• Job Description

  Req#: 5127998
  Salary: $76,968.00 - $103,536.00 Annually
  Location : Thurston County - Olympia, WA
  Job Type: Project (limited duration)
  Remote Employment: Remote Optional
  Job Number: 2025-07678
  Department: Health Care Authority
  Division: AHSO
  Opening Date: 10/30/2025
  Closing Date: 11/13/2025 11:59 AM Pacific
  Salary Information: The high end of the salary range, Step M is typically a longevity step
  
  Description
  Eligibility Initiatives Manager (MA5/AHSO) - Project
  
  71111200
  
  This is a project position funded through 06/30/2027.
  
  This management analyst works on a strategic initiatives team to review and analyze evolving Apple Health (Medicaid) rules and policies being utilized to determine Apple Health eligibility in Washington state. This individual will be involved primarily in the coordination effort to transition information from a legacy system (ACES) to a modernized system (Washington Healthplanfinder). They will also contribute to unit initiatives, including facilitating work groups with state agencies, medical staff, and legal professional across the state. The ideal candidate will be highly organized and bring familiarity with Apple Health to this detail-focused position.
  
  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.
  
  About the unit:
  
  Eligibility Policy Innovation and Community Support (EPICS), within the Apple Health Services and Operations (AHSO) Division of Health Care Authority, consists of staff who represent the Director of the Health Care Authority and speak with the authority of the agency in communities across the state. Staff advise external stakeholders in community-based health organizations on behalf of the agency. Staff also evaluate and analyze federal statutes and regulations; they formulate state policy for Apple Health eligibility. Staff participate in long range strategic planning for Apple Health eligibility policy and service delivery while at the same time being responsive to short-term objectives
  
  About the position:
  
  This position reports to the Strategic Initiatives Manager and works as a part of the eligibility strategic initiatives team. This position is the subject matter expert in the review and analysis of alignment of operational, systems, and policy alignment as it relates to new initiative planning and policy implementation. Through use of project management and process improvement methodologies, this position provides expert analysis and recommendations to management, staff, and both internal and external partners on impacts of Apple Health eligibility operational and policy alignment to impacted business partners and cross agency workgroups.
  
  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. This position reports to Olympia, WA. Frequency of onsite work will vary based on business and operational needs. HCA has currently suspended the ability to support out-of-state telework.
  
  Duties
  Some of what you will do:
  
  • Serve as the subject matter expert on Washington's Streamlining Eligibility rules technical workstreams.
  • Lead and facilitate internal, external, and cross-system workgroups as the subject matter expert in eligibility procedural, systems, and policy alignment as it relates to new eligibility and policy implementation.
  • Research and analyze new and/or existing Apple Health eligibility procedures, policies, and regulations for state and federal compliance.
  • Make recommendations for updates to impacted Apple Health eligibility systems based on analysis.
  • Coordinate rule review from ACES to the Eligibility Service and Washington Healthplanfinder to ensure procedural, systematic, and policy alignment.
  • Coordinate procedural updates with the EPICS outreach and training team for impacted staff, community assisters, and stakeholders.
  • Establish and coordinate eligibility operational changes and standards to Apple Health eligibility delivery systems with staff, internal and external partners, and stakeholders.
  • Manage multiple projects and assignments concurrently with a considerable degree of self-directed initiative.
  • Facilitate process improvement projects, workgroups, and meetings across the section and agency related to Apple Health eligibility policy, procedures, and workflows impacting Apple Health eligibility systems.
  • Provide policy managers with data and analysis to support policy development and programmatic maintenance.
  • Track eligibility data and coordinate requests through the data analysts within the section.
  • Resolve issues, respond to inquiries, and review legislation to ensure consistency with strategic, long-range plans.
  
  Qualifications
  Required qualifications:
  
  Qualifying candidates will meet one of the following criteria options:
  
  Option 1:
  
  • Nine (9) years of experience as defined below.
  
  Option 2:
  
  • Associate degree with major study in health, social sciences, public administration, education, or closely related field, and
  • Seven (7) years of experience as defined below.
  
  Option 3:
  
  • Bachelor's degree with major study in health, social sciences, public administration, education, or closely related field, and
  • Five (5) years of experience as defined below.
  
  Qualifying experience for the section above is defined as being in two or more of the following areas:
  
  • Conducting research
  • Analyzing policies, laws, rules, or regulations
  • Policy development
  • Conducting business analysis and developing requirements
  • Leading business projects
  • Using process improvement methodologies (i.e. Lean, organizational change management)
  
  Qualifying candidates will also have two (2) years of experience in one or more of the following areas:
  
  • Drafting Medicaid policy and procedures;
  • Researching Medicaid policy in other states;
  • Developing scenarios or strategies for long and short-term division planning;
  • Reviewing implementation of programs for compliance with legal requirements; and/or
  • Conducting analyses of Medicaid system, facts, statistics, and other relevant materials to resolve the questions or problems concerning Medicaid and state medical programs eligibility policy, legislative changes, and budgetary constraints.
  
