What are the responsibilities and job description for the DSHS HCLA Social & Health Program Consultant 2 position at State of Washington?
DSHS HCLA – HCBS Payment Specialist: Residential Specialist (Social and Health Program Consultant 2)
The Home and Community Living Administration (HCLA) is seeking a Social and Health Program Consultant 2 (HCBS Payment Specialist: Residential Specialist) to join our team. If you're looking for a rewarding career that supports Washingtonians while offering the flexibility of a fully remote work environment, we encourage you to apply.
In this role, you will help protect the integrity of Home and Community-Based Services (HCBS) by ensuring various types of care providers are paid accurately and in accordance with state and federal requirements. You'll investigate payment discrepancies, analyze complex payment data, resolve underpayments and overpayments, and collaborate with internal teams and external partners to improve payment processes. Your expertise will directly support providers, strengthen program accountability, and help ensure public resources are managed responsibly while supporting Washingtonians who rely on critical long-term care services.
Some of what you'll do:
We are searching for professionals with:
Along with your application, please include:
Please reach out to DSHS Recruiter Ricky Luna at ricky.luna@dshs.wa.gov and reference job number #06228.
Hiring timeline
Applicants selected to move forward can expect interviews to be scheduled during the first week of September.
The Department of Social and Health Services’ (DSHS) vision that people find human services to shape their own lives requires that we come together with a sense of belonging, common purpose, shared values, and meaningful work. It is crucial to our agency’s vision that you bring a fairness, access, and social justice commitment to your work with DSHS. We strive to support all Washingtonians, including Black, Indigenous, and People of Color, people with physical, behavioral health, and intellectual disabilities, elders, LGBTQIA individuals, immigrants and refugees, and families building financial security.Prior to a new hire, a background check including criminal record history may 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 job. This announcement may be used to fill multiple vacancies. Employees driving on state business must have a valid driver's license. Employees driving a privately owned vehicle on state business must have liability insurance on the privately owned vehicle.
Washington State Department of Social and Health Services is an equal opportunity employer and does not discriminate in any area of employment, its programs or services on the basis of age, sex, sexual orientation, gender, gender identity/expression, marital status, race, creed, color, national origin, religion or beliefs, political affiliation, military status, honorably discharged veteran, Vietnam Era, recently separated or other protected veteran status, the presence of any sensory, mental, physical disability or the use of a trained dog guide or service animal by a person with a disability, equal pay or genetic information. Persons requiring accommodation in the application process or this job announcement in an alternative format may contact the Recruiter at (360) 725-5810. Applicants who are deaf or hard of hearing may call through Washington Relay Service by dialing 7-1-1 or 1-800-833-6384.
Relationship and Reporting Structure (Nepotism) Disclosure: If you are selected for hire, you must disclose whether you have a relative, household member, close friend, or romantic partner within your potential supervisory chain of command. DSHS has a Relationships and the Reporting Structure policy that prohibits nepotism and can be reviewed here. Applicants whose appointment would result in a prohibited reporting relationship are not eligible for appointment to that position.
E-Verify® is a registered trademark of the U.S. Department of Homeland Security" on your website and on printed materials.
The Home and Community Living Administration (HCLA) is seeking a Social and Health Program Consultant 2 (HCBS Payment Specialist: Residential Specialist) to join our team. If you're looking for a rewarding career that supports Washingtonians while offering the flexibility of a fully remote work environment, we encourage you to apply.
In this role, you will help protect the integrity of Home and Community-Based Services (HCBS) by ensuring various types of care providers are paid accurately and in accordance with state and federal requirements. You'll investigate payment discrepancies, analyze complex payment data, resolve underpayments and overpayments, and collaborate with internal teams and external partners to improve payment processes. Your expertise will directly support providers, strengthen program accountability, and help ensure public resources are managed responsibly while supporting Washingtonians who rely on critical long-term care services.
Some of what you'll do:
- Investigate and resolve complex provider payment discrepancies, including identifying underpayments and overpayments through data analysis and research.
- Support the unit's Billing and Payments Program Manager by serving as a subject matter expert and point of contact for residential payment integrity, authorizations, and Adult Family Home payment issues, providing technical assistance and guidance to staff and providers.
