Integrated Care Network Business Operations Manager bei King County, WA

About the Department

The Department of Community and Human Services values diverse perspectives and life experiences. The Department encourages people of all backgrounds to apply, including Black, Indigenous, and People of Color, immigrants, refugees, women, LGBTQ, people with disabilities, veterans, and those with lived experiences.

King County's Department of Community and Human Services (DCHS) provides equitable opportunities for people to be healthy, happy, self-reliant and connected to community.

We are seeking a Business Operations Manager who will oversee the managed care operational functions under the Integrated Managed Care (IMC) contracts within the Behavioral Health and Recovery Division (BHRD) and lead the Integrated Care Network Project Management team. 

The Business Operations Manager will bring together program leads from various functional areas to support implementation, design and integration of traditional managed care operations and to implement strategic initiatives within the King County Integrated Care Network. 

The incumbent in this position will align all work with the mission of the Department's Equity and Social Justice strategic plan( i.e., to reinforce and embed equity and social justice principles into policies, practices, attitudes and actions that produce equitable access, opportunities, treatment, impacts and outcomes for all.)

WHO MAY APPLY: This position is open to all qualified candidates that meet the minimum qualifications. Interviews for this selection process will take place on or around October 20, 2025.

Additional Job Information

WORK SCHEDULE/CONDITIONS: This position is exempt from the provisions of the Fair Labor Standards Act and is not eligible for overtime. Typical hours are Monday - Friday, 8am - 5pm. This position is not represented by a union.

REQUIRED MATERIALS: Candidates who wish to be considered for this position must submit an online King County application and respond to the supplemental questions. 

Application Process: Please follow the application instructions carefully. If you need this announcement in an alternate language or format, would like to request accommodation or assistance in the application or assessment process, or have questions, please contact the recruiter listed on this job announcement.
 
 The following items are required to be considered for this vacancy:
 

• NeoGov Job Application (The responses on your job application should be thorough and complete and will be used in the screening process);
• Supplemental Questions (The responses to the supplemental question should be thorough and complete and will be used in the screening process, providing your most recent 7 years of applicable experience if available)

Your application may be rejected as incomplete if you do not include the relevant information. Cover letters and/or resumes are not accepted in lieu of a completed application. Applications and/or Supplemental Questionnaires that state “see my resume” or “see my personnel file” are considered incomplete and will not be accepted.

MISSION CRITICAL POSITION STATUS: This position has been designated Non-Mission Critical, unless otherwise directed by the County Executive, department director or agency head, all employees, regardless of designation, are expected to report to work or request leave during an emergency or inclement weather. 

For more detailed information, please visit HR Policy County Operations During Emergency Situations and the King County Guidelines for Workforce Management in an Emergency.

REMOTE AND ONSITE WORK DETAILS: Employees in this role work remotely from a home location, with onsite reporting requirements. The frequency of onsite work is determined by business needs and may be adjusted accordingly.  
 
REMOTE WORK LOCATION REQUIREMENT: Employees must reside in Washington State and be within a reasonable distance of King County worksites to meet onsite reporting requirements.  

RECRUITER: Annette Coleman, [email protected]