  Preferred qualifications:
  
  • Working in or alongside state government, resulting in a working knowledge of Washington State governmental structure and function of division, especially Medicaid policies, procedures, and services to ensure appropriate Medicaid services to participants of the division's programs.
  • Demonstrated experience leading diverse work groups that deal with complex aspects of health plan administration, including work groups that are composed of members with varied professional credentials, education, and experience.
  • Experience in project management, change management, and/or process improvement methodologies.
  • Demonstrated experience in the principles of management and organizational practice. This includes group process and problem-solving methodologies, conflict management, and negotiation skills.
  • Certification in project management, change management, and/or process improvement methodologies.
  • Applied knowledge and experience in computer skills, including knowledge and experience in ACES, Barcode, ProviderOne, Washington Healthplanfinder, and other related client data sources. Considerable experience with software programs including word processing, spreadsheets, databases, and flow charts.
  • Effective oral and written communications with clients, business community, and other professional/managerial groups including top agency management, public speaking; independent decision making; strong interpersonal skills; planning and project management; leadership.
  • Considerable working knowledge of state and federal laws, regulations and procedures as they relate to Medicaid, health care reform and delivery of medical programs.
  • Proficiency in the following areas: complex project design, planning and management.
  
  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 in separate files:
  
  • A cover letter that specifically addresses how you meet the qualifications for this position
  • Current resume
  
  To take advantage of veteran preference, please do the following:
  
  • Attach a copy of your DD214 (Member 4 long-form copy), NGB 22, or USDVA signed verification of service letter.
  • Please black out any PII (personally identifiable information) data such as social security numbers. Include your name as it appears on your application in careers.wa.gov.
  
  Supplemental Information
  About HCA:
  
  Functioning as both the state's largest health care purchaser and its behavioral health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible.
  
  There are three pillars of our work: Apple Health (Medicaid); the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs; and behavioral health and recovery. Under these pillars, HCA purchases health care, including behavioral health treatment for more than 2.7 million Washington residents and provides behavioral health prevention, crisis, and recovery supports to all Washington residents.
  
  What we have to offer:
  
  • Meaningful work with friendly co-workers who care about those we serve
  • A clear agency mission that drives our work and is person-centered
  • A healthy work/life balance, including alternative/flexible schedules and mobile work options.
  • A great total compensation and benefit package
  • A safe, pleasant workplace in a convenient location with restaurants, and shopping nearby.
  • And free parking!
  
  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. HCA has five employee resource groups (ERGs). ERGs are voluntary, employee-led groups whose aim is to foster a diverse, inclusive workplace aligned with HCA's mission. Our diversity and inclusion efforts include embracing different cultures, backgrounds and viewpoints while fostering growth and advancement in the workplace. Studies have shown women, racial and ethnic minorities, and persons of disability are less likely to apply for jobs unless they feel they meet every qualification as described in a job description. Persons over 40 years of age, disabled and Vietnam era veterans, as well as people of all sexual orientations and gender identities are also encouraged to apply. If you have any questions about the required qualifications or how your experience relates to them, please contact us at Persons with disabilities needing assistance in the application process, or those needing this job announcement in an alternative format may contact Jake Nelko at or 360.725.0945.
  
  The Washington State Health Care Authority (HCA) is an All applicants with a in the United States are encouraged to apply.
  E-Verify® is a registered trademark of the U.S. Department of Homeland Security.
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  More than Just a Paycheck!
  Employee benefits are not just about the kind of services you get, they are also about how much you may have to pay out of pocket. Washington State offers one of the most competitive benefits packages in the nation.
  
  We understand that your life revolves around more than just your career. Like everyone, your first priority is ensuring that you and your family will maintain health and financial security. That's why choice is a key component of our benefits package. We have a selection of health and retirement plans, paid leave, staff training and other compensation benefits that you can mix and match to meet your current and future needs.
  
  Read about our benefits:
  The following information describes typical benefits available for full-time employees who are expected to work more than six months. Actual benefits may vary by appointment type or be prorated for other than full-time work (e.g. part-time); view the job posting for benefits details for job types other than full-time.
  
  Note: If the position offers benefits which differ from the following, the job posting should include the specific benefits.
  
  Insurance Benefits
  Employees and their families are covered by medical (including vision), dental and basic life insurance. There are multiple medical plans with affordable monthly premiums that offer coverage throughout the state.
  
  Staff are eligible to enroll each year in a medical flexible spending account which enables them to use tax-deferred dollars toward their health care expenses. Employees are also covered by basic life and long-term disability insurance, with the option to purchase additional coverage amounts.
  
