Job Description
Description Our Mission: Keep Washington Safe and Working! Our Values: Customer Focus, One L&I, Respect, Diversity, Equity and Inclusion, Learning and Growth, Reliability The salary offer will be based on the candidate’s job-related skills, experience and training. The target pay range of consideration for this exempt position is typically $82,344- $146,784 annually. The full band pay range is $104,772- $146,784 annually. Why work at L&I The Department of Labor & Industries (L&I) is a diverse state agency dedicated to the safety, health, and security of Washington's workers. We help employers meet safety and health standards and inspect workplaces when alerted to hazards. As administrators of the state's workers' compensation system, we are similar to a large insurance company providing medical and limited wage-replacement coverage to workers who suffer job-related injuries and illness. Our rules and enforcement programs help ensure workers are paid what they are owed, that children and teens' work hours are limited, and that consumers are protected from unsound business practices. Insurance Services is the largest division within the agency and administers one of the premier workers’ compensation organizations in the nation serving over 3.8 million employees working for 260,000 employers. Health Services Analysis (HSA) is responsible for L&I’s health care provider network (RCW 51.36.010). This includes the implementation and management of standards for qualification and performance of providers who treat injured workers, as well as enrolling qualified providers in a statewide workers’ compensation medical provider network. This includes credentialing providers, monitoring health care provider quality and performance, managing medical and spending through fee schedules and payment policies, paying medical bills, supporting providers through a call center and through outreach activities, managing language access services to ensure workers can effectively communicate with health care and vocational providers, and increasing providers’ use of occupational health best practices. Take a look at this brief video and learn more about why L&I is an employer of choice. Work-life balance is a priority at L&I. We support a hybrid work model and offer flexible work schedules which may include 4/10’s, 9/80’s or 5/8’s. You will need to attend in-person activities, meetings or events as needed for business purposes. This position can be located in any of our L&I service locations statewide. The successful incumbent must reside in Washington, Idaho or Oregon. Employees will be responsible for travel and expense from their resistance to their assigned office. We offer great benefits which include paid leave, tuition imbursement, infants at work, generous retirement package and much more. Select on the “Benefits” tab to learn more. Job Highlights The HSA Program Manager’s focus is to reduce disability and help injured workers heal and return to work by ensuring delivery of effective health care treatment and access to quality providers. The Program Manager is responsible for maintaining efficient oversight of medical payments, treatment and quality of services and medical providers. The Program Manager is responsible for controlling medical cost growth. By overseeing timely and accurate payment of medical bills totally approximately $600 million per year. The program establishes and maintains medical fee schedules that are fair and competitive to ensure providers are willing to treat injured workers and workers have timely and equitable access to necessary medical services. Duties The Program Manager leads a program of roughly 125 employees through: Developing an overall vision and strategic measures to ensure access to medical care and provider adoption of occupational health best practices. Working with IT and contracted vendors to ensure that HSA technology platforms effectively support system users and can produce data to assess program as well as provider performance. Overseeing contracted research and pilots to develop and test emerging best practices that span the full period of worker recovery. Financial and operational integrity of Medical Aid Fund payments and medical bill payment systems. Managing timely and accurate bill payment and Provider Hotline responses to inquiries. Qualifications Required: 5 years of experience with senior leadership in program and/or operational management which includes responsibility for fiscal, project and personnel management. 2 years of experience managing multi-million-dollar budgets, including budget decisions involving allocation of peop