Community Health Plan of Washington (CHPW) provides health care coverage and support services, focusing on helping individuals access care, medications, and community resources. The services are specifically aimed at those qualifying for Apple Health (Medicaid) and Medicare.

Community Health Plan of Washington (CHPW)

Community Health Plan of Washington | 6,609 followers on LinkedIn. We are a not-for-profit offering Medicaid, Medicare Advantage, and Individual &amp; Family health plans in Washington state. | For over 30 years, Community Health Plan of Washington (CHPW) has been providing quality health care to Washington families and supporting your choices for health care.

You’re the expert on your health and well-being. Our mission is to support you in making the best health care decisions for you and your family.

Jasmine Wevers

CISO

Jonathan Keith Banks

Amado Garcia

Healthcare Risk Adjustment and Finance Leader

Mark Dabney

Community Health Plan of Washington

Join the CHPW team! We're hiring for a position as an Account Manager, and a Customer Service Trainer. • Account Manager - Spokane Region - Bilingual Russian, Ukrainian, Spanish preferred: Are you results-oriented and passionate about community engagement? If so, we'd love to have you on our team! In this dynamic, field-based Account Manager role, you'll be responsible for the promotion and sales of CHPW products and services throughout the Spokane region (Spokane, Pend Oreille, Stevens, Ferry, Lincoln, and Adams Counties). Your primary focus will be on cultivating strong relationships with Community Health Centers (CHCs) and Community Based Organizations (CBOs) to drive enrollment growth initiatives. You'll directly oversee achieving annual enrollment targets and business outcomes through both existing and new channels. The ideal candidate should have at least two years of experience in sales or business development, with a preference for experience in the healthcare industry. A valid Washington driver's license and access to a reliable vehicle are required. Additionally, candidates must be willing to work evenings and weekends, including potential overnight trips. • Customer Service Trainer- 100% Remote, WA: Are you passionate about creating impactful learning experiences? Do you have a strong background in managed healthcare or customer service? We're looking for a dynamic professional to design, implement, and deliver innovative training programs and quality assurance processes that make a real difference. In this role, you'll develop engaging training content and eLearning modules, collaborate with key stakeholders to improve customer service processes, lead group training sessions, and mentor peers. You'll also ensure that all training materials are of the highest quality, consistent, and tailored to support healthcare teams and end users. The ideal candidate will have 3+ years of experience in customer service, preferably within managed healthcare or call centers, along with a strong background in adult learning and project coordination. Experience with learning management systems (LMS) and healthcare systems is highly preferred. Read more about the qualifications and responsibilities for these and other roles at mychpw.info/careers

Our Commitment to Community is Unwavering As a safety-net health care organization that exists to serve historically marginalized, low-income communities, Community Health Plan of Washington (CHPW) and our parent organization, Community Health Network of Washington (CHNW), understand what is at stake as a result of the 2024 national elections. The policies of the incoming Administration and Congress will likely have a significant impact on the health care programs that our members and patients depend upon. On several fronts, there are major threats to the work we are engaged in to advance health equity and deliver accessible, equitable health care for people we serve across the State of Washington. Now, more than ever, we are resolved in our purpose and resolute in our commitment to stand as a beacon of hope for those who depend upon us for their health and well-being. True to the vision of the Community Health Centers (CHCs) who founded us more than 30 years ago, and who still govern us today, we remain deeply committed to the fight for social justice so that everyone may have the opportunity to live their healthiest lives. CHPW and our CHC Network stand together in our work - along with our partner community-based organizations, advocacy groups, providers, and state and local policymakers - to ensure that the health care needs of our communities are met. We are grateful for this strong and diverse coalition of organizations working towards the common goal of health equity for all. Our team will be working closely with these partners, as well as national allies across the country, to strengthen our advocacy and support for the people we serve. We recognize the particular threats that many immigrant and other targeted communities face and we are committed to ensuring that each and every individual receives the same opportunities for health that we all deserve. Martin Luther King Jr. often referred to his work as building the “Beloved Community,” a society driven by caring and compassion in which all people come together through peaceful means to live in a just and equitable world. As we strengthen our bonds in our work together, CHPW/CHNW is unwavering in the pursuit of Dr. King’s dream. This for us, is the “power of community.” — Leanne Berge, CHPW/CHNW CEO