  To view premium rates, coverage choice in your area and how to enroll, please visit the Public Employees Benefits Board (PEBB) website. The Washington Wellness program from the Health Care Authority works with PEBB to support our workplace wellness programs.
  
  Dependent care assistance allows the employee to save pre-tax dollars for a child or elder care expenses.
  
  Other insurance coverage for auto, boat, home, and renter insurance is available through payroll deduction.
  
  The Washington State Employee Assistance Program promotes the health and well-being of employees.
  
  Retirement and Deferred Compensation
  State Employees are members of the Washington Public Employees' Retirement System (PERS). New employees have the option of two employer contributed retirement programs. For additional information, check out the Department of Retirement Systems' web site.
  
  Employees also have the ability to participate in the Deferred Compensation Program (DCP). This is a supplemental retirement savings program (similar to an IRA) that allows you control over the amount of pre-tax salary dollars you defer as well as the flexibility to choose between multiple investment options.
  
  Social Security
  All state employees are covered by the federal Social Security and Medicare systems. The state and the employee pay an equal amount into the system.
  
  Public Service Loan Forgiveness
  If you are employed by a government or not-for-profit organization, and meet the qualifying criteria, you may be eligible to receive student loan forgiveness under the Public Service Loan Forgiveness Program.
  
  Holidays
  Full-time and part-time employees are entitled to paid holidays and one paid personal holiday per calendar year.
  
  Note: Employees who are members of certain Unions may be entitled to additional personal leave day(s), please refer to position specific Collective Bargaining Agreements for more information.
  
  Full-time employees who work full monthly schedules qualify for holiday compensation if they are employed before the holiday and are in pay status for at least 80 nonovertime hours during the month of the holiday; or for the entire work shift preceding the holiday.
  
  Part-time employees who are in pay status during the month of the holiday qualify for the holiday on a pro-rata basis. Compensation for holidays (including personal holiday) will be proportionate to the number of hours in pay status in the month to that required for full-time employment, excluding all holiday hours. Pay status includes hours worked and time on paid leave.
  
  Sick Leave
  Full-time employees earn eight hours of sick leave per month. Overtime eligible employees who are in pay status for less than 80 hours per month, earn a monthly proportionate to the number of hours in pay status, in the month to that required for full-time employment. Overtime exempt employees who are in pay status for less than 80 hours per month do not earn a monthly accrual of sick leave.
  
  Sick leave accruals for part-time employees will be proportionate to the number of hours in pay status, in the month to that required for full-time employment. Pay status includes hours worked, time on paid leave and paid holiday.
  
  Vacation (Annual Leave)
  Full-time employees accrue vacation leave at the rates specified in (1) or the applicable collective bargaining agreement (CBA). Full-time employees who are in pay status for less than 80 nonovertime hours in a month do not earn a monthly accrual of vacation leave.
  
  Part-time employees accrue vacation leave hours in accordance with (1) or the applicable collective bargaining agreement (CBA) on a pro rata basis. Vacation leave accrual will be proportionate to the number of hours in pay status, in the month to that required for full-time employment.
  
  Pay status includes hours worked, time on paid leave and paid holiday.
  
  As provided in , an employer may authorize a lump-sum accrual of vacation leave or accelerate the vacation leave accrual rate to support the recruitment and/or retention of a candidate or employee for a Washington Management Service position. Vacation leave accrual rates may only be accelerated using the rates established WAC 357-31-165.
  
  Note: Most agencies follow the civil service rules covering leave and holidays for exempt employees even though there is no requirement for them to do so. However, agencies are required to adhere to the applicable RCWs pertaining holidays and leave.
  
  Military Leave
  Washington State supports members of the armed forces with 21 days paid military leave per year.
  
  Bereavement Leave
  Most employees whose family member or household member dies, or for loss of pregnancy, are entitled to five (5) days of paid bereavement leave. In addition, the employer may approve other available leave types for the purpose of bereavement leave.
  
  Additional Leave
  Leave Sharing
  
  Family and Medical Leave Act (FMLA)
  Leave Without Pay
  
  Please visit the State HR Website for more detailed information regarding benefits.
  
