Working Each Day to Make a Difference

At Community Health Plan of Washington, we're driven by our belief that everyone deserves access to quality health care.

More than 25 years ago, we made a commitment to improve the health of our communities by making quality health care accessible to all Washington state residents.

We continue that pledge today by providing affordable comprehensive coverage to more than 315,000 individuals and families throughout the state.

We are a local not-for-profit health plan in Washington State.

We are committed to keeping Washington families healthy.

We connect our communities to the health resources they need.

We provide access to high-quality care for our members.

We connect and empower our members through technology.

The Community Health Centers we partner with strive to support members with a comprehensive mix of medical resources in one convenient location.

Our partnerships with Community Health Centers and our extended provider network help us improve the health care delivery system.

To learn more about how you can make a difference working at Community Health Plan of Washington, visitwww.chpw.org{rel="nofollow"}.

State Programs Contract Specialist

[About the role:]{.underline}**

Provides project coordination, and administrative support, contributing to the efficient and effective achievement of CHPW's Compliance department. This role reports to the Manager of State Programs. Responsible for State Programs contract management activities across the organization, specific to Washington state Medicaid Programs (i.e., Apple Health Integrated Managed Care (AHIMC), Apple Health Expansion (AHE), Health Homes, State Medicare Advantage Contract (SMAC).

[Qualifications:]{.underline}

[Education & Prior Related Experience:]{.underline}

Have a bachelor's degree in a related field or an equivalent combination of education and highly relevant experience.

Have two or more (2+) years experience working with contracting agencies, regulators, and marketplace competitors to accomplish CHPW and agency goals.

Have two (2+) or more years experience facilitating, coordinating, and tracking lifecycles with multi-disciplinary stakeholders.

Are organized, methodical and detail oriented, and can plan, organize, and prioritize your work.

Have strong communication skills and experience collaborating with internal and external stakeholders.

Have proficient skills with Microsoft Office products such as Word, Excel, and Outlook, and Adobe Acrobat.

[Essential functions and Roles and Responsibilities]{.underline}[:]{.underline}

Responsible for the implementation and improvement of interdepartmental processes to support CHPW's Medicaid performance.

Participate in regulatory meetings representing CHPW Compliance and other business owner issues and responses when needed. e., monthly Washington state Health Care Authority (HCA) Managed Care Organization (MCO) Collaborative call, HCA's Integrated Managed Care (IMC) Managed Care Operations meeting, HCA's Dual Eligible Special Needs Plan (DSNP) Contractor meeting, HCA Technical Assistance call and HCA delivered training sessions.

Capture and disseminate notes from Managed Care Operations meetings to CHPW business units and may present issues status and notes at PMWG.

Reviews and summarizes Medicaid contract changes (renewals and amendments) for stakeholder review, tracking receipt of stakeholder input, and maintaining library of contract documents on SharePoint.

Tracks and responds to stakeholder questions related to contract language and contractual requirements.

Community Health Plan of Washington

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State Programs Contract Specialist