Eligibility Policy Outreach Specialist (HCPS/AHSO)

Eligibility Policy Outreach Specialist (HCPS/AHSO) The salary advertised reflects the statewide 2% GWI for employees as of 7/1/2026. This recruitment will be used to fill multiple positions. The primary function of this position is to educate community and business partners on Apple Health (Medicaid) eligibility. This program specialist facilitates meetings and webinars, coordinates training efforts, and develops training materials. The ideal candidate will be, or become familiar with, the ins and outs of Apple Health eligibility and will be confident presenting this material in front of internal and external partners. If you are a skilled presenter and organized coordinator, this may be the opportunity for you! 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 division: The Apple Health Services and Operations (AHSO) division works across HCA and in partnership with the health care community at local, state and federal levels to develop and manage high quality and evidence-based health care programs and purchase services that enhance Washington State residents’ ability to access appropriate, quality health care. Within AHSO, the Eligibility Policy Innovation and Community Support (EPICS) section consists of staff who advise external stakeholders in community-based health organizations on behalf of the agency and evaluate and analyze federal statutes and regulations. EPICS staff formulate state policy for Apple Health eligibility and participate in long range strategic planning for Apple Health eligibility policy and service delivery while being responsive to short-term objectives that have significant impact for almost 2 million residents of the state of Washington who are eligible for Apple Health and who need these programs in order to receive affordable medical services. About the position: This position is a policy specialist responsible for Apple Health program eligibility compliance and provides the development of eligibility policy, outreach, and training; provides consultation and technical assistance regarding Apple Health eligibility policy to the community, business partners, advocates, and staff; and provides training, outreach and assistance during event coordination. 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. All agency employees are required to report on-site in Olympia on their first and last days of employment to pick up and return state-issued equipment, regardless of telework status or location. Some of what you will do:

• Lead the development and coordination of eligibility policy outreach and training materials.
• Develop and execute communication plans to inform of new and changing eligibility policy initiatives.
• Lead and coordinate the development, planning, and execution of eligibility policy webinars.
• Develop and assist in executing compliance outreach and education campaigns.
• Coordinate and maintain updates to the Apple Health Eligibility Manual.
• Lead the compliance coordination, review, and maintenance of the eligibility external webpage
• Maintain the library of eligibility policy training, outreach, and publications.
• Lead and coordinate the compliance review of the annual cycle Apple Health application updates.
• Review all eligibility policy materials to ensure consistency and compliance.
• Provide consultative and technical assistance to subject matter experts across the section and eligibility business areas.
• Review, coordinate, and respond to internal and external eligibility policy inquiries.

Required qualifications: Qualifying candidates will meet one of the following criteria options: Option 1:

• Master’s degree with a major study in health, social science, public administration, education, or closely related field and
• Two (2) years of consultative or supervisory experience in health services, social services or Medicaid programs.

Option 2:

• Bachelor’s degree with a major study in health, social science, public administration, education, or closely related field and
• Four (4) years of consultative or supervisory experience in health services, social services or Medicaid programs.

Option 3:

• Associate degree with a major study in health, social science, public administration, education, or closely related field and
• Six (6) years of consultative or supervisory experience in health services, social services or Medicaid programs.

Option 4:

• Eight (8) years of consultative or supervisory experience in health services, social services or Medicaid programs.

Option 5:

• One year as a Health Care Program Consultant in state government supervising or providing consultative experience in health services, social services, or Medicaid programs.

Required competencies:

• The ability to take action to learn and grow.
• The ability to take action to meet the needs of others.
• Knowledgeable in all statewide Apple Health eligibility policy includes staying up to date on changing policy initiatives to inform outreach changes.
• Utilize human centered design principles.

Preferred qualifications: Professional experience:

• Collaborating with external and internal partners to accomplish projects.
• Coordinating, and/or leading small and large groups, creating a cooperative and productive environment in which to resolve problems and implement plans.
• Facilitating and representing your team or organization in meetings.
• Intermediate or better skills with Microsoft Excel and PowerPoint.
• Working in health care or health services settings.
• Working with Medicaid policies.
• Comfortable collaborating with cross functional teams and external agencies and stakeholders.
• High degree of computer literacy including experience with Windows, Word, Excel, Outlook, web-based applications, and other technologies that can be used to further carry the program’s mission.
• Self-directed personality with strong analytical and problem-solving skills.
• Ability to understand best practices for communicating visual information.
• Solid independent judgement and self-motivation.
• Organized and resourceful with the ability to complete tasks and projects efficiently.
• Ability to identify problems and develop solutions, prioritize workload, manage deadlines, and organizes workflow and multi-tasks in a smart and timely fashion.

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.

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 Voices of HCA
• A clear agency mission that drives our work and is person-centered HCA's Mission, Vision & Values
• A healthy work/life balance, including alternative/flexible schedules and mobile work options.
• A great total compensation and benefit package WA State Government Benefits
• 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 [email protected]. Persons with disabilities needing assistance in the application process, or those needing this job announcement in an alternative format may contact Jake Nelko at 360-725-0945 or [email protected]. 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. E-Verify® is a registered trademark of the U.S. Department of Homeland Security. Subscribe to our weekly newsletter to receive a list of new job postings at HCA.