What are the responsibilities and job description for the All-Payer Claims Database Program Manager (WMS2/SPI) position at State of Washington?
All-Payer Claims Database Program Manager (WMS2/SPI)
71073027
This recruitment is posted continuously. Application review will begin on June 1st, 2026, and you are encouraged to submit your application materials as soon as possible. The hiring manager reserves the right to close the posting at any time once a selection has been made.
The APCD Program Manager has the unique opportunity to drive major, systemic changes in healthcare affordability, policy, and public health transparency. This position is responsible for the state's all payer health care claims database (WA-APCD). The WA-APCD is a highly secure, credible and frequently used data asset that provides cost transparency in health services, informs health care policy, and facilitates the advancement of medicine and public health.
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 Strategy, Policy, & Innovation division (SPI) of the Health Care Authority (HCA) is statutorily directed to study all state-purchased health care, alternative health care delivery systems and strategies for the procurement of health services, and to coordinate state agency efforts to develop and implement uniform policies across state purchased health care programs. SPI serves as the focal point for coordinating the agency’s strategy, affordability, and health policy efforts. The division is structured to provide expert direction, consultation, and support for these activities. SPI is responsible for driving policy design, development and implementation of health reform, and health transformation activities and program development and refinements for all programs.
About the position:
This position is responsible for the monitoring and management of the WA-APCD program, using established program management principles, methods and practices. This includes establishing operational priorities, reviewing and approving budget allotments and expenditures for the $2.2 million annual budget, approving specifications and design requirement changes for the WA-APCD, consulting as subject matter expert, and overseeing program progress and fulfillment of statutory objectives and requirements. This position supervises program support staff, oversees web/communications and database vendor contracts, and works with data submitters (private and public healthcare payers, including third-party administrators), participating hospitals, outpatient facilities and clinic providers, state agencies, and other health care industry stakeholders in Washington and around the country on legislatively mandated WA-APCD program activities.
This position is eligible to telework but is frequently 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.
Some of what you will do:
- Develop and manage all aspects of WA-APCD program engagement including planning, external vendor, data submitter, and provider relationships, budget, resources, and communications.
- Follow, implement, and refine systems and procedures to ensure WA-APCD program efficiency, and long-term stability for WA-APCD data submission and data release program activities.
- Administer database and web/communications subcontracts and manage all contractual relationships.
- Represent the WA-APCD to national and state (internal and external) health care stakeholders.
- Conduct WA-APCD program financial sustainability, monitoring and reporting.
- Oversees WA-APCD program operations and programmatic services.
- Assist in contract negotiations and renew agreements with Data Vendor and Web Vendor.
- Update and manage WA-APCD program Data Use Agreements (DUA) and program Data Requests/Governance.
- Monitor data submission progress and work with private and public health care payers on policy related issues such as exemption request decision making.
Monitor and report on performance against deliverables. - Manage risks and issues.
- Create procedural documents, charters, reports, and other WA-APCD program materials, as needed, to maintain WA-APCD program structure.
- Lead WA-APCD Program team Analytic Data Products and Services, including statutorily required Reports.
- Manage WA-APCD program analysts.
- Administer Data Release Program.
Required qualifications:
Qualifying candidates will meet one of the following criteria options:
Option 1:
- Master’s degree from an accredited college or university in public health, public administration, data science, or related field.
- Three (3) years of minimum experience of applying senior project management skills working with large and complex healthcare database projects.
Option 2:
- Bachelor’s degree from an accredited college or university in public health, public administration, data science, or related field.
- Five (5) years of minimum experience of applying senior project management skills working with large and complex healthcare database projects.
Option 3:
- Nine (9) years of minimum experience of applying senior project management skills working with large and complex healthcare database projects.
Required competencies:
- The ability to take action to learn and grow.
- The ability to take action to meet the needs of others.
- Ability to collaborate with various stakeholders and to determine project scope, deliverables, goals, risks, blockers, success measures, and to estimate needed resources.
- Plan, schedule, monitor, and report on activities related to the WA-APCD, including subcontractor monitoring.
- Ability to explain complex or technical information using plain language, ask clarifying questions, and clearly and concisely emphasize key points.
- Ability to work in a fast-paced environment with tight deadlines and a high degree of political sensitivity.
- Experience with federal and state processes, rule and HIPPA requirements.
- Ability to work effectively in a multi-disciplinary team and independently.
- Excellent written and verbal communication skills.
Preferred qualifications:
- Knowledge of historical context of Washington state health programs and the evolution of the WAAPCD.
- High level of workload management including organization and prioritization of tasks.
- Prior experience analyzing healthcare claims data.
- Experience using data visualization tools such as Tableau and Power BI.
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.
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 Angelic Matthews at angelic.matthews@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.
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Salary : $79,752 - $111,648