Medicaid Program Specialist 2 (PCN 064030)

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The job posting is outdated and position may be filled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

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.

Please check out theresidency definitionto determine if you qualify.

What You Will Be Doing:
As the Medicaid Program Specialist 2 in the Medicaid Physician Pharmacy & Clinical Services unit you will directly support Alaska Medicaid Services. You will oversee Medicaid program activities related to pharmaceutical and pharmacy services including enrollment claims processing payment monitoring and provider education. Your role will involve resolving claims issues between the state fiscal agent or pharmacy benefit administrator and enrolled providers. You will be responsible for monitoring and ensuring compliance with state and federal laws analyzing policies and procedures drafting regulations overseeing fiscal agent activities and providing professional services for Medicaid/Medical Assistance programs.

Mission and Values/Culture:

Discover a rewarding career with the Division of Health Care Services where our mission is to ensure every eligible Alaskan has access to the full spectrum of essential Medicaid services. Join us and be part of a team that embodies leadership dedication integrity and excellence. Here your daily contributions will make a tangible difference ensuring those in need receive the vital medical care and services they deserve. Embrace this opportunity to positively impact lives and join a team where your efforts matter.

Benefits of Joining Our Team:
Youll enjoy paid holidays paid leave and comprehensive health vision and dental insurance in this permanent position. Our flexible schedules including hybrid telework empower you to leverage your professional talents in meaningful ways and positively impact the lives of Alaskans. If you thrive on quality take pride in your work and excel under pressure wed love to have you on our team.

The Working Environment You Can Expect:
The selected candidate will work in a fast-paced busy and challenging environmentthat fosters collaboration through close collaboration with other program staff contractors and the community.

This position is located at 4601 Business Park Blvd.. Building K is in midtown Anchorage and has easy access to public transportation nearby walking trails and several restaurants and stores.

Who We Are Looking For:

We are interested in candidates who possess some or all of the following position-specific competencies:

Compliance: Knowledge of procedures for assessing evaluating and monitoring programs or projects for compliance with Federal laws regulations and guidance.
Attention to Detail: Is thorough when performing work and conscientious about attending to detail.
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.

To view the general description and example of duties for this job class please go to the following link and search forMedicaid Program Specialist 2: 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 you possess the minimum required competencies for the job class.

Minimum Qualifications:

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.

Written Communication: Writes in a clear concise organized and convincing manner for the intended audience.

equivalent to those typically gained by:

Progressively responsible 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; 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.

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.

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 is 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 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 EXPERIENCE
When 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 recruitment A 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.

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.
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 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 email please 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 Information
For specific information about the position feel free to contact the hiring manager at:
Name/Title:Dr. John Boston / Staff Physician
Phone:
Email:

Required Experience:

Job DescriptionJoin 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 Resident...