Job Details

Salary : $87,660.00 - $122,724.00 Annually
Location : Thurston County - Olympia, WA
Job Type: Full Time - Permanent
Remote Employment: Flexible/Hybrid
Job Number: 2026-00488
Department: Health Care Authority
Division: FSD
Opening Date: 01/15/2026
Closing Date: Continuous

Description
Behavioral Health Delivery System Finance Unit Manager (WMSB2/FS)

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This recruitment is posted continuously. Application review will begin on January 22nd, 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 Behavioral Health Delivery System Finance Unit Manager is key to the success of the Health Care Authorities' mission, by ensuring that fiscal products are accurate and accountable, so that the agency is in compliance with federal and state requirements to ensure funding is appropriately allocated. This position is also instrumental in assisting executive leadership, by developing budget proposals that advance leadership's policy priorities. If you are looking for the opportunity to make a real difference in your community then this might be the fit for you!
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:

This position is located within the HCA's Financial Services Division (FSD), which in collaboration with other HCA divisions and a variety of external stakeholders and legislative partners, provides strategic financial expertise for Apple Health, PEBB and SEBB programs. In addition, FSD oversees the budget and compliance functions necessary to manage and monitor the single largest Washington State individual agency operating budget. Functions include budget management, accounting, forecasting, professional and hospital rate setting, financial analysis, and payment/collection operations. This division maintains a close working relationship with agency program, policy, and clinical divisions to ensure financially sound implementation and monitoring of program strategies. It is also accountable to the Governor and legislature in ensuring HCA operates within its budget.
About the position:
The Behavioral Health (BH) Delivery System Finance Unit Manager reports to the Healthcare Rates and Finance Deputy Section Manager and is responsible for leading the strategic fiscal functions that support the Non-Medicaid Services and Contract management for the state's BH program operating within the Financial Services Division (FSD) of the HCA. In collaboration with other HCA divisions and a variety of external stakeholders and legislative partners, FSD provides strategic financial expertise for the Behavioral Health, Medicaid, and Public Employees Benefits Board (PEBB) programs. In addition, FSD oversees the budget and compliance functions necessary to manage and monitor a $21 billion annual budget. Functions include budget management, forecasting, professional and hospital rate setting, financial analysis, accounting and payment/collection operations.
This position is eligible to telework but is required to report on site 2 days a week and as needed to meet business needs. 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. HCA has currently suspended the ability to support out-of-state telework.

Duties
Some of what you will do:

• Develop and monitor compliance with the financial portions of Behavioral Health Administrative Services Organization (BHASO) contracts. The process involves robust financial and actuarial analysis of behavioral health claims and data utilization to support internal decision-making.
• Oversee all statewide audit activities associated with fiscal portions of the BHASO contracts.
• Oversee the semi- annual communication and negotiations of fiscal contract exhibits with Behavioral Health Administrative Service Organizations (BHASO).
• Oversee the creation of ad hoc high-level statistical and data-analyses as needed to support agency as well as external decision makers, particularly Executive Leadership Team (ELT), Office of Financial Management (OFM) and the Washington State Legislature.
• Oversee the development of financial models used in HCA budget decision packages and legislative fiscal notes totaling hundreds of millions annually.
• Oversee the development and process for monitoring Revenue and Expenditure reports provided by BHASOs and MCOs as appropriate and necessary for funding reviews.
• Interpret proposed state and federal legislation that fiscally impacts HCA and review/ approve estimated of the fiscal impacts of these proposals.
• Oversee the reparation of and review and approve complex decision packages and fiscal notes for consideration by the HCA Director, Governor, and the Legislature that outline issues with current funding and/or initiate policy proposals to address anticipated future fiscal needs.
• Review and approve implementation/spending plans and cost/savings models for review by agency leadership, OFM, and the state Legislature.
• Manage staff within the BH Delivery System Finance Unit, including the development and oversight of daily budget operations, work schedules, prioritization of task for employees to align work assignments and projects with federal and state fiscal deadlines.
• Train, mentor, and develop direct reports in rates and finance section methods and procedures.
• Enhance the effectiveness of employees through timely appraisal and professional development opportunities.
• Resolve staff disputes and grievances and mediate conflict as necessary for all unit staff.
• Lead and coordinate workflow processes and procedures.