CHPW is proud to partner with community-based organizations that serve the LGBTQ+ community like Entre Hermanos . We're celebrating their work to advance health equity with a 2024 Advancing Equity Fund award. Entre Hermanos is on a mission to promote the health and well-being of the Latino gay, lesbian, bisexual, transgender, and questioning community in a culturally appropriate environment through disease prevention, education, support services, advocacy, and community building. The $10,000 Advancing Equity Fund grant provides unrestricted funds that Entre Hermanos can use in whatever way best meets their organization's needs. Both Entre Hermanos and CHPW are rooted in community and our missions are aligned—to ensure the health and well-being of Washingtonians while advancing health equity because everyone deserves to live their healthiest lives. "We appreciate CHPW's support and look forward to serving our community toward greater health equity. Thank you for trusting in our organization and community. Proud to be a partner of CHPW," said Edgar Longoria , Executive Director of Entre Hermanos. Sandra Romero , our CHPW Account Manager serving King County (and pictured here - fourth from right), stopped by Entre Hermanos in Seattle to connect with Edgar and the team. Thank you, Entre Hermanos, for your commitment to the Latine LGBTQ+ community in Washington! Learn more about Entre Hermanos at entrehermanos.org #2024CHPWAdvancingEquityFund #PowerOfCommunity

Join the CHPW team! We're hiring for a State Hospital Liaison and an Appeals Coordinator. • State Hospital Liaison – Remote w/ required travel, WA only: Community Health Plan of Washington (CHPW) is looking for a new addition to join our Clinical Services team! As a State Hospital Liaison, you will be responsible for supporting CHPW members who are transitioning to and from State Hospitals, Long Term Civilly Committed (LTCC) behavioral health beds, and other inpatient psychiatric facilities. This role involves facilitating intake, evaluation, and referral services for members in behavioral health settings. You will also help manage the State Hospital and LTCC populations to ensure alignment with the target census set by the Washington State Health Care Authority and the Behavioral Health Administration. The ideal candidate will have a Master’s degree in social work, psychology, behavioral health, or a related social services field, or a Registered Nurse (RN) degree, along with 3-5 years of relevant experience. Current, unrestricted licensure in Washington State is required, including RN, LPN, ARNP, Social Worker, or Psychologist. • Appeals Coordinator I - 100% Remote, WA only: Join our Utilization Management team as an Appeals Coordinator I, where you’ll play a key role in ensuring a seamless experience for members and providers by managing and resolving complaints, grievances, and appeals. You'll be at the forefront of driving compliance with state and federal regulations, NCQA standards, and company policies, while delivering exceptional service to those who need it most. This role offers the opportunity to make a real impact by guiding the grievance and appeal process, conducting in-depth investigations, and ensuring timely, accurate resolutions. If you’re passionate about problem-solving, attention to detail, and making a difference, we want to hear from you! Ideal candidates will have experience working with Medicaid and Medicare programs, as well as a background in resolving grievances and appeals. Read more about the qualifications and responsibilities for these and other roles at mychpw.info/careers

CHPW is grateful to have the opportunity to celebrate Tacoma Area Coalition of Individuals with Disabilities TACID and its inclusive approach through a 2024 Advancing Equity Fund grant. TACID promotes the wellness, recovery and resilience of adults experiencing disabilities in Pierce County. This unique organization is peer-led and directed with all direct services provided by Certified Peer Support Specialists (CPCs) who have lived experience of disability or a behavioral health challenge. The $10,000 grant provides unrestricted funds that TACID can use in whatever way best meets their organization's needs. "On behalf of TACID participants, staff, and board members: Thank you for acknowledging our work! What a wonderful program you have through the Advancing Equity grants. We are delighted to be one of the organizations selected for this honor and generous funding. Thanks again for supporting people with visible and invisible disabilities through this grant," said TACID Executive Director Nalani Linder. Our CHPW Regional Manager Joe Contris took a moment to meet (and take a quick photo) with Nalani at a TACID luncheon last month and we couldn't be more appreciative of having TACID as a community partner. Thank you, TACID and team, for the work you do to advance health equity and for providing peer support services for adults experiencing a spectrum of disabilities and challenges, while also providing a free meeting space and facilities for like-minded community partners! Learn more about Tacoma Area Coalition of Individuals with Disabilities at tacid.org/ #2024CHPWAdvancingEquityFund #PowerOfCommunity

