Eligibility Policy Outreach Specialist (HCPS/AHEA)

Eligibility Policy Outreach Specialist (Health Care Program Specialist) This is a full-time permanent, remote position. Employees may occasionally be asked to attend an in-person meeting or event based on business needs. All HCA employees are required to be Washington state residents upon their first day of employment. The Opportunity Help Washington residents understand, access, and keep the health coverage they need. As the Eligibility Policy Outreach Specialist in the Eligibility Policy Innovation and Community Support (EPICS) section, you will turn complex Apple Health eligibility policy into clear training, outreach, and communication that community partners, advocates, and staff can trust and use. Your work keeps eligibility materials accurate, consistent, and compliant for the nearly 2 million Washingtonians who rely on Apple Health. Key Responsibilities

• Lead the development and coordination of eligibility policy outreach and training materials, coordinating reviews with internal and external partners to ensure compliance and shared understanding.
• Plan and deliver eligibility policy webinars and compliance outreach and education campaigns with policy managers to educate customers and community on Apple Health programs.
• Work with project teams and HCA Communications to develop and carry out communication plans for new and changing eligibility policy initiatives.
• Coordinate updates to the Apple Health Eligibility Manual and the eligibility external webpage as Washington Administrative Codes (WACs) are promulgated and state and federal guidance is received.
• Maintain the library of eligibility policy training, outreach, and publications, and lead the compliance review of the annual Apple Health application updates.
• Consult with the Health Benefit Exchange, the Department of Social and Health Services, and their contractors to keep training and outreach materials consistent and compliant.
• Provide consultation and technical assistance on eligibility policy inquiries, including legislative and constituent inquiries on behalf of the Director and senior managers.
• Resolve local issues involving the incorrect use of policy or procedures, and assess the training and education needs of community, staff, and partners.
• Use human-centered design activities, such as surveys, workgroups, and customer feedback, to inform eligibility policy design and outreach materials.
• Serve as the eligibility policy liaison to HCA Communications, ensuring timely reviews and adherence to agency communication standards.

Why You’ll Love This Role

• Your work directly shapes how communities across Washington understand and access Apple Health coverage.
• You'll put human-centered design into practice, using real customer feedback to make materials clearer and more accessible.
• You'll build relationships across HCA, partner agencies, community organizations, and advocates statewide.
• You'll join a collaborative team with deep eligibility policy expertise and a strong commitment to equity.

What You Bring You are a clear communicator and a natural organizer who enjoys turning complex policy into information people can understand and act on. You keep multiple projects, timelines, and reviews moving, and you bring sound judgment, initiative, and accountability to your decisions, even when working independently. You value customer feedback, apply an equity lens to your work, and build trusted relationships with partners inside and outside the agency. Required Qualifications 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.

• Health Care Program Knowledge: Demonstrated knowledge of health care delivery systems, public health programs, and applicable federal and state requirements to support specialized program activities.
• Program Coordination and Implementation: Demonstrated experience coordinating program activities, supporting implementation of policies and procedures, and monitoring progress toward established objectives.
• Partner Collaboration: Demonstrated experience working with agencies, health care providers, community organizations, and other partners to coordinate program services and resolve concerns.
• Communication and Technical Assistance: Demonstrated skill in explaining complex health care program information, preparing written materials, and providing technical assistance to staff and partners.
• Project and Workload Coordination: Demonstrated experience organizing assignments, coordinating timelines and deliverables, and tracking progress across multiple program activities.
• Equitable Service Delivery: Demonstrated understanding of barriers to health care access and practices that support responsive, inclusive, and culturally appropriate services.
• Cross-Functional Coordination: Demonstrated skill in collaborating across program teams, sharing information, and supporting consistent implementation of operational or policy changes.
• Problem Solving and Process Improvement: Demonstrated sound judgment in researching complex program concerns, evaluating possible solutions, and recommending practical process improvements within established authority.