Qualifications
Required qualifications:
Analytic & Technical Skills

• Knowledge of Managed Care, Medicaid, and Medicare payment policies.
• Knowledge of federal Medicaid and Medicare statute (USC) codes (CFR), Medicaid State Plan, state laws (RCW), and regulations (WAC) that pertain to reimbursement and qualifications for Medicaid reimbursement.
• Previous experience with large budget responsibilities.
• Ability to see both big picture and minute budget data details.
• Expert/advanced level skill with Microsoft Excel and working knowledge of designing complex modeling, structuring ad-hoc data for use in pivot tables and composing nested formulas.
• Ability to creatively use resources to create and document work processes and analytical tools.
• Ability to analyze data, identify data needs, develop problem solving strategies, support ideas using data as evidence, develop goals and priorities, and establish benchmarks.
• Ability to analyze and research the differences among budgeted and forecasted expenditures and actual expenditures and effectively communicate the reason for the differences.
• Analytical skills for financial research and modeling in complex multi-system environment.
• Experience with Behavioral Health Programs and policies

Communication Skills

• Effective verbal and written communication skills, including the ability to translate complex financial/analytical information for non-financial/analytical audiences.
• Must be able to communicate in a positive manner with diverse audiences and facilitate large and small teams.
• Experience communicating with an array of audiences, ranging from staff with little financial background to elected government officials and federal auditors.
• Ability to coordinate and build consensus among internal/external stakeholders toward the development of departmental and legislative initiatives.
• Ability to develop and review complex written materials and provide detailed policy analysis.

Management Skills

• Ability to effectively delegate responsibilities.
• Ability to train and mentor staff.
• Experience managing and reviewing work to ensure quality.
• The ability to take action to learn and grow.
• The ability to take action to meet the needs of others.

Qualifying candidates will also meet one of the following criteria options:
Option 1:

• Bachelor's degree in business, Public Administration, Accounting, Mathematics, Economics, Statistics, or another quantitative field.
• Three (3) years of experience in a financial or analytical field.

Option 2:

• Seven (7) years of experience in a financial or analytical field.

Required competencies:

• The ability to take action to learn and grow.
• The ability to take action to meet the needs of others.

Preferred qualifications:

• Experience within the State or other government entity is strongly preferred.
• Master's degree in business, finance, public administration, or related field.
• Knowledge or experience of legislative process including bill analysis and fiscal note preparation.
• Project Management experience/certification.
• Experience working in a behavioral health setting.
• Experience working with the Washington State Agency Financial Reporting System (AFRS) data.
• Knowledge of the Medicaid Management Information System (MMIS).
• Experience working with the federal government.
• Familiarity with State and Federal laws, rules, and regulations that impact/govern the State's Medicaid, CHIP, and state funded health programs.

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.

Supplemental Information
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 ...@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
The Washington State Health Care Authority (HCA) is an . All applicants with a in the United States are encouraged to apply.
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More than Just a Paycheck!
Employee benefits are not just about the kind of services you get, they are also about how much you may have to pay out of pocket. Washington State offers one of the most competitive benefits packages in the nation.

We understand that your life revolves around more than just your career. Like everyone, your first priority is ensuring that you and your family will maintain health and financial security. That's why choice is a key component of our benefits package. We have a selection of health and retirement plans, paid leave, staff training and other compensation benefits that you can mix and match to meet your current and future needs.

Read about our benefits:
The following information describes typical benefits available for full-time employees who are expected to work more than six months. Actual benefits may vary by appointment type or be prorated for other than full-time work (e.g. part-time); view the job posting for benefits details for job types other than full-time.

Note: If the position offers benefits which differ from the following, the job posting should include the specific benefits.

Insurance Benefits
Employees and their families are covered by medical (including vision), dental and basic life insurance. There are multiple medical plans with affordable monthly premiums that offer coverage throughout the state.

Staff are eligible to enroll each year in a medical flexible spending account which enables them to use tax-deferred dollars toward their health care expenses. Employees are also covered by basic life and long-term disability insurance, with the option to purchase additional coverage amounts.

To view premium rates, coverage choice in your area and how to enroll, please visit the Public Employees Benefits Board (PEBB) website. The Washington Wellness program from the Health Care Authority works with PEBB to support our workplace wellness programs.

Dependent care assistance allows the employee to save pre-tax dollars for a child or elder care expenses.

Other insurance coverage for auto, boat, home, and renter insurance is available through payroll deduction.

The Washington State Employee Assistance Program promotes the health and well-being of employees.

Retirement and Deferred Compensation
State Employees are members of the Washington Public Employees' Retirement System (PERS). New employees have the option of two employer contributed retirement programs. For additional information, check out the Department of Retirement Systems' web site.

Employees also have the ability to participate in the Deferred Compensation Program (DCP). This is a supplemental retirement savings program (similar to an IRA) that allows you control over the amount of pre-tax salary dollars you defer as well as the flexibility to choose between multiple investment options.

Social Security
All state employees are covered by the federal Social Security and Medicare systems. The state and the employee pay an equal amount into the system.

Public Service Loan Forgiveness
If you are employed by a government or not-for-profit organization, and meet the qualifying criteria, you may be eligible to receive student loan forgiveness under the Public Service Loan Forgiveness Program.

Holidays
Full-time and part-time employees are entitled to paid holidays and one paid personal holiday per calendar year.