- Analyze social service authorizations, claims, contracts, and payment data across multiple state systems to determine payment accuracy and identify the root cause of discrepancies.
- Initiate and monitor payment adjustments and overpayment recoveries while coordinating with internal and external partners to ensure timely resolution.
- Develop, maintain, and improve payment integrity procedures, documentation, reports, and training materials to support consistent statewide practices.
- Document investigative findings, prepare evidence for Administrative Hearings, and provide expert testimony when needed.
- Coordinate Change of Ownership (CHOW) communications for residential providers by tracking notifications, maintaining records, and ensuring accurate information is shared across programs.
- Strong ability to analyze complex payment, claims, and program data, make sound decisions, and resolve issues involving conflicting information.
- Knowledge of Home and Community-Based Services provider payments, regulations, policies, and payment integrity principles.
- Experience using ProviderOne, CARE, and other related systems to research, process, and resolve provider payment issues.
- Ability to work independently while managing multiple priorities, meeting deadlines, and adapting to changing business needs.
- Excellent written and verbal communication skills, including the ability to explain complex payment concepts to diverse audiences.
- Ability to build collaborative relationships with program staff, technical teams, providers, and external partners to achieve shared outcomes.
- Proficiency using Microsoft Outlook, Word, Excel, Teams, and other computer applications to analyze information and produce reports.
- Uses critical thinking and sound judgment to analyze information, ask questions, and identify appropriate resources when answers are not immediately available.
We are searching for professionals with:
- A master's degree or higher in social work, a health or social science, public administration, or a related field and two years of professional experience planning, administering, developing, or delivering social, financial, health, or chemical dependency treatment services programs;
OR - A bachelor's degree in social work, a health or social science, public administration, or a related field and three years of professional experience planning, administering, developing, or delivering social, financial, health, or chemical dependency treatment services programs;
OR - One year of experience as a Social and Health Program Consultant 1;
OR - Seven to eight years of combined professional and practical experience planning, administering, developing, or delivering social, financial, health, or chemical dependency treatment services programs.
Along with your application, please include:
- An updated resume
- Three professional references with contact information
Please reach out to DSHS Recruiter Ricky Luna at ricky.luna@dshs.wa.gov and reference job number #06228.
Hiring timeline
Applicants selected to move forward can expect interviews to be scheduled during the first week of September.
The Department of Social and Health Services’ (DSHS) vision that people find human services to shape their own lives requires that we come together with a sense of belonging, common purpose, shared values, and meaningful work. It is crucial to our agency’s vision that you bring a fairness, access, and social justice commitment to your work with DSHS. We strive to support all Washingtonians, including Black, Indigenous, and People of Color, people with physical, behavioral health, and intellectual disabilities, elders, LGBTQIA individuals, immigrants and refugees, and families building financial security.Prior to a new hire, a background check including criminal record history may 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 job. This announcement may be used to fill multiple vacancies. Employees driving on state business must have a valid driver's license. Employees driving a privately owned vehicle on state business must have liability insurance on the privately owned vehicle.
Washington State Department of Social and Health Services is an equal opportunity employer and does not discriminate in any area of employment, its programs or services on the basis of age, sex, sexual orientation, gender, gender identity/expression, marital status, race, creed, color, national origin, religion or beliefs, political affiliation, military status, honorably discharged veteran, Vietnam Era, recently separated or other protected veteran status, the presence of any sensory, mental, physical disability or the use of a trained dog guide or service animal by a person with a disability, equal pay or genetic information. Persons requiring accommodation in the application process or this job announcement in an alternative format may contact the Recruiter at (360) 725-5810. Applicants who are deaf or hard of hearing may call through Washington Relay Service by dialing 7-1-1 or 1-800-833-6384.
Relationship and Reporting Structure (Nepotism) Disclosure: If you are selected for hire, you must disclose whether you have a relative, household member, close friend, or romantic partner within your potential supervisory chain of command. DSHS has a Relationships and the Reporting Structure policy that prohibits nepotism and can be reviewed here. Applicants whose appointment would result in a prohibited reporting relationship are not eligible for appointment to that position.
E-Verify® is a registered trademark of the U.S. Department of Homeland Security" on your website and on printed materials.
Salary : $64,512 - $86,688