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State of Washington is seeking a Portfolio Budget Manager to oversee Medicaid, mental health, and administrative budget components, ensuring alignment with OFM requirements and directives. You will craft financial models, analyze variances, and present findings to program managers, HCA leadership, and OFM.
You will partner with accounting teams and program staff to drive accurate biennial proposals and implement budget policy objectives while supporting strategic goals.
This is a full-time permanent, hybrid position required to report on site 1 day a week and occasionally at other times to meet business needs.
All HCA employees are required to be Washington state residents upon their first day of employment.
This position is responsible for developing and monitoring key components of the Medicaid budget, mental health budget, administrative budget, agency budget requests, allotment processes, fiscal notes, and financial analyses in a manner that ensures the process undertaken and content of all deliverables meet the HCA and Office of Financial Management (OFM) requirements and guidelines. This position is responsible for identifying and analyzing financial variances and communicating them in an accurate, timely fashion to all parties as appropriate, to include program managers, HCA executive management, and OFM.
As a Portfolio Budget Manager, you are not just crunching numbers, you are a trusted high-level strategist who directly influences HCA’s state legislative budget, Medicaid premium rates, and major public policy decisions. This position offers the rare opportunity to operate at the center of the action, collaborating with senior leadership, state agencies, and legislative staff to solve complex, high-stakes financial puzzles.
You will thrive here if you enjoy full analytical ownership, love turning massive datasets into clear strategic directions, and want to see the immediate, real-world impact of your expertise on state-wide healthcare funding.
Experience may have been gained through paid or unpaid activities. Please ensure any relevant experience defined below is outlined in your cover letter, resume, and application.
Analytic & Technical Skills:
While these are not required, having them may help you stand out as an applicant.
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Financial Services Division (FSD), which in collaboration with other HCA divisions and a variety of external stakeholders and legislative partners, provides strategic financial expertise for Apple Health, Community Behavioral Health (CBH), PEBB and SEBB programs. In addition, FSD oversees the budget and compliance functions necessary to manage and monitor the single largest Washington State individual operating budget. Functions include budget management, accounting, forecasting, professional and hospital rate setting, financial analysis, and payment/collection operations. This division maintains a close working relationship with agency program, policy, and clinical divisions to ensure financially sound implementation and monitoring of program strategies.
Better Health. Better Care. A Healthier Washington.
At HCA, we work to ensure people across Washington have the opportunity to be as healthy as possible. As the State’s largest health care purchaser and behavioral health authority, HCA serves nearly 3 million Washington residents through Apple Health (Medicaid), Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs, and behavioral health services. Through this work, HCA purchases and coordinates care coverage, supports behavioral health prevention, treatment, crisis response, and recovery and helps strengthen access to high‑quality care across Washington.
We want our employees to have the support, flexibility, and benefits they need to do their best work and build a career that works for your life. As a Washington State HCA employee, you’ll have access to a comprehensive benefits package that supports your health, financial well‑being, and work‑life balance. Our benefits are designed to support you today while helping you plan for the future. Learn more about why HCA by visiting the Voices of HCA and the "Who we are" section of our website.
This is a full-time 40-hour-per-week hybrid position. You will report to the HCA office located in Olympia, WA for in‑person work. Our standard business hours are Monday through Friday, 8 a.m. to 5 p.m., with alternative work schedules considered based on business needs. When working in‑person, you will work in a shared space, open office environment. In this role you’ll regularly collaborate with colleagues, agency leaders, state and federal partners, and other external partners or customers. Occasional travel may be required for meetings, training, or other business needs. All employees are required to report to our Olympia office on their first and final day of employment.
The Health Care Authority is an equal opportunity employer. We are committed to creating a workplace where employees are respected, included, and supported in bringing their experiences, perspectives, and ideas to work. Our commitment to inclusion is reflected in how we work together and serve the people of Washington. HCA also supports five voluntary employee led Employee Resource Groups (ERGs), which create opportunities for connection, community, learning, and professional growth.
We value the experience and skill veterans bring to the workforce and encourage veterans, transitioning service members, and military spouses to apply. Eligible veterans may qualify for veterans’ preference in accordance with Washington State Law. If you are claiming veterans’ preference, you must attach your applicable DD-214 documentation to your application. Please redact your social security number, date of birth, and any other sensitive information before uploading and attaching the document.