Medicaid Program Specialist 3 (PCN 061756)

Anchorage, AK - USA

Monthly Salary: Not Disclosed

Posted on: 30+ days ago

Vacancies: 1 Vacancy

The job posting is outdated and position may be filled

Job Summary

Job Description

This Individual Position Is Exempt From The Hiring Freeze. Qualified Applicants Are Encouraged To Apply.

Come 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 now - your next opportunity awaits.

This position is open to Alaskan Residents only.
Please check out theresidency definitionto determine if you qualify.

What You Will Be Doing:
Join our team and play a key role in advancing Alaskas Medicaid program with a focus on behavioral health services! In this impactful position you will manage and perform quality assurance on provider enrollment data assist with contractor management and conduct analysis of federal state and national coding standards and regulations for provider data.

The ideal candidate will possess knowledge of the behavioral health Medicaid system and support key areas including program communication technical assistance program development billing manual creation provider enrollment and quality assurance.

This is an exciting opportunity to directly influence the alignment of behavioral health services with state and federal regulations while driving continuous improvement in provider performance. If youre passionate about making a meaningful impact on Alaskas healthcare future we would like to hear from you.

Our Organization Mission and Culture:
The mission of the Division of Behavioral Health is to promote an integrated and comprehensive behavioral health system based on sound policy effective practices and partnerships.

Our Values: Connection Collaboration and Community.

Benefits of Joining Our Team:
We offer challenging and exciting work on programs and projects that impact the lives of Alaskans. We value employees with compassion diversity and integrity. This position is being recruited for in Anchorage and offers a hybrid telework environment for those interested in this opportunity.

The Working Environment You Can Expect:

This position is currently located in Anchorage Alaska.
The Anchorage Regional Office is located at 3601 C Street Anchorage AK 99503
The officeis conveniently located in Midtown Anchorage within walking distance of Cuddy Family Park Loussac Library and Natural Pantry.

Who We Are Looking For:
The ideal candidate will possess some or all of the following competencies in addition to meeting the minimum qualifications listed below

Interpersonal Skills:Shows understanding friendliness courtesy tact empathy concern and politeness to others; develops and maintains effective relationships with others; may include effectively dealing with individuals who are possibly difficult hostile or distressed; relates well to people from varied backgrounds and different situations; is sensitive to the cultural diversity race gender disabilities and other individual differences.

Program Oversight:Plans coordinates and monitors programs to ensure that federal state and/or local government program requirements and plans are met; provides professional consultation on the specialized services of the program or associated project(s).

To view the general description and example of duties for this job class please go to the following link and search for Medicaid Program Specialist 3: Qualifications

Competency-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 that 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.

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 experiencesuch 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;processing medical claims using medical coding and medical billing knowledge; 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 online 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.

Additional Required Information

At the time of the interview please provide the following:
Three (3) professional references and current contact numbers including one (1) current or former supervisor if not already provided in the application.
Copies of your two (2) most recent performance evaluations 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 if not already provided in the application.

Please read the below information carefully. This applies to your application submission.

SUPPLEMENTAL QUESTIONS
For your application to be evaluated youmust answerthe Supplemental Questions.
The State of Alaska uses four proficiency levels to measure and describe an applicants level of competency 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.Itis 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 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 recruitment.Aresume 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 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.

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 (toll-free) or (907) 465- 4095. If you choose to be contacted by email please ensure your email address is correct on your application and that the spam filter will permit email from the domains. 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 accommodation auxiliary aides 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 applicant password assistance please visit Information

For specific information about the position feel free to contact the hiring manager at:
Tiana Mikes
Medicaid Program Specialist 5
Phone:
Fax:
E-Mail:

Required Experience:
Unclear Seniority

Job DescriptionThis Individual Position Is Exempt From The Hiring Freeze. Qualified Applicants Are Encouraged To Apply.Come Join the Department of HealthWere thrilled to welcome you.Weve made our application process more accessible than ever.Please take a look at our job announcement below.If you ca...