Business Operations Manager (MA5/DAIO)

The Business Operations Manager will be the Division of Audit, Integrity, and Oversight’s (DAIO) leader for performance tracking and process improvement. The Business Operations Manager will align and track the work of the DAIO to prevent fraud, waste, and abuse of public health care dollars. This position will use presentation and problem solving skills to build data dashboards, perform process improvement, and present reports and plans to agency leadership. If you’re in search of an opportunity to use your Power BI (or other data viz) skills in a job that has a direct impact on the integrity of the use of public funding, 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 Division of Audit, Integrity, & Oversight’s (DAIO) mission is to identify and prevent improper payments resulting from fraud, waste, and abuse. The position reports directly to the Deputy Division Director for Compliance Operations and assists in managing operational functions across the growing division.

About the position:

This position will take a lead role with coordinating, planning, process improvement, and project management of centralized operational activities while ensuring health equity across DAIO functions. In addition, this position will produce complex reports, assist management in performance analysis, identify program vulnerabilities, make recommendations for process improvement, and assist in change management. This position is eligible to telework but may be required to report on-site to meet business need. 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.

Duties

Some of what you will do:

Perform project management, process improvement, performance management, and quality control for centralized operational activities involving fraud, waste, and abuse prevention and detection.
Manage multiple projects and assignments focused on identifying critical vulnerabilities in mandated statewide fraud, waste, and abuse prevention and detection program integrity as well as recovery of improper payments.
Leading the overhaul of strategic plans; Implementing new cross-divisional workstreams to support program integrity; Creating visual dashboards for performance metrics and KPIs; Leading implementation of a statewide fraud and abuse prevention plan; Providing solutions regarding highly complex vulnerabilities to supervisor and executive management; and Performance reporting, strategic planning, and other tasks required under SB 5497 (2023-24).
Lead, facilitate, and participate in internal and external, cross-system, state, and stakeholder workgroups.
Provide consultation to, and facilitate, workgroups and meetings to improve highly complex fraud, waste, and abuse operational processes.
Identify and recommend performance-based protocols for key operational activities.
Research and analyze existing and new procedures, policies, regulations, and grant management processes.
Research Medicaid, federal grant, and other DAIO-related rules and policies, federal and state, to determine potential impacts on program integrity activities.
Build, develop, and maintain comprehensive visual performance metrics dashboards to be utilized by agency executive leadership.
Produce and oversee the production of complex reports for use by all levels of management, boards, elected officials, oversight entities, and/or other governmental entities.
Ensure direct reports have the tools, training, and resources necessary to meet the division goals, objectives, and service delivery standards.
Ensure that direct reports receive meaningful performance evaluations.

Qualifications

Required qualifications:

Qualifying candidates will meet one of the following criteria options:

Option 1: Bachelor’s degree in business administration, public administration, law, public health, health administration, or a related field and Five (5) years of demonstrated experience in two or more of the following areas: Conducting research, Analyzing health-related policies, laws, rules, or regulations, Conducting business analysis and developing requirements, Leading business projects, Managing business operations, Business policy development.
Option 2: Associate degree in business administration, public administration, law, public health, health administration, or a related field and Seven (7) years of demonstrated experience in two or more of the following areas: Conducting research, Analyzing health-related policies, laws, rules, or regulations, Conducting business analysis and developing requirements, Leading business projects, Managing business operations, Business policy development.
Option 3: Nine (9) years of demonstrated experience in two or more of the following areas: Conducting research, Analyzing health-related policies, laws, rules, or regulations, Conducting business analysis and developing requirements, Leading business projects, Managing business operations, Business policy development.
Option 4: One (1) year as a Management Analyst 4 in state service, performing duties aligned with what is listed above.
Option 5: Two (2) years as a Management Analyst 3 in state service, performing duties aligned with what is listed above.

Required competencies:

The ability to take action to learn and grow. The ability to take action to meet the needs of others.

Preferred qualifications:

Professional experience leading process improvement. Professional experience with Power BI or similar data visualization tools. Comprehensive knowledge and understanding of HCA organization, mission and goals, the agency’s formal and informal communication approach, and an understanding of sensitivity of public opinion and the impact to our internal staff. Ability to anticipate and accommodate for employee and public reaction to those that we serve. Strong organizational knowledge including how high performing organizations succeed; principles of administration; effective problem-solving techniques, project management certification; and performance management discipline. Demonstrated ability to lead diverse work groups that deal with complex aspects of health plan administration, including work groups that are composed of members with varied professional credentials, education and experience. Research and analysis skills necessary to identify performance benchmarks for employee benefit sponsorship. Lean Six Sigma Green Belt Certification or equivalent.

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.

Supplemental Information 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 HCAjobs@hca.wa.gov. 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 jake.nelko@hca.wa.gov. 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.