Washington State ESD
DSHS HCLA Provider Policy Network Development Program Manager
Washington State ESD, Seattle, Washington, us, 98127
Make a real difference in long‐term care policy.
The WA Cares Fund—the first program of its kind in the U.S.—helps Washingtonians prepare for future care needs. It will be launching a pilot in select counties in January and the full launch will take place in July 2026. This position will be a vital part of the WA Cares Provider Network Policy team.
Join the Department of Social and Health Services (DSHS) as part of the team leading this groundbreaking work.
What You’ll Do
Develop and maintain policies, provider contracts, rules, and other resources addressing the requirements for WA Cares Fund services.
This includes being the team's subject‑matter expert for a bundle of services and the policies, contracts, or rules that relate to them, specifically: Adaptive Equipment and Technology, care transition coordination, dementia & behavioral supports, education & consultation, and professional nursing services (e.g., skilled nursing, private duty nursing, and nurse delegation).
Develop provider standards to ensure quality oversight.
Collaborate with the Health Care Authority and serve as the team’s subject‑matter expert on ProviderOne functionality, change requests, service codes, and coordination of benefits.
Render decisions on requests for exceptions, as needed, and assist appeals coordinators or program integrity on any hearings or investigations.
Lead independent research and collaborate in workgroups on complex provider policy topics impacting the WA Cares program, our providers, or our systems.
Collaborate with HCLA experts, industry leaders, community partners and stakeholders to leverage their expertise in designing and improving the WA Cares provider network.
Work across teams and with partners to strengthen Washington’s provider network.
What We’re Looking For Professionals who bring:
A bachelor's degree in human services, healthcare, or a related field and at least 5 years of experience in program or policy management.
9 years of professional experience in social services, healthcare, or government programs.
Preferred Qualifications
Experience and working knowledge of ProviderOne/MMIS systems, service codes, and coordination of benefits.
Experience and working knowledge of service(s) for which they will be subject matter expert.
Knowledge of durable medical equipment and medical supplies.
Proven ability to write policy, understand complex systems, and manage multiple priorities.
Strong analytical and communication skills.
Experience building collaborative relationships with partners and stakeholders.
Why Join Us This permanent position is a unique opportunity to help shape the foundation of a program that will serve Washington residents for generations. The work you do today directly impacts access to long‑term care services tomorrow.
DSHS partners with people to access support, care and resources.
Interested or have questions? Click apply now, or send your resume to Kris George at kris.george@dshs.wa.gov or call (360) 995‑2275 and reference project number 07432.
The Department of Social and Health Services’ (DSHS) vision that people find human services to shape their own lives requires that we come together with a sense of belonging, common purpose, shared values, and meaningful work. It is crucial to our agency’s vision that you bring an equity, anti‑racism, and social justice commitment to your work with DSHS. We strive to create greater access and affirming representation of the communities we serve, including Black, Indigenous, and People of Color, people with physical, behavioral health, and intellectual disabilities, elders, LGBTQIA+ individuals, immigrants and refugees, and families building financial security.
Prior to a new hire, a background check including criminal record history may be conducted. Information from the background check will not necessarily preclude employment but will be considered in determining the applicant’s suitability and competence to perform in the job. This announcement may be used to fill multiple vacancies. Employees driving on state business must have a valid driver's license. Employees driving a privately owned vehicle on state business must have liability insurance on the privately owned vehicle.
Washington State Department of Social and Health Services is an equal opportunity employer and does not discriminate in any area of employment, its programs or services on the basis of age, sex, sexual orientation, gender, gender identity/expression, marital status, race, creed, color, national origin, religion or beliefs, political affiliation, military status, honorably discharged veteran, Vietnam Era, recently separated or other protected veteran status, the presence of any sensory, mental, physical disability or the use of a trained dog guide or service animal by a person with a disability, equal pay or genetic information. Persons requiring accommodation in the application process or this job announcement in an alternative format may contact the Recruiter at (360) 725‑5810. Applicants who are deaf or hard of hearing may call through Washington Relay Service by dialing 7‑1‑1 or 1‑800‑833‑6384.
