Medicaid Program Specialist 4 - PCN 021530
Medicaid Program Specialist 4 - PCN 021530
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Job Description
Job Description
- This Individual Position is Exempt from the Hiring Freeze. Qualified Applicants are Encouraged to Apply.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.
What You Will Be Doing:
In this position you will be responsible for managing the Medicaid Program Accounting Unit through subordinate unit supervisors and line staff as well as offer support to all DOH divisions with financial oversight of all Medicaid programs and funding to include all Division of Health Care Services Division of Senior and Disabilities Services and Division of Behavioral Health Medicaid budget expenditures. You will be responsible for managing the Medicaid payment process which averages $60 million paid out weekly through the Medicaid Management Information System (MMIS) and interfacing with the state accounting Integrated Resource Information System (IRIS). This section must partner with Finance and Management Services in the development of quarterly Medicaid federal reports to facilitate consistency accuracy and timeliness.
Mission and Values/Culture:
Our mission is to provide health coverage to Alaskans in need and maintain the operational aspects of health care programs for Alaskans in need. We provide a full range of health care services and support services while promoting management efficiencies and the capitalization of Medicaid financing to ensure that services are available to customers. We are charged to protect and reduce the risk to the health safety and exploitation of Alaskas most vulnerable citizens being served and to ensure that there is public confidence in the health care and community service delivery systems through regulatory enforcement and educational activities.
Benefits of Joining Our Team:
The State of Alaska has a generous benefits package and retirement plan. Please see here for more information: will play a vital role in influencing policy and policy makers and may participate in planning directing and monitoring the divisions programs including Medicaid operations healthcare policy and performance outcomes. This is an excellent opportunity to grow professionally and expand your knowledge and experience with the State of Alaska.The Working Environment You Can Expect:
The current work environment is one day in the office for team interaction and four days working remotely from your home. On-site workdays are located at 4601 Business Park Blvd Bldg. K in Anchorage central for shopping restaurants and commuting. Free parking is also available.
Who We Are Looking For:- Self-Management:Sets well-defined and realistic personal goals; displays a high level of initiative effort and commitment towards completing assignments in a timely manner; works with minimal supervision; is motivated to achieve; demonstrates responsible behavior.
Decision Making: Makes sound well-informed and objective decisions; perceives the impact and implications of decisions; commits to action even in uncertain situations to accomplish organizational goals; causes change.
Principles of Accounting: Knowledge of generally accepted accounting principles standards and practices (for example double entry accounting accrual accounting) including the full accounting cycle and the preparation of work sheets financial statements ledgers and journals.
Requires a strong background in accounting and the use of the State accounting system IRIS.
To view the general description and example of duties for this job class please go to the following link and search forMedicaid Program Specialist 4: QualificationsCompetency-Based Minimum Qualifications Instructions
This job class uses competency-based 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.
- Oral 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 presentations; listens to others attends to nonverbal cues and responds appropriately.
- 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.
- 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.
Progressively responsible professional experience such as supporting 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 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.
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 on-line self-study and on-the-job) from accredited and unaccredited sources and long-duration (such as a post-secondary degree) and short-duration (such as a seminar) programs.
Typically gained by means the prevalent usual method of gaining the competencies expected for entry into the job.
To view the general description and example of duties for this job class please go to the following link and search forMedicaid Program Specialist 4: Required InformationAt 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.
- Copies of the last two (2) performance evaluations if available. Or two (2) letters of reference if evaluations are unavailable.
Please read the information below carefully. This applies to your application submission.SUPPLEMENTAL QUESTIONS
For your application to be evaluated you mustanswer 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 EXPERIENCEWhen using work experience not documented in your application please provide the employers name job title employment dates and whether you worked full-time or part-time 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 recruitmentA resume will not be used to determine that minimum qualifications have been met for the position you are applying for.
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.
MULTIPLE VACANCIES
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 that your application is incomplete and removal from consideration for this job posting.
The State of Alaska does not provide VISA Employer sponsorships.
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 a hard copy application. If you accessed this recruitment bulletin through a job search portal such as AlaskaJobs or another database you MUST use a Workplace Alaska online or hard-copy 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 (toll-free) or (907) 465- 4095. If you choose to be contacted by emailplease ensure that your email address is correct on your application and that your spam filter will permit emails from the domain.For information on allowing emails from the 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 accommodations auxiliary aids or services or alternative communication formats please call 1- in Juneau or TTY: Alaska Relay 711 or 1- or correspond with the Division of Personnel & Labor Relations at P.O. Box 110201 Juneau AK 99811-0201. The State of Alaska is an equal-opportunity employer.
WORKPLACE ALASKA APPLICATION QUESTIONS & ASSISTANCE
Questions regarding application submission or system operation errors should be directed to the Workplace Alaska hotline at 1- (toll-free) or if you are in the Juneau area. Requests for information may also be emailed to
For assistance with applying for a password please visit InformationFor specific information about the position feel free to contact the hiring manager at:Name/Title: Kristin Delfino/Division Operations Manager
Required Experience:
Unclear Seniority
Employment Type
Full-Time
