Salary: $28.31 Hourly
Location : Anchorage, AK
Job Type: Full Time
Job Number: 45424
Department: Health
Division: Health Care Services
Opening Date: 04/29/2024
Closing Date: 5/20/2024 5:00 PM Alaska
Position Open To: Alaska Residents Only
Bargaining Unit: General Government
Range: 16
Job Description
This position is open to Alaskan Residents only.
Please check out the to determine if you qualify.
What you will be doing:
In the role of Medicaid Program Specialist 1, you will be working in the Operations unit to provide direct support to Alaska Medicaid. Your primary responsibilities would include managing the department's vision contract, which involves providing glasses to Alaska Medicaid members. Additionally, you would be responsible for serving as the department's representative for member services, providing assistance related to eligibility and claims to Alaska Medicaid members.

Our organization, mission, and culture: The mission of the Division is to provide all eligible Alaskans access to quality Medicaid services. The vision of the Operations Unit is to improve quality of health care for all Alaskans, attract excellent providers and provide outstanding customer service. Your contributions will ensure that the goals and visions of the Division are being met by ensuring programs conform to federal and state rules and regulations.
The benefits of joining our team: We are a dynamic, innovative, and fast-paced team. All team members' input is valued, and we are always looking to provide growth and learning opportunities for them. In addition, we offer retirement and health benefits, 11 paid holidays, and routine pay and leave accrual increases across your career. We will invest in your growth with us.
The working environment you can expect: The current work environment is two days in the office for team interaction and three days teleworking from your home. Work hours are between 8 am and 5 pm, and team members have the flexibility to choose the schedule that works best for them. Onsite workdays are located at 4601 Business Park Blvd, Bldg. K is in Anchorage, which is central for shopping, restaurants, and commuting. Free parking is also available. Laptops, monitors, and a docking station are provided for home operations.
Who we are looking for:
We are looking for an individual who will bring the following skills and strengths:

• Customer Service: Anticipates and meets the needs of both internal and external customers. Delivers high-quality products and services; is committed to continuous improvement.
• 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.
• Analytical Thinking/Problem Solving: Uses a logical, systematic, and sequential approach to address problems or opportunities or manage a situation by drawing on one's knowledge and experience base and calling on other references and resources, as necessary.
• Computer Skills: Uses computers, software applications, databases, and automated systems to accomplish work.

Special Notice :

• Knowledge of Medicaid/Medical Assistance terminology, programs, policies and procedures, and rules and regulations at the state and federal levels preferred.
• Knowledge of health care services, claims, and delivery systems is preferred.

A cover letter is NOT required for this position. Your complete application, including supplemental questions, will be used to determine which applicants will advance to the interview phase of the recruitment and selection process.
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 1: https://www.governmentjobs.com/careers/Alaska/classspecs
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 one's 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:
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 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.
"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:

1. A list of three (3) professional references, one of which should be your most recent supervisor, including name, job title, employer, and current phone number(s).

Please read the below information carefully. This applies to your application submission.
SUPPLEMENTAL QUESTIONS
For your application to be evaluated, you must answer the Supplemental Questions. Be specific in your answers and describe how you acquired the relevant experience. Please use complete sentences and proofread your submissions when answering the supplemental questions. Your responses will be considered a writing sample and used to determine which applicants will advance to the interview phase of the recruitment process.

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 employer's 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. 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: http://doa.alaska.gov/dop/workplace/help/

NOTICE
Questions regarding the application process can be directed to the Workplace Alaska hotline at 800-587-0430 (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 'govermentjobs.com' domains. For information on allowing emails from the 'governmentjobs.com' domains, visit the Lost Password Help page a t https://www.governmentjobs.com/OnlineApplication/User/ResetPassword

EEO 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 1-800-587-4095 in Juneau or TTY: Alaska Relay 711 or 1-800-770-8973 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 1-800-587-0430 (toll-free) or (907) 465-4095 if you are in the Juneau area. Requests for information may also be emailed to recruitment.services@alaska.gov.

For applicant password assistance, please visit https://www.governmentjobs.com/OnlineApplication/User/ResetPassword.
Contact Information
For specific information in reference to the position, feel free to contact the hiring manager at:
Name/Title: Carrie Silvers, Medicaid Program Specialist 4
Phone: (907)269-4576
Email:
Careers with the State of Alaska offer MANY benefits
The following information describes typical benefits available to employees of the State of Alaska. Actual benefits received may differ by bargaining unit or branch of government, position type, or be prorated for other than full time work.
For a quick breakdown of the insurance, health, and retirement benefits available for State Employees you can view an (Please note this video is specifically designed for new State Employees.)
Insurance Benefits

• Health insurance, which includes employer contributions toward medical/vision/dental
  • The following employee groups are under AlaskaCare Benefits administered by the State: See for additional information.
    • AVTEC
    • Confidential
    • Correctional Officers
    • Marine Engineers
    • Mt. Edgecumbe Teachers
    • Supervisory
    • Unlicensed Vessel Personnel/Inland Boatman's Union
    • Exempt employees (not covered by collective bargaining)

The following employee groups are covered by Union health trusts. Contact the appropriate Union for additional information.

• General Government
• Labor, Trades and Crafts
• Public Safety Employees Association
• Masters, Mates & Pilots

Employer paid Basic Life insurance with additional coverage available (amount depends on Bargaining Unit)

Optional Insurance Benefits

• Group-based insurance premiums for
  • Term life (employee, spouse or qualified same sex partner, and dependents)
  • Long-term and short-term disability
  • Accidental Death and Dismemberment
  • Long-term care (self and eligible family members)
  • Supplemental Survivor Benefits

Employee-funded flexible spending accounts for tax savings on eligible health care or dependent care expenses

Retirement Benefits

• Membership in the Public Employees Retirement System (PERS)/Teachers' Retirement System (TRS)
• Matching employer contribution into a defined contribution program (new employees)
• Employer contribution into a defined benefit or defined contribution program (current employees)
• Contributions to the Alaska Supplemental Annuity Plan in lieu of contributions to Social Security
• Option to enroll in the Alaska Deferred Compensation Program
• Note: The Defined Contribution Plan, Supplemental Annuity Plan and Deferred Compensation Program offer a variety of investment options

See for additional information

Paid Leave & Other Benefits

• Personal leave with an accrual rate increase based on time served
• Eleven paid holidays a year

01

I acknowledge and understand that the education and/or experience used to meet the minimum qualifications for this position must be adequately documented in this application to be considered.

• I acknowledge and understand this requirement.

02

Describe your experience with a high-risk population of individuals seeking assistance with their medical care? Include the number of years you have worked with this population.
03

Describe a situation where you interacted with a difficult client or customer to solve a problem. What approaches did you take to resolve the situation?
04

Describe your experience in managing multiple priorities and techniques you use to ensure you meet required deadlines.
05

Describe your experience, to include total number years, with healthcare coding, prior authorization, claims submission, and reimbursement processes. Include in your response your experience with researching issues; state and federal regulations and statutes; and identifying and correcting operational processes in response to known areas of risk and systemic issues.
06

Describe your level of expertise (beginner, proficient, expert) and number of years using each of the following Microsoft products: Word, Excel, and Access.
Required Question