Medicaid Program Specialist 5 Medicaid State Plan Coordinator-PCN 061844
Medicaid Program Specialist 5 Medicaid State Plan Coordinator-PCN 061844
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Job Description
Job Description
- Join the Department of Health!Were thrilled to welcome you!Weve made our application process more accessible than ever.Please take a look at our job announcement below.If you can see yourself in this role apply nowyour next opportunity awaits!This position is open to Alaskan Residents only.
This dynamic and influential position is perfect for someone who excels at policy analysis stakeholder engagement and driving meaningful improvements in the Medicaid program. If you thrive in a fastpaced environment enjoy tackling complex policy challenges and want to make a meaningful impact on the administration of Medicaid services in Alaska then this is the position for you!
What you will be doing:
In this position you will:- Oversee and update Alaskas Medicaid State Plan (the contract between the state and federal governments for the administration of the Alaska Medicaid program) ensuring compliance with federal regulations and facilitating Medicaidrelated Tribal consultation and public notice processes.
- Monitor and analyze federal Medicaid regulations draft formal state responses to proposed federal rule changes and facilitate interdivision compliance activities.
- Serve as a primary program liaison between federal agencies and the Department of Health.
- Play a key role in Medicaid policy development providing strategic input and serving as a subject matter expert relevant to the State Plan.
- Coordinate the Medicaid Advisory Committee and Beneficiary Advisory Committee engaging stakeholders to gather input and improve Medicaid services.
- Supervise and support a Medicaid Program Specialist 3.
Our mission values and culture:
The Department of Health is committed to promoting the health wellbeing and selfsufficiency of Alaskans through innovative policy program oversight and stakeholder collaboration. This position in the Commissioners Office is critical to ensuring compliance with federal Medicaid regulations maintaining access to essential healthcare services and driving strategic Medicaid policy initiatives. We value accountability collaboration innovation and integrity and seek adaptable solutionoriented professionals committed to improving health outcomes for all Alaskans.
Benefits of joining our team:
On this team you will play a critical role in shaping Alaskas Medicaid program. This position offers opportunities for professional growth policy development experience and leadership in highimpact projects that influence Medicaid initiatives. Team members enjoy a collaborative and flexible work environment with potential telework options to support worklife balance. You will work alongside dedicated professionals committed to innovation efficiency and partner engagement while making a meaningful impact on healthcare services statewide. This is an excellent opportunity to advance your career and contribute to the health and wellbeing of Alaskans.
The Working Environment You Can Expect:
This position is in the Frontier Building in midtown Anchorage a secured office with free covered parking. There is an option for a hybrid work schedule as appropriate. The work environment is fastpaced and dynamic requiring independent problemsolving and collaborative engagement on highpriority projects. You will engage on longterm policy initiatives while balancing tasks with timesensitive regulatory and compliance deadlines.
Who we are looking for:
We are interested in candidates who possess some or all of the following positionspecific competencies:- Compliance:Knowledge of procedures for assessing evaluating and monitoring programs or projects for compliance with Federal laws regulations and guidance.
- Oral and Written Communication: Expresses information (for example ideas or facts) to individuals or groups effectively taking into account the audience and nature of the information (for example technical sensitive controversial); makes clear and convincing oral and written presentations; listens to others attends to nonverbal cues and responds appropriately.
- Stakeholder Management:Knowledge of the concepts practices and techniques used to identify engage influence and monitor relationships with individuals and groups connected to a work effort; including those actively involved those who exert influence over the process and its results and those who have a vested interest in the outcome (positive or negative).
Special Notice:- Requires an understanding of Medicaid policies regulations and program administration including federal compliance requirements for Medicaid State Plans
To view the general description and example of duties for this job class please go to the following link and search forMedicaid Program Specialist 5: QualificationsCompetencyBased Minimum Qualifications Instructions
This job class uses competencybased minimum qualifications.Please ensure your application(through work history volunteer experience (duties summary) training education licenses certifications etc. supports how you have gained the knowledge skills abilities and behaviors (competencies) and that you possess the minimum required competencies for the job class.