Note: Employees who are members of certain Unions may be entitled to additional personal leave day(s), please refer to position specific Collective Bargaining Agreements for more information.

Full-time employees who work full monthly schedules qualify for holiday compensation if they are employed before the holiday and are in pay status for at least 80 nonovertime hours during the month of the holiday; or for the entire work shift preceding the holiday.

Part-time employees who are in pay status during the month of the holiday qualify for the holiday on a pro-rata basis. Compensation for holidays (including personal holiday) will be proportionate to the number of hours in pay status in the month to that required for full-time employment, excluding all holiday hours. Pay status includes hours worked and time on paid leave.

Sick Leave
Full-time employees earn eight hours of sick leave per month. Overtime eligible employees who are in pay status for less than 80 hours per month, earn a monthly proportionate to the number of hours in pay status, in the month to that required for full-time employment. Overtime exempt employees who are in pay status for less than 80 hours per month do not earn a monthly accrual of sick leave.

Sick leave accruals for part-time employees will be proportionate to the number of hours in pay status, in the month to that required for full-time employment. Pay status includes hours worked, time on paid leave and paid holiday.

Vacation (Annual Leave)
Full-time employees accrue vacation leave at the rates specified in (1) or the applicable collective bargaining agreement (CBA). Full-time employees who are in pay status for less than 80 nonovertime hours in a month do not earn a monthly accrual of vacation leave.

Part-time employees accrue vacation leave hours in accordance with (1) or the applicable collective bargaining agreement (CBA) on a pro rata basis. Vacation leave accrual will be proportionate to the number of hours in pay status, in the month to that required for full-time employment.

Pay status includes hours worked, time on paid leave and paid holiday.

As provided in , an employer may authorize a lump-sum accrual of vacation leave or accelerate the vacation leave accrual rate to support the recruitment and/or retention of a candidate or employee for a Washington Management Service position. Vacation leave accrual rates may only be accelerated using the rates established WAC 357-31-165.

Note: Most agencies follow the civil service rules covering leave and holidays for exempt employees even though there is no requirement for them to do so. However, agencies are required to adhere to the applicable RCWs pertaining holidays and leave.

Military Leave
Washington State supports members of the armed forces with 21 days paid military leave per year.

Bereavement Leave
Most employees whose family member or household member dies, or for loss of pregnancy, are entitled to five (5) days of paid bereavement leave. In addition, the employer may approve other available leave types for the purpose of bereavement leave.

Additional Leave
Leave Sharing

Family and Medical Leave Act (FMLA)
Leave Without Pay

Please visit the State HR Website for more detailed information regarding benefits.

Updated 01-07-2026
01

If hired for this position, do you currently possess required documents to allow you to legally work within the United States? The attached link lists acceptable documents:

• Yes
• No

02

Will you require sponsorship for an employment-related immigration benefit, either now or in the future?

• Yes
• No

03

I acknowledge that this position will be eligible to telework but is typically required to report on-site 2 business days per week and for occasional meetings to meet business needs (Olympia, WA). I also acknowledge that telework is a privilege and may be revoked at any time.

• Yes
• No

04

Please select the highest level of education that you have completed:

• High school graduation or equivalent
• Associate degree
• Bachelor's degree
• Master's degree or higher
• None of the above

05

Which of the following best describes your professional experience in a financial or analytical field?

• I do not have this experience
• Less than 1 year
• More than 1 year, but less than 3 years
• More than 3 years, but less than 5 years
• More than 5 years, but less than 7 years
• More than 7 years, but less than 9 years
• More than 9 years, but less than 11 years
• More than 11 years

06

Do you have the ability to take action to learn and grow?

• Yes
• No

07

Do you have the ability to take action to meet the needs of others?

• Yes
• No

08

Please select the skills/experience you have from the 10 below:

• 1. Knowledge of Managed Care, Medicaid, and Medicare payment policies.
• 2. Knowledge of federal Medicaid and Medicare statute (USC) codes (CFR), Medicaid State Plan, state laws (RCW), and regulations (WAC) that pertain to reimbursement and qualifications for Medicaid reimbursement.
• 3. Previous experience with large budget responsibilities.
• 4. Ability to see both big picture and minute budget data details.
• 5. Expert/advanced level skill with Microsoft Excel and working knowledge of designing complex modeling, structuring ad-hoc data for use in pivot tables and composing nested formulas.
• 6. Ability to creatively use resources to create and document work processes and analytical tools.
• 7. Ability to analyze data, identify data needs, develop problem solving strategies, support ideas using data as evidence, develop goals and priorities, and establish benchmarks.
• 8. Ability to analyze and research the differences among budgeted and forecasted expenditures and actual expenditures and effectively communicate the reason for the differences.
• 9. Analytical skills for financial research and modeling in complex multi-system environment.
• 10. Experience with Behavioral Health Programs and policies.

Required Question