  Updated 07-21-2025
  01
  
  Please select the highest level of education that you have completed in health, social sciences, public administration, education, or closely related field:
  • High school graduation or equivalent
  • Associate degree
  • Bachelor's degree
  • Master's degree or higher
  • None of the above
  
  02
  
  Which of the following best describes your professional work experience conducting research?
  • I do not have this experience.
  • Less than 5 years
  • More than 5 years, but less than 7 years
  • More than 7 years, but less than 9 years
  • More than 9 years
  
  03
  
  Which of the following best describes your professional work experience analyzing policies, laws, rules, or regulations?
  • I do not have this experience.
  • Less than 5 years
  • More than 5 years, but less than 7 years
  • More than 7 years, but less than 9 years
  • More than 9 years
  
  04
  
  Which of the following best describes your professional work experience in policy development?
  • I do not have this experience.
  • Less than 5 years
  • More than 5 years, but less than 7 years
  • More than 7 years, but less than 9 years
  • More than 9 years
  
  05
  
  Which of the following best describes your professional work experience conducting business analysis and developing requirements?
  • I do not have this experience
  • Less than 5 years
  • More than 5 years, but less than 7 years
  • More than 7 years, but less than 9 years
  • More than 9 years
  
  06
  
  Which of the following best describes your professional experience leading business projects?
  • I do not have this experience.
  • Less than 5 years
  • More than 5 years, but less than 7 years
  • More than 7 years, but less than 9 years
  • More than 9 years
  
  07
  
  Which of the following best describes your professional experience using process improvement methodologies (i.e. Lean, organizational change management)?
  • I do not have this experience.
  • Less than 5 years
  • More than 5 years, but less than 7 years
  • More than 7 years, but less than 9 years
  • More than 9 years
  
  08
  
  If you indicated you have the experience noted in the above questions, please explain how, where, and when you gained this knowledge and experience (must be reflected in the work experience of your application). Do not state "see resume" or copy and paste that material. If you answered no, please type N/A in the text box below.
  09
  
  With which of the following do you have at least two years of professional experience? (select all that apply)
  • Drafting Medicaid policy and procedures
  • Researching Medicaid policy in other states
  • Developing scenarios or strategies for long and short-term division planning
  • Reviewing implementation of programs for compliance with legal requirements
  • Conducting analyses of Medicaid system, facts, statistics, and other relevant materials to resolve the questions or problems concerning Medicaid and state medical programs eligibility policy, legislative changes, and budgetary constraints
  • None of the above
  
  10
  
  Which of the following best describes your professional experience working in or alongside state government, resulting in a working knowledge of Washington State governmental structure and function of division, especially Medicaid policies, procedures, and services to ensure appropriate Medicaid services to participants of the division's programs?
  • I do not have this experience
  • Less than 1 year
  • More than 1 year, but less than 2 years
  • More than 2 years, but less than 3 years
  • More than 3 years, but less than 4 years
  • More than 4 years, but less than 5 years
  • More than 5 years
  
  11
  
  Which of the following best describes your professional experience leading diverse work groups that deal with complex aspects of health plan administration, including work groups that are composed of members with varied professional credentials, education, and experience?
  • I do not have this experience
  • Less than 1 year
  • More than 1 year, but less than 2 years
  • More than 2 years, but less than 3 years
  • More than 3 years, but less than 4 years
  • More than 4 years, but less than 5 years
  • More than 5 years
  
  12
  
  Which of the following best describes your professional experience in project management, change management, and/or process improvement methodologies?
  • I do not have this experience
  • Less than 1 year
  • More than 1 year, but less than 2 years
  • More than 2 years, but less than 3 years
  • More than 3 years, but less than 4 years
  • More than 4 years, but less than 5 years
  • More than 5 years
  
  13
  
  Which of the following best describes your demonstrated experience in the principles of management and organizational practice? This includes group process and problem-solving methodologies, conflict management, and negotiation skills.
  • I do not have this experience
  • Less than 1 year
  • More than 1 year, but less than 2 years
  • More than 2 years, but less than 3 years
  • More than 3 years, but less than 4 years
  • More than 4 years, but less than 5 years
  • More than 5 years
  
  14
  
  Which of the following certifications have you completed, if any? Must be represented in your application materials to be considered. Select all that apply.
  • Project management
  • Change management
  • Process improvement methodologies
  • None of the above
  
  15
  
  I acknowledge that I have included at least three references, and that I have uploaded a cover letter and resume in the attachments section of my application.
  • Yes
  • No
  
  16
  
  Will you now or in the future require sponsorship for an immigration-related employment benefit?For purposes of this question "sponsorship for an immigration-related employment benefit" means "an H-1B visa petition, an O-1 visa petition, an E-3 visa petition, TN status and 'job flexibility benefits' (also known as I-140 portability or Adjustment of Status portability) for long-delayed adjustment of status applications that have been pending for 180 days or longer." (Please contact us at the email address on the bottom of this job posting if you are uncertain whether you may need immigration sponsorship or desire clarification.)
  • Yes
  • No
  
  17
  
  If hired for this position, do you currently possess required documents to allow you to legally work within the United States? The attached link lists acceptable documents: https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents
  • Yes
  • No
  
  18
  
  I acknowledge this is a project position funded through 06/30/2027.
  • Yes
  • No
  
  Required Question

• About the company

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