E-Verify® is a registered trademark of the U.S. Department of Homeland Security.
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The WA Cares Fund—the first program of its kind in the U.S.—helps Washingtonians prepare for future care needs. It will be launching a pilot in select counties in January and the full launch will take place in July 2026. This position will be a vital part of the WA Cares Provider Network Policy team.
Join the Department of Social and Health Services (DSHS) as part of the team leading this groundbreaking work.
What You’ll Do
Develop and maintain policies, provider contracts, rules, and other resources addressing the requirements for WA Cares Fund services.
This includes being the team's subject‑matter expert for a bundle of services and the policies, contracts, or rules that relate to them, specifically: Adaptive Equipment and Technology, care transition coordination, dementia & behavioral supports, education & consultation, and professional nursing services (e.g., skilled nursing, private duty nursing, and nurse delegation).
Develop provider standards to ensure quality oversight.
Collaborate with the Health Care Authority and serve as the team’s subject‑matter expert on ProviderOne functionality, change requests, service codes, and coordination of benefits.
Render decisions on requests for exceptions, as needed, and assist appeals coordinators or program integrity on any hearings or investigations.
Lead independent research and collaborate in workgroups on complex provider policy topics impacting the WA Cares program, our providers, or our systems.
Collaborate with HCLA experts, industry leaders, community partners and stakeholders to leverage their expertise in designing and improving the WA Cares provider network.
Work across teams and with partners to strengthen Washington’s provider network.
What We’re Looking For Professionals who bring:
A bachelor's degree in human services, healthcare, or a related field and at least 5 years of experience in program or policy management.
9 years of professional experience in social services, healthcare, or government programs.
Preferred Qualifications
Experience and working knowledge of ProviderOne/MMIS systems, service codes, and coordination of benefits.
Experience and working knowledge of service(s) for which they will be subject matter expert.
Knowledge of durable medical equipment and medical supplies.
Proven ability to write policy, understand complex systems, and manage multiple priorities.
Strong analytical and communication skills.
Experience building collaborative relationships with partners and stakeholders.
Why Join Us This permanent position is a unique opportunity to help shape the foundation of a program that will serve Washington residents for generations. The work you do today directly impacts access to long‑term care services tomorrow.
DSHS partners with people to access support, care and resources.
Interested or have questions? Click apply now, or send your resume to Kris George at kris.george@dshs.wa.gov or call (360) 995‑2275 and reference project number 07432.
The Department of Social and Health Services’ (DSHS) vision that people find human services to shape their own lives requires that we come together with a sense of belonging, common purpose, shared values, and meaningful work. It is crucial to our agency’s vision that you bring an equity, anti‑racism, and social justice commitment to your work with DSHS. We strive to create greater access and affirming representation of the communities we serve, including Black, Indigenous, and People of Color, people with physical, behavioral health, and intellectual disabilities, elders, LGBTQIA+ individuals, immigrants and refugees, and families building financial security.
Prior to a new hire, a background check including criminal record history may be conducted. Information from the background check will not necessarily preclude employment but will be considered in determining the applicant’s suitability and competence to perform in the job. This announcement may be used to fill multiple vacancies. Employees driving on state business must have a valid driver's license. Employees driving a privately owned vehicle on state business must have liability insurance on the privately owned vehicle.
Washington State Department of Social and Health Services is an equal opportunity employer and does not discriminate in any area of employment, its programs or services on the basis of age, sex, sexual orientation, gender, gender identity/expression, marital status, race, creed, color, national origin, religion or beliefs, political affiliation, military status, honorably discharged veteran, Vietnam Era, recently separated or other protected veteran status, the presence of any sensory, mental, physical disability or the use of a trained dog guide or service animal by a person with a disability, equal pay or genetic information. Persons requiring accommodation in the application process or this job announcement in an alternative format may contact the Recruiter at (360) 725‑5810. Applicants who are deaf or hard of hearing may call through Washington Relay Service by dialing 7‑1‑1 or 1‑800‑833‑6384.
E-Verify® is a registered trademark of the U.S. Department of Homeland Security.
#J-18808-Ljbffr