Posted: Jun 22, 2021

Medicaid Director HCA

Salary: $123,780.00 - $185,000.00 Annually
Application Deadline: N/A
Health Services

The HCA Medicaid Director administers Washington’s Medicaid program, which
offers whole-person, integrated health care coverage to more than 2 million
Washington residents.

Position Objective

The Medicaid Director is responsible for the administration of the Medicaid
program, which delivers physical and behavioral health care services for enrolled
clients. The Medicaid Director represents Washington State at the Centers for
Medicare & Medicaid Services (CMS) and is a member of the National Association
of Medicaid Directors (NAMD). The Medicaid Director has principal responsibility for
all components of Medicaid and provides executive leadership, overall direction,
and strategic vision statewide. This position reports to the Director of the Health
Care Authority.

The Ideal Candidate

The ideal candidate will be a collaborative leader with experience in public or
private health care organizations. They will have a proven track record of managing
a diverse workforce that delivers services to a complex client base. The right
person for this role be a strategic visionary who is able to envision the agency’s
future. The Medicaid Director must be an excellent communicator, be skilled in
change management, and be able to use their leadership skills to energize staff in
accomplishing the agency’s mission and goals.

Primary Responsibilities

The Medicaid Director is the key advisor to the Director of the Health Care Authority on Medicaid issues. The position:

  • Coordinates the state’s Medicaid purchasing to ensure efficient, cost-effective, quality care that is based on the best available scientific and medical evidence and provided with minimal administrative burden.
  • Coordinates, supervises, and approves medical services contracts with health care vendors, including managed care health plans.
  • Participates on HCA’s executive team , helping to ensure HCA has in place the resources and strategies to achieve its vision and mission.
  • Oversees planning to resolve problems and maintain fiscal integrity.
  • Works with project teams to organize and conduct initiatives and projects aimed at upholding the state’s record as an innovative purchaser of health care and for upholding standards of accountability.
  • Meets, negotiates with and enlists the support of key stakeholder groups and policymakers , including the governor’s office, legislators, public citizen groups, consumer representatives, families of clients, providers, and provider associations.
  • Meets regularly with a Title XIX Advisory Committee and ensures the program receives regular and informed feedback on programs and plans.
  • Helps ensure Washington State is a national leader in delivering health care to vulnerable populations. This requires a strong partnership with the federal government to secure needed program flexibility to implement health care reform to meet Washington State’s unique needs and demands.
  • Provides advice and counsel to the Governor’s staff and Legislature on all Medicaid matters related to health care purchasing and national health care reform. Represents and advocates for the agency and the Governor’s Office before key external stakeholders: The Legislature, statewide elected officials, constituent groups, local government, tribal governments, professional associations, businesses, labor organizations, interagency groups, and the federal government.

Required Qualifications

  • Graduate level degree with major study in social services, public administration, health care policy, law, or closely related field.
  • Senior executive management experience.
  • Experience in working collaboratively with all levels of government service including federal, local (cities and counties), other states, tribal governments, elected officials, appointed boards and commissions.
  • Communication skills: Excellent verbal and written communications skills with a high degree of emphasis on interactions with the Governor’s Office, cabinet members and agency directors, the Legislature, the media, legislative stakeholders, and community organizations.
  • Positive influence: The ability to manage directly and indirectly in areas where influence may be more effective than direct control.
  • Health care purchasing: Requires a broad base of knowledge on issues related to health care purchasing including state and federal law related to administration of the Medicaid program created under the Title XIX of the Social Security Act.
  • Health care policy: Knowledge of health care policy, economics, state and federal health care regulations, employee benefit programs.
  • Negotiation/mediation skills: Negotiation and mediation skills necessary to garner support for Governor’s initiatives with the public and the Legislature.
  • Leadership: Capacity to manage, coach, inspire and motivate staff and others to accomplish the administration’s mission and goals by providing clear direction and positive interpersonal influence.
  • Change management: The ability to lead and energize staff through large scale, systemic change to reach a common goal.
  • Partnerships: Ability to build effective working relationships with constituents, staff, communities, providers, labor unions, and other state agencies.
  • Vision: Capacity to look ahead strategically and grasp the future, envisioning the organization’s role in the future.
  • Ability to elicit support from the health care community (service providers) and their associations (e.g., hospital, medical, pharmacy, labor, and other entities outside government in support of the Governor’s priorities.)
  • Accountability: Responsive to direction from the Governor for providing timely, accurate information, and meeting deadlines.
  • Values: Ability to adhere to the highest standards of ethical conduct and personal/professional standards.

About the HCA

The Washington State Health Care Authority (HCA) purchases health care for more than 2 million Washington residents through Apple Health (Medicaid), the Public Employees Benefits Board (PEBB) Program, the School Employees Benefits Board (SEBB) Program and the COFA Islander Health Care Program. Our agency is committed to whole person care, integrating physical health and behavioral health services for better results and healthier residents. As the largest health care purchaser in the state, we lead the effort to transform health care, helping ensure Washington residents have access to better health and better care at a lower cost.

As the designated Single State Agency for the Medicaid program, HCA is accountable for the Medicaid program, including state and federal funding. The HCA Medicaid Director administers Washington’s Medicaid program, which offers whole-person, integrated health care coverage to more than 2 million Washington residents.

About Olympia and Washington State

Washington State offers a total work/life package of pay, benefits, flexibility, and workplace opportunities to help you get the most out of your career and out of life. Washington State is a great place to work, play, and be a part of a community, offering quality of life that is unsurpassed. From the high energy urban center of Seattle, one of the nation’s top ranked cities, to the more relaxed pace of our rural communities, Washington’s distinctive Northwest lifestyle blends a progressive, creative culture with a casual nature.

How to Apply

To apply, you may email your resume and cover letter to Michael Otter-Johnson via email at [email protected] or apply directly at

If you have questions about the process, or need reasonable accommodation, please contact the recruiter before the posting closes.

Washington State is an equal opportunity employer. Persons with disabilities needing assistance in the application process, or those needing this job announcement in an alternative format may call the Human Resources Office at 360.725.1979 or email [email protected]

*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 but will be considered in determining the applicant’s suitability and competence to perform in the position. *