Remote Lead Medical Assistance Specialist

State of Washington; Olympia (WA); Remote; USD 85,000 - 105,000; Full time

Benefits offered by this job

Remote work

Health insurance

Paid time off and holidays

PFML

Retirement options

Training & development

Wellness programs

Job summary

The State of Washington is seeking a Medical Assistance Specialist 4 (Lead) to oversee a team handling Apple Health (Medicaid) and CHIP cases. The role centers on guiding complex eligibility determinations, delivering training, and stepping in for supervision to maintain smooth operations.

You will lead day-to-day operations, apply federal and state rules, and coordinate across systems like ACES/ProviderOne, ensuring accurate, compliant outcomes while working primarily remotely with occasional

Qualifications

• Demonstrated advanced knowledge of federal and state laws, regulations, policies, procedures, and program requirements.
• Ability to analyze complex, unusual, or escalated program issues and develop accurate determinations.
• Provide technical leadership, guidance, and expertise to staff and partners.

Responsibilities

• Lead a team of eight or more Medical Assistance Specialists, monitoring workload and priorities.
• Act on behalf of the supervisor in their absence to support daily operations.
• Provide staff with eligibility guidance, interpret policy, and help determine final dispositions.

Skills

Policy knowledge

Regulatory interpretation

Staff training

Leadership

Audit & compliance

Team coordination

Communication

Equity mindset

Tools

ACES

ProviderOne

Barcode/DMS

Washington Healthplanfinder

MVP

Job description

The State of Washington is seeking a Medical Assistance Specialist 4 (Lead) to oversee a team handling Apple Health (Medicaid) and CHIP cases. The role centers on guiding complex eligibility determinations, delivering training, and stepping in for supervision to maintain smooth operations.

You will lead day-to-day operations, apply federal and state rules, and coordinate across systems like ACES/ProviderOne, ensuring accurate, compliant outcomes while working primarily remotely with occasional