On October 14, 2024, our CHPW team traveled to Phoenix for CrisisCon24, where crisis partners, advocates, and payors came together for three days of learning, connecting, and growing. CHPW Sr. Director of Regional Systems Integration Connie Mom-Chhing and Regional Manager Marci Bloomquist were in attendance to learn more about updates on the National 988 Crisis Line and to hear from other states on how they are navigating their crisis services. Services represented at this conference included crisis call centers, mobile crisis teams, crisis residential programs, peer support and respite programs, psychiatric urgent care, and crisis stabilization programs. Thank you to International Council for Helplines Board Chair Michael Reading and team for organizing an incredible lineup of keynote speakers, training sessions, and opportunities to collaborate with other health care professionals! Photo (top left): Rena Fitzerald (Operations Director at Volunteers of America Western Washington), Marci Bloomquist (CHPW Regional Manager). Photo (bottom left): Connie Mom-Chhing (CHPW Sr. Director Regional Systems Integration), Marci Bloomquist, Gail Selander (International Council for Helplines Accreditation & Credentialing Administrator). Photo (right): Connie Mom-Chhing, Marci Bloomquist, Michael Reading (Board Chair of International Council for Helplines).

Join the CHPW team! We're hiring for a Clinical Care Coordinator, Customer Service Rep, and an Account Manager. • Clinical Care Coordinator (BSW or LPN) - 100% Remote in Washington State We are looking for a self-motivated and highly organized individual to join our care management team as a Clinical Care Coordinator! In this role, you will assist and coordinate case management activities under the direction of an RN or LICSW Case Manager, Supervisor, or Manager. You will function as an interdependent team member in the areas of member assessment, planning, facilitation, and advocacy. The goal is to improve member quality of life and ensure cost-effective outcomes by using internal and community-based resources. Successful candidates will have demonstrated organizational and time management skills, along with at least a year’s worth of experience in clinical and/or case management. Bilingual skills a plus. • Customer Service Rep II - Bilingual a plus! - 100% Remote in Washington State CHPW is on the lookout for new talent to join our customer service team, individuals who share our passion and drive for delivering exceptional experiences to CHPW members! This role involves being part of a team of representatives who handle member and provider inquiries regarding benefits, eligibility, claims status, and other related issues, with the goal of providing information and facilitating appropriate resolutions. The ideal candidate will have a minimum of 2 years of customer service experience and be familiar with state and federal programs such as Apple Health (Medicaid) and Medicare Advantage Plans. • Account Manager - Spokane Region (Bilingual Russian, Ukrainian, Spanish preferred): Are you results-oriented and passionate about community engagement? If so, we'd love to have you on our team! In this dynamic, field-based Account Manager role, you'll be responsible for the promotion and sales of CHPW products and services throughout the Spokane region (Spokane, Pend Oreille, Stevens, Ferry, Lincoln, and Adams Counties). Your primary focus will be on cultivating strong relationships with Community Health Centers (CHCs) and Community Based Organizations (CBOs) to drive enrollment growth initiatives. You'll directly oversee achieving annual enrollment targets and business outcomes through both existing and new channels. The ideal candidate should have at least two years of experience in sales or business development, with a preference for experience in the healthcare industry. A valid Washington driver's license and access to a reliable vehicle are required. Additionally, candidates must be willing to work evenings and weekends, including potential overnight trips. Read more about the qualifications and responsibilities for these and other roles at mychpw.info/careers

