Bachelor's degree in Public Administration, Public Health, Healthcare Management, Criminal Justice, Social/Behavioral Sciences, or related field; Master's preferred .
3-5 years progressive experience in program management, operations, or policy implementation within government, healthcare, or corrections , including multi‑agency stakeholder management.
Demonstrated Medicaid/Apple Health expertise (eligibility, enrollment, billing/reimbursement) and familiarity with CMS Section 1115 Reentry guidance (e.g., rTCM, MOUD, 30‑day supplies).
Track record leading complex launches or statewide initiatives (strategic planning, contracts/QA, pharmacy/EHR process design, and training).
Direct experience with justice‑involved populations (adult/youth) or carceral reentry programs; experience supervising regional parole/aftercare services (FFP, CAR).
Experience with performance‑based contracting, workforce development, and statewide QA in publicly funded programs.
Clinical coordination background (e.g., partnering with Psychiatric Social Worker teams on continuity of care, Narcan/DME, and MCO transitions). (Licensure not required for this administrative role; collaboration with licensed staff is expected.)
KNOWLEDGE, SKILLS, AND ABILITIES
Knowledge of Apple Health 1115 Reentry operations: Cohort launch mechanics, ProviderOne/NPI enrollment, covered service set, and capacity‑building requirements
Knowledge of Cross‑system program management: Pharmacy/EHR integration, pre‑/post‑release workflows, sta
Benefits
Health insurance
Additional Information
Note: Current Employees must use the Workday Dashboard career section to apply for this position.
Employee Type:
Regular
Department:
Detention Services
Salary:
$82,049.42 - $114,796.14 Annually / $6,837.45 - $9,566.35 Monthly / $39.45 - $55.19 Hourly
Scheduled Weekly Hours:
40
Overtime Eligibile:
No
Job Posting Date Range:
04/20/2026 - Until Filled
Job Summary:
GENERAL PURPOSE
The Reentry Program Administrator provides Detention Services leadership to implement, coordinate, and oversee Washington's Apple Health (Medicaid) Section 1115 Reentry Demonstration in carceral settings, ensuring compliant delivery of targeted pre release services up to 90 days prior to release and seamless transition to community care. This includes program launch management, capacity building fund stewardship, cross system operations (e.g., pharmacy/EHR/billing), and performance accountability to HCA policy and CMS Special Terms and Conditions. This position aims to reduce ED utilization, overdose, and recidivism and to improve continuity of care.
Job Description:
ESSENTIAL JOB FUNCTIONS
Lead Cross-System Collaboration: Serve as the primary liaison between the HCA, Managed Care Organizations (MCOs), the Department of Corrections (DOC), county jail, and community health providers.
Operational Design: Design and execute the operational infrastructure and workflows (e.g., EHR integration, information sharing, and client intake processes) necessary to deliver the mandated Reentry Initiative services.
Capacity Building: Manage and monitor the allocation of Capacity Building Funds to participating facilities for staff hiring, training, and technology adoption (e.g., EHR/billing systems).
Launch Management: Oversee the phased launch (by cohort) of the Reentry Initiative at state and/or local facilities, ensuring readiness for billing and service delivery by established go-live dates.
Operational & pharmacy design: Establish pre‑ and at‑release pharmacy processes, EHR data‑sharing, and intake workflows so carceral health programs can meet Reentry medication and discharge supply requirements (e.g., 30‑day medications/DME), in partnership with Jail Health Services and facility health teams.
Capacity Building Funds: Plan and monitor capacity‑building awards to facilities (e.g., staffing, training, technology/EHR and billing tool adoption), in coordination with HCA's funding authorization and milestones ("Intent to Participate," readiness assessments, interim/final progress reporting).
Cohort launch management: Drive readiness for facility go‑lives-including ProviderOne/NPI enrollment, workflows, and test claims-ensuring "day‑one" capability for covered pre‑release services.
Waiver compliance oversight: Ensure program activities adhere to HCA's Reentry Initiative Policy & Operations Guide and CMS 1115 guidance , including documentation, privacy/security, and reporting standards.
Billing & reimbursement: Design and troubleshoot Medicaid revenue cycle processes, including Reentry Targeted Case Management (rTCM) and other covered pre‑release services; coordinate with MCOs on benefit configuration, encounter submission, denial management, and pharmacy claims.
Medicaid enrollment workflows: Standardize and monitor: eligibility screening; timely application support (≥45 days pre‑release) ; suspension/reactivation processes; MCO assignment and warm handoffs to community care.
Performs other related duties as required.
Spokanecounty · Spokane County Jail