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State of Washington Classified Job Specification

MEDICAL ASSISTANCE PROGRAM SPECIALIST 3

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MEDICAL ASSISTANCE PROGRAM SPECIALIST 3
170M
Category: Financial Services

Definition

In the Health Care Authority, supervises a section of three or more units; 

OR 

Supervises a section with five or more staff, who must be engaged in one or more of the following activities:  developing and writing policies and procedures and completing program evaluations, reviewing and analyzing utilization patterns of providers or clients, administering contracts or have primary responsibility for provider or client relations including responding to general program inquiries from providers, clients and/or agency employees.   

OR 

As a subject matter expert, designated in writing by an Assistant Director,  directly responsible for overseeing medical policies and procedures for programs with state wide impact, such as healthcare procurement, healthcare purchasing, healthcare utilization, healthcare reviews and healthcare delivery systems, (i.e. developing and writing policies and procedures, providing Medicaid business requirements for eligibility system changes, representing the agency to external stakeholders, which may include the Center for Medicaid and Medicare, Legislature, constituents and the client community, as well as provide community and staff trainings, administer contracts and represent the Health Care Authority at community forums and meetings.  

Positions in this class report directly to a Unit Supervisor or Section Manager and provide consultative expertise regarding medical assistance programs to top level managers within the Health Care Authority and to affected state, local, federal government, and private sector managers.

Legal Requirement(s)

There may be instances where individual positions must have additional licenses or certification. It is the employer’s responsibility to ensure the appropriate licenses/certifications are obtained for each position.

Desirable Qualifications

A Master’s degree from an accredited college with a major study in public health, public administration, business administration, social work or closely related field

AND 

three years supervisory or consultative experience in health services, social service, Medicaid or social security disability programs. 

Two additional years of qualifying experience will substitute for the required Master’s degree provided a Bachelor’s degree from an accredited college has been achieved. 

OR

One year as a Medical Assistance Program Specialist 2

Class Specification History

New class:  Adopted February 9, 2012, effective February 10, 2012.  Final adoption adopted May 10, 2012, effective May 11, 2012.

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