Benefits Eligibility Specialist (MAS3/ERB)

Benefits Eligibility Specialist (MAS3/ERB)

Salary

$48,048.00 - $64,512.00 Annually

Location

Thurston County - Olympia, WA

Job Type

Full Time - Permanent

Remote Employment

Flexible/Hybrid

Job Number

2026-05330

Department

Health Care Authority

Division

ERB

Opening Date

06/26/2026

Closing Date

7/8/2026 12:00 AM Pacific

Salary Information

The high end of the salary range, Step M is typically a longevity step

• Description
• Benefits
• Questions

Description

Benefits Eligibility Specialist (MAS3/ERB)

This recruitment will be used to fill multiple positions

The salary advertised reflects the 2% General Wage Increase for employees on July 1, 2026.

Join our team as a Benefits Eligibility Specialist (Medical Assistance Specialist 3/MAS3) in the Employees and Retirees Benefits (ERB) Division. Support the PEBB and SEBB Programs by providing guidance on eligibility, insurance benefits, and enrollment through phone, email, and in-person interactions. Utilize a multi-line phone system, Benefits 24/7, and other tools to assist customers. Were looking for someone with excellent communication, time management, and problem-solving skills, who can thrive in a fast-paced environment. Apply today and improve health care services for Washington residents!

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:

The Employees and Retirees Benefits (ERB) Division manages a $5 billion budget to support over 725,000 individuals through two main programs. The Public Employees Benefits Board (PEBB) Program provides insurance and benefits to employees of state agencies, higher education institutions, and their dependents, including retirees and those eligible for COBRA. The School Employees Benefits Board (SEBB) Program offers coverage for employees of K-12 schools, Educational Service Districts, Charter Schools, and their dependents, also providing COBRA continuation. Both programs aim to improve health outcomes, care quality, and cost efficiency through value-based purchasing and policies aligned with the Triple Aim framework.

About the position:

This position aligns with the HCA mission and Governors health care priorities by providing support in the delivery of quality customer service to PEBB and SEBB Programs' subscribers and their dependents, including retirees, COBRA/continuation coverage, and K-12 members. This position provides these services via a customer service phone line, an online member portal called "HCA Support", email, mail, and in-person at Cherry Street Plaza.

This position is eligible to telework part-time and is required to report on-site 1-3 days a week to meet business need. 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:

• Utilize a multi-line telephone and a toll-free line to administer customer service.
• Use excellent communication skills and effectively communicate with customers and peers, utilizing a high degree of verbal and listening skills.
• Counsel customers on PEBB and SEBB Programs' eligibility, policies, procedures, insurance benefits, rights and responsibilities, access to services, and enrollment status via phone, in-person, email, and through our secure portal HCA Support.
• Assist customers in managing and navigating their electronic profiles and benefits elections in Benefits 24/7.
• Utilize various database systems and software programs, which include but are not limited to: HRISD/PAY1, Benefits 24/7, DRS Secure Client Remote Terminal (CRT), Avaya, Microsoft Office, Service Now, and AX imaging system, in the performance of all duties.
• Troubleshoot log-in issues and direct customers with accessing their Benefits 24/7 account through Secure Access Washington (SAW).
• Independently analyze and process applications and documents for health benefits eligibility and enrollment.
• Participate in committee and project teams as requested. Some examples include participating in process improvement feedback and activities, employee resource groups, team meetings, or HCA materials reviews.
• Attend and complete training courses.

Qualifications

Required qualifications:

Qualifying candidates will meet one of the following criteria options:

Option 1:

• Bachelor's degree.
• One (1) year of experience as defined below.

Option 2:

• Associate degree.
• Three (3) years of experience as defined below.

Option 3:

• Certificate of Medical Billing and Coding or closely related certificate program.
• Three (3) years of experience as defined below.

Option 4:

• Five (5) years of experience as defined below.

Option 5:

• One (1) year as a Medical Assistance Specialist 2.

The required experience includes one or a combination of the following:

• Providing direct client services or counseling of customers in the areas of health insurance, disability, or other related health benefits.
• Public assistance eligibility determination.
• Health insurance premiums/claims processing, adjusting, and investigation.
• Other medical premiums/claims/eligibility related experience.
• Experience researching and analyzing complex rules, regulations, or policies and utilizing research and analysis to make determinations, solve problems, or complete work while providing direct customer service either in person or on the telephone.

Required Competencies:

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

Preferred qualifications:

• Ability to understand PEBB and/or SEBB Programs' information sources, including WACs, policies, and procedures.
• Superior communication, customer service, time management, and interpersonal skills.
• Experience working with computers and databases and software programs.
• Ability to navigate several screens, web-based applications, and forms simultaneously.
• Adept at switching priorities at a moment's notice and able to complete tasks with multiple deadlines.
• Ability and willingness to work in a high-pressure, customer contact center/production environment.
• Ability to achieve results and stay calm during stressful circumstances.
• Experience using the PAY1 and Benefits 24/7 system.

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:

• 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 states 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 HCAs 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.
• Tuition reimbursement
• And free parking!

Notes:

This position is covered by the Washington Federation of State Employees (WFSE). Once the listed position(s) is(are) filled, this recruitment announcement may also be used to fill additional position(s) for up to sixty (60) days.

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 HCAjobs@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 Angelic.Matthews@hca.wa.gov

The Washington State Health Care Authority (HCA) is an E-Verify employer. All applicants with a legal right to work in the United States are encouraged to apply.

E-Verify is a registered trademark of the U.S. Department of Homeland Security.

Subscribe to our weekly newsletter to receive a list of new job postings at HCA.

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. Thats 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 WAC 357-31-165(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 WAC 357-31-165(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 WAC 357-58-175, 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

Parental Leave

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: https://www.uscis.gov/i-9-central/form-i-9-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 1-3 business days per week 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
• Bachelors degree
• Masters degree or higher
• None of the above

05

Which of the following best describes your professional work experience in any or a combination of the following?: • Providing direct client services or counseling of customers in the areas of health insurance, disability, or other related health benefits. • Public assistance eligibility determination. • Health insurance premiums/claims processing, adjusting, and investigation. • Other medical premiums/claims/eligibility related experience. • Experience researching and analyzing complex rules, regulations, or policies and utilizing research and analysis to make determinations, solve problems, or complete work while providing direct customer service either in person or on the telephone.

• 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

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

Required Question

Employer State of Washington

Address View Job Posting for Agency Information

View Job Posting for Location, Washington, 98504

Website http://www.careers.wa.gov