DSHS ALTSA Provider Policy Network Development Manager

Washington State Department of Social and Health Services; Lacey (WA); Hybrid; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a Provider Policy and Network Development Program Manager to join their dynamic team. This role involves creating policies and processes for the WA Cares Fund, ensuring a seamless experience for beneficiaries. The ideal candidate will have extensive experience in program management and policy development, particularly in long-term care and social services. You will work collaboratively with various stakeholders to enhance service delivery and ensure compliance with state regulations. If you are passionate about making a difference in the community and possess strong analytical and communication skills, this position offers a meaningful opportunity to contribute to impactful initiatives.

Qualifications

• 9 years in program management and policy development for social services.
• Strong communication and analytical skills required.

Responsibilities

• Develop policies and contracts for WA Cares Fund services.
• Collaborate with stakeholders to design provider network requirements.
• Analyze rates and impacts to program solvency.

Skills

Program Management

Policy Development

Communication Skills

Analytical Skills

Project Management

Education

Bachelor’s degree in human services or social sciences

9 years of professional experience

Tools

Microsoft Office

Job description

The WA Cares Fund (WCF) is the first of its kind in the United States, showcasing why Washington State leads the nation in long-term care initiatives, created by the WA state Legislature to provide affordable long-term care insurance coverage to all working Washingtonians. This program is one of the latest examples of why Washington State is a national leader in long-term care policy.

WCF is seeking a Provider Policy and Network Development Program Manager, to join our dynamic team within the Aging and Long-Term Support Administration (ALTSA). At ALTSA, we champion choice, independence, and safety for seniors and people with disabilities. Our mission is to provide quality services which empowers people to live with dignity and control over their lives.

Come join us and help support our efforts to create policies and processes related to coordinating how WCF will interact with Medicaid. Your knowledge of long-term care and policy writing will support our efforts to create a seamless experience for our beneficiaries who use both systems.

In this role, you will serve as a vital member of the WA Cares Fund and the unit’s designated subject matter expert for WA Cares Fund Provider Network collaboration with the Health Care Authority’s ProviderOne system and functionality, as well as policy development to build an adequate provider network to serve WA Cares beneficiaries. You will be subject-matter expert on various WCF services, including Adaptive Equipment and Technology (with specific expertise in medical equipment and supplies), residential services, including adult family homes, assisted living, nursing homes, nursing services home care, care transitions, dementia & behavior support, and education & consultation.

This opportunity offers flexible hybrid remote work, may have to travel occasionally to the headquarters in Lacey, WA based on the business needs.

Some of what you will do:

• Develop workforce policies, provider contracts, administrative rules, and training that address requirements for WA Cares Fund.
• Subject matter expert in long-term care services, managing contracts, conducting research, and developing policies, contracts, and training materials related to these services.
• Set standards, develop, and maintain agreements or contracts with providers to be paid for WA Cares Fund services.
• Develop and implement qualifications and monitor strategies, including requirements for terminating providers that do not continue to meet qualifications.
• Collaborate with Aging and Long-Term Support Administration experts, industry leaders, community partners and stakeholders to leverage their expertise in designing provider network requirements.
• Serve as the subject matter expert and lead on topics related to home care agencies, memory care services, and residential providers in WA Cares, such as adult family homes, assisted living facilities, and nursing homes.
• Analyze rates and their impacts to program solvency, engage subject matter expertise to provide comprehensive analyses.
• Implement services recommended by the LTSS Commission to benefit and further the program.
• Research and monitor trends, participate in the development and implementation of minimum qualifications and maximum rates.
• Participate and support in LTSS Commission work groups, responding to requests for information or research to support decision-making, along with data analysis.

Our ideal applicant should have strong communication skills (both oral and written), the ability to analyze complex information, be organized, have project management knowledge, and work independently while knowing when to escalate issues, tolerate stress, and adapt to changing business needs. They should be comfortable handling high-level content and working on large-scale projects, accept responsibility for the quality and timeliness of work to meet or exceed goals.

If you are interested in doing meaningful work with a passionate, dynamic team of collaborators and decision-makers, we want to talk with you!

Who should apply:

• 9 years of professional/practical experience in program management and policy development for social services, long-term care, healthcare programs, or state government programs. At least 4 years must demonstrate professional experience writing administrative rules, policy documents, or technical manuals.

OR

• Bachelor’s degree in human services, social sciences, or other related field.

AND

• 5 years of experience in program management and policy development for social services, long-term care, healthcare programs, or state government programs. At least two of the five years demonstrate professional experience writing administrative rules, policy documents, or technical manuals.

Preferred/desired education, experience, and competencies:

• Ability to facilitate conflict resolution.
• Experience working in Washington State government.
• Experience using Microsoft applications, including Microsoft Office products including Word, Excel, and Outlook.
• Demonstrated knowledge and skills in management principles including leadership, strategic planning, quality management techniques, project management, contract negotiation, and budget development.
• Knowledge of principles and practices of long-term care insurance programs.
• Knowledge and experience with home care agency services and residential long-term care services.
• Knowledge of organizational change management principles.
• Knowledge of Washington State procurement processes, and experience writing RFPs, evaluating proposals, contract negotiations, and contract management and monitoring.

Interested?

• Please include the following with your application:
• Resume
• Cover letter
• Three professional references, including your most recent supervisor.
• Responses to the supplemental questions.

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.