DSHS ALTSA WA Cares Fund Provider Policy Manager
Apply NowCompany: State of Washington
Location: Lacey, WA 98503
Description:
Salary : $82,825.00 - $110,435.00 Annually
Location : Thurston County - Lacey, WA
Job Type: Full Time - Permanent
Remote Employment: Flexible/Hybrid
Job Number: 2025-01892
Department: Dept. of Social and Health Services
Division: ALTSA
Opening Date: 03/18/2025
Closing Date: 3/25/2025 11:59 PM Pacific
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 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 be responsible for developing and implementing a new policy for the WA Cares Fund provider network, focusing on risk assessment, operational standards, and service rates. It involves creating procedures for provider selection, registration, and billing, while also addressing provider shortages through strategic initiatives. You will collaborate with stakeholders to develop workforce policies, address new requirements in RCW 50B.04 and RCW 74.39A, coordinate with ALTSA experts to support strategic decision-making, and analyzing the impact of policy changes on other divisions. Additionally, the position entails identifying gaps in existing provider policies and ensuring compliance with relevant statutes and regulations.
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:
Some of what you bring to the position:
Our ideal applicant must have a passion for identifying and learning from best practices through ongoing research and analysis. They can thrive in a fast-paced, dynamic environment, tolerate stress, adapt to changing business needs, and accept responsibility for the quality and timeliness of work to meet or exceed goals with little need for oversight.
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:
OR
AND
Preferred/desired education, experience, and competencies:
Interested?
Please include the following with your application:
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.
If you have questions about the job posting number 01892, contact Anu Rao via email at
Supplemental Information
Prior to a new hire, a background check including criminal record history may be conducted. Information from the background check will not necessarily preclude employment but will be considered in determining the applicant's suitability and competence to perform in the job. This announcement may be used to fill multiple vacancies. Employees driving on state business must have a valid driver's license. Employees driving a privately owned vehicle on state business must have liability insurance on the privately owned vehicle.
Washington State Department of Social and Health Services is an equal opportunity employer and does not discriminate in any area of employment, its programs or services on the basis of age, sex, sexual orientation, gender, gender identity/expression, marital status, race, creed, color, national origin, religion or beliefs, political affiliation, military status, honorably discharged veteran, Vietnam Era, recently separated or other protected veteran status, the presence of any sensory, mental, physical disability or the use of a trained dog guide or service animal by a person with a disability, equal pay or genetic information. Persons requiring accommodation in the application process or this job announcement in an alternative format may contact the Recruiter at (360) 725-5810. Applicants who are deaf or hard of hearing may call through Washington Relay Service by dialing 7-1-1 or 1-800-833-6384.
E-Verify is a registered trademark of the U.S. Department of Homeland Security
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, are entitled to three (3) 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 12-31-2022
Location : Thurston County - Lacey, WA
Job Type: Full Time - Permanent
Remote Employment: Flexible/Hybrid
Job Number: 2025-01892
Department: Dept. of Social and Health Services
Division: ALTSA
Opening Date: 03/18/2025
Closing Date: 3/25/2025 11:59 PM Pacific
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 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 be responsible for developing and implementing a new policy for the WA Cares Fund provider network, focusing on risk assessment, operational standards, and service rates. It involves creating procedures for provider selection, registration, and billing, while also addressing provider shortages through strategic initiatives. You will collaborate with stakeholders to develop workforce policies, address new requirements in RCW 50B.04 and RCW 74.39A, coordinate with ALTSA experts to support strategic decision-making, and analyzing the impact of policy changes on other divisions. Additionally, the position entails identifying gaps in existing provider policies and ensuring compliance with relevant statutes and regulations.
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:
- Plan, manage, and provide expert consultation for the development, planning, processing, writing, and publication of WA Cares Fund WAC, policy, and training materials.
- Analyze and research the existing long-term care worker statute and policy for impacts to the WA Cares Fund
- Analyze and research federal and state regulations to ensure proposed rules do not contradict existing law or policy.
- Collaborate with policy staff within ALTSA and cross-agency to develop and coordinate policy consistently and accurately across agencies and teams.
- Identify high-priority cross-agency policy impacts, provide input on agendas, and coordinate follow-up activities.
- Identify cross-agency rules and policy dependencies, risks, and issues, and develop strategies to address them.
- 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.
- Analyze rates and their impacts to program solvency, engage subject matter expertise to provide comprehensive analyses
- Create and implement services recommended by the LTSS Commission to benefit and further the program.
- Support colleagues in LTSS Commission preparation and other strategic meetings.
- Participate in LTSS Commission workgroups, responding to requests for information or research to support decision-making.
- Evaluate provider readiness and implement change management strategies.
- Develop strategies to increase workforce capacity to meet projected needs for WCF
- Collaborate with HCS experts, state and local partners within the workforce development arena to increase awareness and attract new people into the long-term care workforce
- Collaborate with project management staff to report to program sponsors and resolve high priority issues and risks.
- Participate in overall strategic planning, team development, and staff onboarding for the WA Cares Fund project.
Some of what you bring to the position:
- Experience collaborating to create solutions to complex problems.
- Experience with coordination of benefits between multiple payment sources like Medicaid, Medicare, and private insurance.
- Advanced knowledge of writing and editing policies and procedures.
- Excellent organizational skills, including the ability to coordinate multiple work products and meet critical deadlines.
- Ability to work independently in a remote environment.
Our ideal applicant must have a passion for identifying and learning from best practices through ongoing research and analysis. They can thrive in a fast-paced, dynamic environment, tolerate stress, adapt to changing business needs, and accept responsibility for the quality and timeliness of work to meet or exceed goals with little need for oversight.
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:
- Bachelor's degree or higher in a writing-intensive subject such as English, journalism, law, history, psychology, sociology, economics or political science.
- Knowledge of principles and practices of long-term care insurance programs
- 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.
- Demonstrated knowledge and skills in management principles including leadership, strategic planning, quality management techniques, project management, contract negotiation, and budget development.
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.
If you have questions about the job posting number 01892, contact Anu Rao via email at
Supplemental Information
Prior to a new hire, a background check including criminal record history may be conducted. Information from the background check will not necessarily preclude employment but will be considered in determining the applicant's suitability and competence to perform in the job. This announcement may be used to fill multiple vacancies. Employees driving on state business must have a valid driver's license. Employees driving a privately owned vehicle on state business must have liability insurance on the privately owned vehicle.
Washington State Department of Social and Health Services is an equal opportunity employer and does not discriminate in any area of employment, its programs or services on the basis of age, sex, sexual orientation, gender, gender identity/expression, marital status, race, creed, color, national origin, religion or beliefs, political affiliation, military status, honorably discharged veteran, Vietnam Era, recently separated or other protected veteran status, the presence of any sensory, mental, physical disability or the use of a trained dog guide or service animal by a person with a disability, equal pay or genetic information. Persons requiring accommodation in the application process or this job announcement in an alternative format may contact the Recruiter at (360) 725-5810. Applicants who are deaf or hard of hearing may call through Washington Relay Service by dialing 7-1-1 or 1-800-833-6384.
E-Verify is a registered trademark of the U.S. Department of Homeland Security
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, are entitled to three (3) 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 12-31-2022