Position Duties

• Under the direction of the KCICN Administrator and in collaboration with internal and external partners, support the development, implementation, monitoring and communication of BHRD programs, policies and IT systems to achieve optimal operational efficiencies and meet contractual and regulatory requirements internally within BHRD and across the network of contracted Medicaid and non-Medicaid providers.
• Supervise the KCICN Project Management team, which includes 2 project managers and a project coordinator. 
• Provide direction and leadership for projects managed by the KCICN Project Management team. Assign projects to staff and provide steering on project scope, timelines, deliverables and prioritization. Ensure communication with executive leadership and KCICN governance committees regarding project status and decision-making.
• Participate in creation and maintenance of KCICN Strategic planning partnership with BHRD leadership and KCICN governance committees.
• Attend and participate in all KCICN governance committees and act as facilitator as assigned; manage flow of topics and work through KCICN governance committees and act as subject matter expert on governance structure in the KCICN.
• Attend and participate as needed in all Managed Care Organization meetings as designated by the KCICN Administrator.
• The Business Operations Manager will bring together program leads from various BHRD teams to support implementation, design and integration of traditional managed care operations including, but not limited to the following: program development and implementation, managing operational questions and problem solving when needed, KCICN-specific provider payments and reconciliation; provider relations, training, capacity building and network management; eligibility and membership; identifying and clarifying business rules and reporting to administrative and regulatory agencies.
• Lead implementation, design and integration of new KCICN programs including adaptation to meet new regulatory or contractual requirements, program policy, program design, process improvements and data analytics.
• Manage communication regarding KCICN work in partnership with BHRD leadership.
• Oversee development and implementation of day-to-day KCICN functions, including implementation of standardized, scalable and sustainable processes that meet requirements for managed care requirements under contracts with HCA and MCOs, respectively.
• Support development and implementation of integration pilots, and coordinate and collaborate with external partners and stakeholders, including MCOs, to achieve identified outcomes.
• In conjunction with the BHRD Information and Data System Manager represent BHRD needs related to business rules and program design to the information system and operations staff and vendors.
• Collaborate with the BHRD Performance Measurement, and Evaluation team members and other Division staff as needed to detect and describe system-wide trends pertaining to quality.
• Collaborate with key external stakeholders, including managed care plans, behavioral health providers, State and regulatory agencies.
• Serve as a member of the BHRD Management Team 
• Perform other related duties as assigned.

Minimum Qualifications

• Bachelor's Degree and/or at least 5 years of professional experience in public sector behavioral health, primary care health services, or within a health insurance plan; or an equivalent combination of experience, education and/or training that provides the knowledge, skills and abilities to perform the work.
• Strong experience in project management, including developing and managing project plans and tracking actions to completion.

• Strong facilitation skills, including demonstrated ability to coordinate and facilitate meetings with cross-sectors of subject matter experts, committees and key stakeholders.

• Experience working with healthcare or social service systems at the national, local, regional or state levels, including but not limited to systems that serve low-income & vulnerable clients.
• Knowledge of and experience with federal, state, and regional rules, regulations, and contract requirements pertaining to behavioral health managed care (e.g., RCW, WAC, Medicaid State Plan).

• Knowledge of and experience with Medicaid managed care organizations in Washington State.

• Knowledge of and experience with substance use disorder and mental health services in King County and/or Washington State or equivalent experience in another state.

• Knowledge of, or experience with, formal provider relations functions and/or healthcare contracting.

• Proven ability to work effectively within individuals who may have markedly different perspectives.

• Strong written and verbal communication skills.

• Ability to manage multiple tasks simultaneously.
• Excellent interpersonal skills.

• Strong knowledge of Office365, Outlook, OneNote, Microsoft Teams and Excel. 

• Valid Washington State Driver's License or the ability to travel throughout the county in a timely manner.

DESIRED QUALIFICATIONS

 

Other Qualifications

Forbes named King County as one of Washington State's best employers.

Together, with leadership and our employees, we're changing the way government delivers service and winning national recognition as a model of excellence. Are you ready to make a difference? Come join the team dedicated to serving one of the nation's best places to live, work and play.

Guided by our "True North", we are making King County a welcoming community where every person can thrive. We value diversity, inclusion and belonging in our workplace and workforce. To reach this goal we are committed to workforce equity. Equitable recruiting, support, and retention is how we will obtain the highest quality workforce in our region; a workforce that shares and will help advance our guiding principles - we are one team; we solve problems; we focus on the customer; we drive for results; we are racially just; we respect all people; we lead the way; and we are responsible stewards. We encourage people of all backgrounds and identities to apply, including Native American and people of color, immigrants, refugees, women, LGBTQ+, people living with disabilities, and veterans.

King County is an Equal Employment Opportunity (EEO) Employer

No person is unlawfully excluded from employment opportunities based on race, color, religion, national origin, sex (including gender identity, sexual orientation and pregnancy), age, genetic information, disability, veteran status, or other protected class. Our EEO policy applies to all employment actions, including but not limited to recruitment, hiring, selection for training, promotion, transfer, demotion, layoff, termination, rates of pay or other forms of compensation.

To Apply

If you are interested in pursuing this position, please follow the application instructions carefully. If you need this announcement in an alternate language or format, would like to request accommodation or assistance in the application or assessment process or if you have questions please contact the recruiter listed on this job announcement.

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