New Job Medical Assistance Specialist 3 (Mas3/Cqct) In Washington

Medical Assistance Specialist 3 (MAS3/CQCT)

71028327

The Legislature has approved a 4% general wage increase for all state employees, effective July 1, 2023. Additionally, this job classification has been approved for a two-range/5% salary increase on 7/1/2023.

About the division:

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. HCA is Washington’s largest health care purchaser, responsible for providing comprehensive health coverage to nearly 2 million residents through the Public Employees Benefits and Medicaid programs. The agency provides health purchasing leadership, benefiting both public and private sectors with a focus on moving the health delivery system away from volume toward higher value and better outcomes.

The Clinical Quality and Care Transformation (CQCT) division makes clinical policy decisions that guide medical coverage, maintain quality standards, and ensure evidence-based practices for those on whose behalf HCA purchases medical care. The mission of the Pharmacy Policy Section is to assure the highest quality of care for low-income state medical assistance recipients by guiding appropriate and cost-effective use of pharmaceuticals.

About the position:
The Medical Assistance Specialist 3 supports the mission of the Health Care Authority/Clinical Quality and Care Transformation (CQCT) through working collaboratively to provide quality services that enhance our client’s ability to obtain and access health care. This position supports that mission by providing expert consultative services to providers and clients and independently determining prior authorization of medical services and equipment.

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. Frequency of onsite work will vary based on business and operational needs. HCA may choose, but is not required, to support out-of-state telework on a case-by-case basis.

Some of what you will do:

Required qualifications:

• A bachelor's degree

AND

• One (1) year 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 processing, adjusting, and investigation; or other medical premiums/claims related experience.

OR

• An associate’s degree

AND

• Three (3) 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 processing, adjusting, and investigation; or other medical premiums/claims related experience.

OR

• Five (5) 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 processing, adjusting, and investigation; or other medical premiums/claims related experience.

OR

• One (1) year as a Medical Assistance Specialist 2

Preferred qualifications:

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 which includes three professional references and attach:

To take advantage of veteran preference, please do the following:

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.

What we have to offer:

Notes:

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.

HCA is an equal opportunity employer. We value the importance of creating an environment in which all employees can feel respected, included, and empowered to bring unique ideas to the agency. Our diversity and inclusion efforts include embracing different cultures, backgrounds and viewpoints while fostering growth and advancement in the workplace. Women, racial and ethnic minorities, persons of disability, persons over 40 years of age, disabled and Vietnam era veterans, as well as people of all sexual orientations and gender identities are encouraged to apply. Persons with disabilities needing assistance in the application process, or those needing this job announcement in an alternative format may contact Julie Laney at 360.725.5130 or [email protected].

The Washington State Health Care Authority (HCA) is an E-Verify employer. All applicants with a legal right to work in the United States are encouraged to apply.