On Saturday, November 2, CHPW/CHNW CEO Leanne Berge and Sea Mar Community Health Centers Medical Director Dr. Shane Dunaway presented their shared view that voting is good for your health, as part of an opinion piece in The Columbian. Here's an excerpt from "Dunaway and Berge: Voting is good for your health": Voting is good for one’s health. In fact, the American Medical Association declared in 2022 that “voting is a social determinant of health,” meaning it’s a non-medical factor that affects a person’s health outcomes, just as other economic, environmental, and social conditions do. With the election just days away, it’s incumbent upon each of us to promote this civic engagement, particularly among groups of people whose right to vote has been historically disenfranchised, and many of whom concomitantly experience worse health outcomes. In health care, we see daily how social determinants like housing insecurity, poor education and exposure to environmental conditions affect patients’ health, and there is a growing body of evidence that shows communities that vote experience better health. A Health & Democracy Index looks at 12 indicators of public health and shows that states with more inclusive voting policies and higher levels of civic engagement are healthier. One theory for this correlation is that those who feel disempowered politically also feel disempowered in other aspects of their lives, which directly ties to poorer health outcomes. Washington’s network of community health centers, including Sea Mar Community Health Centers in Clark County, is mobilizing to support people in exercising this basic right of our democracy. Many are partnering with the national nonprofit Vot-ER in nonpartisan activities such as voter registration and election participation for their patients and health care staff. Casting our ballots is an act of patriotism. As not-for-profit organizations dedicated to serving historically underserved and marginalized communities through Medicaid, Medicare and the Health Benefit Exchange’s public option, we believe it is especially appropriate to facilitate and advocate for all eligible people to vote in their best interest, as a matter of health. There are diverse policy perspectives across the political spectrum that support justice, economic opportunity and better lives for our communities. What’s important is an informed and engaged electorate and the elimination of barriers to this most basic of rights: the right to vote. For the full article visit: https://lnkd.in/gQDhUvHN

Community Health Plan of Washington (CHPW) welcomes Dr. Aparna Gadekar, CHPW's Sr. Medical Director of Medicare, to the team. Dr. Gadekar reports to Chief Medical Officer/Chief Health Officer Demetria Malloy MD MSHS and will play a vital role in designing, establishing, and maintaining population health-based programs, and providing Medicare-focused guidance for CHPW’s utilization, pharmacy, and case management activities. She works with clinical leadership to improve the Medicare Care Model, particularly emphasizing the Dual-Eligible Special Needs Plan (D-SNP) Models of Care. Additionally, she works closely with Community Health Centers (CHCs) to enhance provider engagement and performance in quality metrics and risk adjustment. APARNA GADEKAR, MD, CHCQM, AMDCP is a board-certified internist with extensive experience as a hospitalist. Known for her compassion, she is deeply committed to providing timely and high-quality care to our most vulnerable populations. Her areas of expertise include Value-Based Care, Medicare Advantage, Star Ratings, data analytics, and strategic development. Dr. Gadekar earned her medical degree from Seth G.S. Medical College in Mumbai, India, affiliated with K.E.M. Hospital, where she received a scholarship for her studies. She completed her Internal Medicine Residency at Sinai Hospital of Baltimore, affiliated with Johns Hopkins University. In 2019, she was recognized as one of the Top 100 Physicians in Greater Grand Rapids by Grand Rapids magazine, a testament to her dedication and contributions to the medical field. Dr. Gadekar holds a Certificate in Healthcare Quality and Management (CHCOM) and has completed an Accelerated Management Development Certificate Program at the Michigan Ross School of Business Executive Education, as well as an online certification course in Healthcare Economics from Harvard University.

Thank you to Afghan Health Initiative (AHI) and its incredible staff for serving immigrant and refugee communities in Washington State by promoting community-based public health interventions. We're grateful to have the opportunity to celebrate this nonprofit organization with a 2024 Advancing Equity Fund grant. Our partnership extends beyond this special recognition which comes in the form of a $10,000 grant in unrestricted funds. Throughout the year, our CHPW team works directly with AHI to advance health equity for immigrants and refugees from Afghanistan in King County by addressing social drivers of health and advocating for equal access to health care. AHI is the only official nonprofit organization registered in Washington State with lived experience that caters to the changing needs and health disparities facing Afghan immigrants in the community. As a local health care plan founded by Community Health Centers (CHCs) across the state, we work with community-based organizations like AHI to ensure that all Washingtonians have an equitable opportunity to achieve their best health and well-being. The support services and advocacy provided by AHI are essential in ensuring the voices of Afghan and other refugee populations are heard, and their needs are known and met in order to maximize their potential toward a better and healthier future. Learn more about Afghan Health Initiative at afghanhealth.org Photo, from left: Alaina Young (AHI Cross Program Coordinator), Gul Makay Azizi (AHI Family Programs Coordinator), Masooma Ibrahimi (AHI Youth Program Coordinator), Roel Cubas (CHPW Business Development Manager), Ariana Anjaz (AHI Sr. Director), Salma Hamidi (AHI Family Programs Coordinator), Hailey Latifay (AHI Program Coordinator) #2024CHPWAdvancingEquityFund #PowerOfCommunity

CHPW

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Community Health Plan of Washington (CHPW)

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