Required Competencies

• Equity lens – All HCA employees are required to consider equity in their decisions, processes, and day-to-day work, including how their work may affect the people and communities we serve.
• The ability to take action to learn and grow – You take action to learn and grow by seeking new perspectives, learning from experiences, and using what you’ve learned to continuously improve how you work and serve others.
• The ability to take action to meet the needs of others – You take action to meet the needs of others by listening, understanding different perspectives, and responding with care, respect, and solutions that support the people of the communities we serve.

Preferred Qualifications While these are not required, having them may help you stand out as an applicant.

• Demonstrated organizational skills in prioritizing competing workloads, managing deadlines, and organizing workflows to complete multiple assignments and projects accurately, efficiently, and on time.
• Demonstrated knowledge of human-centered design principles and techniques used to identify user needs, evaluate processes, and develop accessible, user-focused solutions.
• Demonstrated skill in independently evaluating information, identifying problems, developing practical solutions, and completing assignments with minimal supervision.
• Demonstrated proficiency in Microsoft Windows, Word, Excel, Outlook, web-based applications, and other technologies used to support program operations and organizational objectives.
• Demonstrated understanding of best practices for presenting and communicating visual information clearly, accurately, and effectively to diverse audiences.
• Demonstrated skill in facilitating small and large groups, encouraging productive participation, resolving problems, and coordinating implementation of plans.
• Demonstrated skill in establishing and maintaining professional relationships and coordinating with cross-functional teams, external agencies, and partners to achieve shared objectives.
• Demonstrated professional experience providing consultation or supervision in health services, social services, Medicaid, behavioral health, or other health care programs.
• Demonstrated knowledge of statewide Apple Health eligibility policies, including monitoring and interpreting policy changes and initiatives to inform outreach strategies and program improvements.
• A master's degree in public health, behavioral health, public administration, business administration, social work, or a closely related field.

About the Apple Health Eligibility and Access Division The Apple Health Eligibility and Access (AHEA) Division works across HCA and in partnership with the health care community at the local, state, and federal levels to develop and manage high-quality, evidence-based health care programs and purchase services that enhance Washington residents' ability to access appropriate, quality health care. Within AHEA, the Eligibility Policy Innovation and Community Support (EPICS) section evaluates federal statutes and regulations, sets state policy for Apple Health eligibility, and represents the agency in communities across the state, supporting the nearly 2 million Washington residents who rely on Apple Health for affordable medical services. About the Washington State Health Care Authority 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. More than a benefits package: 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 their 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. Your total compensation is more than your paycheck:

• Remote work and flexible schedules
• Medical, dental, vision, and basic life insurance
• Paid vacation, sick leave, and 12 paid holidays
• Paid Family and Medical Leave (PFML)
• Retirement options to plan for the future
• Training and professional development opportunities
• Employee wellness programs
• Learn more about Washington State Employee Benefits

Work Location and Schedule This is a full-time 40-hour-per-week remote position. Our standard business hours are Monday through Friday, 8 a.m. to 5 p.m., with alternative work schedules considered based on business needs and supervisor approval. In this role you will 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. Our commitment to an inclusive workplace: 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. Application Directions To be considered, you must complete the online application in full and submit all required materials. Incomplete applications or applications missing required materials will not be considered. When completing your application, please include the following required materials:

• Cover letter: describing your qualifications for this specific position
• Resume: that details your applicable experience and education.
• Three (3) professional references: References must be entered directly into the designated references section of your application. We require 3 professional references including at least one current or recent supervisor.

We encourage you to apply! If you meet the required qualifications for this position; we want to hear from you. Desired qualifications describe additional experience, knowledge or skills that may be helpful in the role, but they are not required to be considered for the position. We welcome applicants with different backgrounds, experiences, identities, and perspectives. Veterans: 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. Need accommodations or have questions? If you have questions, need assistance with the application process, require an accommodation, or would like to request this posting in an alternative format, please contact Lisa Fleming, Human Resources Consultant (Recruiter) at [email protected] and reference the recruitment title and job number in the subject line. Technical support: Reach out to NEOGOV directly at 1-855-524-5627 for technical support and login issues. 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.

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