Competency Description
The competency description(s) listed below have been designed to promote a common understanding of the essential elements of the job class. They highlight the more general and customary knowledge skills abilities (KSAs) tasks and behaviors used to describe the competency. They typically list expectations instead of specific tasks and are to be used only as parameters and guidelines. A competencys description is not intended to exclusively define every KSA task and behavior needed to meet the competency successfully but rather to provide the manager/agency with a broad reference of options as to how an applicant can meet the job expectation.
Please ensure your application (through work history training education licenses certifications etc. supports/demonstrates you possess the minimum required competencies for the job class.Any combination of education and/or experience that provides the applicant with competencies in
- Analytical Thinking/Problem Solving:Uses a logical systematic and sequential approach to address problems or opportunities or manage a situation by drawing on ones knowledge and experience base and calling on other references and resources as necessary.
- Leadership: Influences motivates and challenges others; adapts leadership styles to a variety of situations.
- Organizational Awareness: Knows the organizations mission and functions and how its social political and technological systems work and operates effectively within them; this includes the programs policies procedures rules and regulations of the organization.
- Strategic Thinking: Formulates objectives and priorities; implements plans consistent with the longterm interests of the organization in a global environment. Capitalizes on opportunities and manages risks.
- Technical Expertise: Effectively applies technical knowledge to solve a range of problems; develops technical solutions to new or highly complex problems that cannot be solved using existing methods or approaches; is sought out as an expert to provide advice or solutions in the technical area.
- Written Communication: Writes in a clear concise organized and convincing manner for the intended audience.
equivalent to those typically gained by:
Progressively responsible professional experience which includes supervising subordinate staff and such work assupporting the administration of a Medicaid or Medicare program health insurance service health insurance management information system health insurance finance or accounting program Supplemental Security Income benefits or vocational rehabilitation program; auditing or monitoring medical or public assistance programs for fraud or quality assurance; designing developing testing for quality assurance and implementing an information system and/or training or education which includes supervising subordinate staff and such course work as business administration computer sciences economics healthcare legal studies medical billing or coding public health public assistance psychology.
Special Note:
Competencies means a combination of interrelated knowledge skills abilities and behaviors that enable a person to act effectively in a job or situation.
Professional experience means work that is creative analytical evaluative and interpretive; requires a range and depth of specialized knowledge of the professions principles concepts theories and practices; and is performed with the power or right to decide or act according to ones own judgment.
Progressively responsible means indicating growth and/or advancement in complexity difficulty or level of responsibility.
Typically gained by means the prevalent usual method of gaining the competencies expected for entry into the job.
Training and education in this guidance are synonyms for the process of acquiring knowledge and skills through instruction. It includes instruction through formal and informal methods (such as classroom online selfstudy and onthejob) from accredited and unaccredited sources and longduration (such as a postsecondary degree) and shortduration (such as a seminar) programs.
Additional Required Information
At the time of the interview please provide the following:
- Three 3 professional references whom we may contact by phone one 1 of whom must be your current or most recent supervisor if not already provided in the application.
- Current performance evaluation if available.
- A copy of academic transcripts (unofficial are okay; please ensure that the institution name/URL is listed on the transcripts) is used to support that you meet the minimum qualification competencies.
Please read the below information carefully. This applies to your application submission.SUPPLEMENTAL QUESTIONS
For your application to be evaluated youmustanswer the Supplemental Questions.
The State of Alaska uses four proficiency levels to measure and describe an applicants level of competence in applying certain behaviors knowledge skills and abilities to accomplish a specific task. The four proficiency levels are Mastery Fluency Literacy and Discovery. You must rate your proficiency level for each competency listed in the supplemental questions.
EDUCATION
To verify education is being used to meet and/or support the required minimum qualifications/competencies you must fill in the Education section of the application. If you have not obtained a degree please indicate the number of units completed. Copies of transcripts are required to verify educational credentials used to meet or support the minimum qualifications/competencies for a position and are required with each application. (Unofficial is okay; please ensure the institution/URL name is listed on the transcripts). Transcripts can be attached at the time of application or provided at the time of interview; if not transcripts will be required before employment.
