their NEOGOV profile will be considered. To apply, complete your profile with three professional references and attach a cover letter and resume in separate files: a cover letter addressing how you meet the qualifications, and your current resume. To take advantage of veteran preference, attach a copy of your DD214 (Member 4 long-form), NGB 22, or USDVA signed verification of service letter, and black out any PII data. Include your name as it appears on your application in careers.wa.gov. About HCA
Functioning as the state’s largest health care purchaser and its behavioral health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible. Three pillars of our work are Apple Health (Medicaid); PEBB/SEBB programs; and behavioral health and recovery. HCA purchases health care and provides behavioral health supports to more than 2.7 million residents. What We Have To Offer
Meaningful work with friendly coworkers and a mission-driven agency Healthy work/life balance with flexible schedules and mobile options Competitive benefits package Safe workplace with nearby amenities Tuition reimbursement Free parking Notes
Background check will be conducted. HCA is an equal opportunity employer. We value diversity and inclusion. Questions about qualifications or experience can be directed to HCAjobs@hca.wa.gov. For accessibility needs, contact jake.nelko@hca.wa.gov. Updated 07-21-2025
#J-18808-Ljbffr