Medical Assistance Specialist 4
Description Medical Assistance Specialist 4 (Lead) – Internal 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. This is an internal opportunity and is only open to current HCA employees. All HCA employees are required to be Washington state residents upon their first day of employment. The Opportunity Lead a team that connects Washington residents to the health coverage they need. The Medical Eligibility Determination Services (MEDS) office in HCA's Apple Health Eligibility and Access (AHEA) Division is seeking a Medical Assistance Specialist 4 to serve as the lead worker for a team of eight or more Medical Assistance Specialists. As the team's eligibility expert, you will guide staff through complex Apple Health (Medicaid) and Children's Health Insurance Program (CHIP) cases, develop and deliver training, and step in for the supervisor when needed to keep day-to-day operations running smoothly. Key Responsibilities - Serve as lead worker for a team of eight or more Medical Assistance Specialists, monitoring team workload and priorities. - Act on behalf of the supervisor in their absence and support the team's day-to-day operations. - Provide eligibility support and clarification to staff, interpret policy and regulations, and help determine the final disposition of complex eligibility cases. - Apply complex federal and state eligibility rules (WAC and RCW) to household circumstances to make accurate initial and ongoing eligibility decisions. - Develop and deliver eligibility, systems, interviewing, and workload management training for new and experienced staff, including training on program changes and identified performance gaps. - Conduct internal program audits to identify error trends and performance issues. - Analyze workflow and system problems, and devise and implement new or revised procedures. - Use multiple interconnected systems,