SPECIAL INSTRUCTIONS FOR FOREIGN EDUCATION
If education is completed in a foreign college or university it may be used to meet the above requirements if applicable. If utilizing this education you must show that the education credentials have been submitted to a private organization that specializes in the interpretation of foreign educational credentials and that such education has been deemed to be at least equivalent to that gained in conventional U.S. education programs or an accredited U.S. state university reports the other institution as one whose transcript is given full value or full value is given in subject areas applicable to the curricula at the state university.It is your responsibility to provide such evidence when applying.The omission of the required documentation listed will result in an incomplete application and you will not receive further consideration.
WORK EXPERIENCE
When using work experience not already documented in your application please provide the employers name your job title employment dates and whether you were working fulltime or parttime. Applications will be reviewed to determine if the responses are supported and if minimum qualifications are met. Work experience needed to meet the minimum qualifications must be documented in the application. If the application does not support minimum qualifications the applicant may not advance to the interview and selection phase of the recruitment. A resume will not be used to determine that minimum qualifications have been met for the position to which you are applying.
If you have currently or previously been appointed to a flexibly staffed position please ensure your work experience within a flexibly staffed position indicates the actual dates employed at each level. Ensure your time and any subsequent flex promotion(s) are documented as a separate position. This is required as minimum qualifications require experience at a particular level in which the lower level may not be considered. If this information is not accurately reflected in your application this may cause the processing of your application for consideration to be delayed.
NOTE: Attaching a resume or curriculum vitae is not an alternative to filling out the application.Noting see resume or CV or any similar response on any portion of your application may lead to a determination your application is incomplete and removal from consideration for this job posting.
The State of Alaska does not provide VISA Employer sponsorships.
MULTIPLE VACANCIES
This recruitment may be used for more than one 1 vacancy. The applicant pool acquired during this recruitment may be used for future vacancies for up to ninety 90 days after this recruitment closes. Interested applicants are encouraged to apply to each recruitment notice to ensure consideration for all vacancies.
APPLICATION NOTICE
You can ONLY apply for this position through the Workplace Alaska website or via hardcopy application. If you accessed this recruitment bulletin through a job search portal such as AlaskaJobs or any other database you MUST use a Workplace Alaska online or hardcopy application to apply successfully. Instructions on how to apply with Workplace Alaska may be found on the Workplace Alaska How to Apply webpage found here: regarding the application process can be directed to the Workplace Alaska hotline at(tollfree) or .If you choose to be contacted by emailplease ensure your email address is correct on your application and that the spam filter will permit email from the govermentjobs domains.For information on allowing emails from the governmentjobs domains visit the Lost Password Help page at STATEMENT
The State of Alaska complies with Title I of the Americans with Disabilities Act (ADA). Individuals with disabilities who require accommodation auxiliary aides or services or alternative communication formats please callin Juneau or TTY: Alaska Relay 711 oror correspond with the Division of Personnel & Labor Relations at P. O. Box 110201 Juneau AK. The State of Alaska is an equalopportunity employer.
WORKPLACE ALASKA APPLICATION QUESTIONS & ASSISTANCE
Questions regarding application submission or system operation errors should be directed to the Workplace Alaska hotline at(tollfree) orif you are in the Juneau area. Requests for information may also be emailed to.
For applicant password assistance please visit InformationFor specific information about the position feel free to contact the hiring manager at:Betsy Wood / Associate Director Office of Health SavingsPhone:Required Experience:
IC
Employment Type
Remote
Company Industry
Key Skills
- Project / Program Management
- Program Management
- Developmental Disabilities Experience
- Organizational skills
- Data Collection
- Meeting Facilitation
- Utilization Review
- Administrative Experience
- Program Development
- Public Speaking
- Supervising Experience
- Social Work
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