Medicaid Reentry Program Coordinator - WA

About the role

The Medicaid Reentry Program Coordinator supports the coordination and administration of services associated with Washington’s Medicaid 1115 Reentry Waiver for justice-involved individuals. This role ensures required pre-release healthcare services, documentation, and coordination activities are completed to support continuity of care and compliance with program requirements.

Responsibilities

• Cook up activities related to Washington’s Medicaid 1115 Reentry Waiver program within the correctional healthcare setting.
• Track individuals eligible for reentry services and support coordination of required pre-release healthcare services.
• Collaborate with clinical staff, care managers, and facility personnel to ensure required waiver services are delivered and documented appropriately.
• Cook up with Washington Health Care Authority (HCA), Managed Care Organizations (MCOs), and community healthcare providers regarding reentry care coordination activities.
• Maintain records of waiver-related services provided prior to release, including documentation required for program compliance and reporting.
• Prepare, review, and submit claims for Medicaid 1115 Reentry Waiver services in accordance with state requirements and contractual agreements with the facility.
• Ensure all required documentation supports accurate and compliant billing, including coordination with clinical and care coordination staff to resolve discrepancies and maintain audit readiness.
• Monitor program workflows to ensure required services are completed within established timelines prior to an individual’s release.
• Support communication and coordination between correctional healthcare staff and community healthcare providers to facilitate continuity of care.
• Aid in the preparation of documentation supporting program reporting, audits, and compliance monitoring.
• Track program participation metrics and assist with internal reporting related to waiver services.
• Ensure patient authorizations and consent documentation are obtained when required for information exchange.
• Identify operational barriers that may impact timely delivery of reentry services and escalate concerns to program leadership as appropriate.
• Stay informed on Washington Medicaid program updates and policies related to justice-involved populations and reentry services.
• Aid in additional administrative or coordination tasks related to the Medicaid Reentry program as assigned.

Requirements

• Associate’s degree in healthcare administration, social services, public health, or related field preferred.
• Additional certifications or specialized training may be required depending on the function (e.g., Certified Human Resources Professional (PHR) for HR roles, Certified Public Accountant (CPA) for Finance roles, etc.).
• Minimum of 2-3 years of relevant experience in the specific functional area (e.g., HR, Finance, Sales, Marketing, Operations, etc.).
• Experience in healthcare, correctional healthcare, or a regulated industry is preferred.
• Demonstrated success in applying function-specific skills (e.g., employee relations for HR, financial reporting for Finance, or sales strategy for Sales) is required.
• Knowledge of relevant industry-specific regulations, compliance standards, and best practices may be required, particularly for roles in highly regulated functions like HR and Finance.
• Relevant industry certifications based on the role (e.g., PHR, SHRM-CP, CPA, etc.).
• Active CPR/BLS certificate required (American Heart Association/American Red Cross guideline approved), if role is located in a correctional facility.

Qualifications

• Competitive Pay and MVP Bonus Program
• Benefits package including Medical, Dental, and Vision insurance for you and your family
• PREFERRED Pharmacy Network options
• MDLIVE virtual Provider telehealth options
• Wellness program
• Health Savings Accounts and Health Reimbursement Account options with company match
• Employer-paid Life Insurance Policy/AD&D, Long-Term Disability and Short-Term Disability coverage
• Optional Voluntary coverage for Life Insurance, Accident, Critical Illness, and Hospital Indemnity plans
• Paid portion of Maternity Leaves
• Employee Assistance Program
• Generous Paid Time Off (PTO) including 10 Holidays and flexible Floating Holidays
• Participation in the MEDIKO 401(k) Retirement Plan with company match
• Employee Referral Bonuses
• Tuition Reimbursement Assistance Plan
• Free Continuing Education Access to Perks and Discounts at nationally recognized chains, service providers and retailers

Skills

• Strong organizational and time management skills
• Excellent communication and interpersonal skills
• Ability to work independently and as part of a team
• Proficient in Microsoft Office Suite
• Understanding of healthcare regulations and compliance standards

Benefits

• Generous Paid Time Off (PTO)
• Flexible Floating Holidays
• Participation in the MEDIKO 401(k) Retirement Plan with company match
• Employee Referral Bonuses
• Tuition Reimbursement Assistance Plan
• Free Continuing Education Access to Perks and Discounts at nationally recognized chains, service providers and retailers

Schedule

• Full-time position

Pay

• Competitive salary
• Annual bonus program