2 Medicaid Program Specialist 5 (PCN 062389) Jobs in Anchorage, AK

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Medicaid Program Specialist 5 (PCN 062389)

State of Alaska

Anchorage, AK | Full Time

$80k-99k (estimate)

4 Weeks Ago

Medicaid Program Specialist 3 (CHIP Administrator, Audit Coordinator-PCN 064097)

State of Alaska

Anchorage, AK | Full Time

$79k-98k (estimate)

1 Week Ago

Medicaid Program Specialist 5 (PCN 062389)

State of Alaska Anchorage, AK

$80k-99k (estimate)

Full Time | Public Administration 4 Weeks Ago

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State of Alaska is Hiring a Medicaid Program Specialist 5 (PCN 062389) Near Anchorage, AK

Job DescriptionThis position is open to Alaska Residents only. Please check our residency definition to determine if you qualify. Qualified applicants are encouraged to apply! What You Will Be DoingWe invite you to join our team as a Medicaid Program Specialist 5. In this role, you will ensure the smooth operation and compliance of our Behavioral Health Medicaid program for Quality Assurance and Accountability. Your duties will include monitoring claims processing activities and collaborating with the Medicaid Management Information System (MMIS), conducting regular reviews and audits to ensure Medicaid regulations and guidelines, identifying areas for improvement and implementing corrective actions as necessary to maintain compliance and quality assurance standards.
Our Organization, Mission, And CultureThe mission of the Division of Behavioral Health is to manage an integrated and comprehensive behavioral health system based on sound policy, effective practices, and professional partnerships.
We envision that every Alaskan will have access to behavioral health care when and where they need it and at the appropriate level of care, allowing them to remain close to their continuing support network.
We desire a strong and collaborative engagement between the State of Alaska, tribal organizations, providers, and advocacy groups to identify and address barriers to providing behavioral health care to Alaskans. This position's work is critical to contributing to the success of our division.
The Benefits Of Joining Our TeamWe offer challenging and exciting work that positively impacts Alaskans' lives. The Division is guided by the belief that every employee is a change agent whose ideas, individual values, and beliefs are respected as they enrich our overall team environment.
The Working Environment You Can ExpectThis position is being filled in our Anchorage Office, which is conveniently located in Midtown Anchorage and within walking distance of Cuddy Family Park, Loussac Library, and Natural Pantry.
This position is office-based work in a brisk and positive work atmosphere.
Who We Are Looking For
Accountability: Hold self and others accountable for measurable, high-quality, timely, and cost-effective results. Determines objectives, sets priorities, and delegates work. Accepts responsibility for own actions and decisions.
Compliance: Knowledge of procedures for assessing, evaluating, and monitoring programs or projects for compliance with Federal/State laws, regulations, and guidelines.
Program Oversight: Plans, coordinates, and monitors programs to ensure that federal, state, and/or local government program requirements and plans are met, providing professional consultation on the specialized services of the program or associated project(s).
Quality Assurance: Knowledge of the principles, methods, and tools of quality assurance and quality control used to ensure a product fulfills functional requirements and standards.
Analysis and Assessment: Uses information technology in accessing, collecting, analyzing, maintaining, and disseminating data and information.
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, please go to the following link and search for Medicaid Program Specialist 5 : https://www.governmentjobs.com/careers/Alaska/classspecs. Minimum QualificationsAny 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.
Leadership: Influences, motivates, and challenges others; adapts leadership styles to a variety of situations.
Organizational Awareness: Knows the organization's 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 long-term 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 ByProgressively responsible professional experience which includes supervising subordinate staff and such work 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 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 profession's principles, concepts, theories, and practices; and is performed with the power or right to decide or act according to one's 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, 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.
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.
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.
Copies of your two (2) most recent employment performance evaluations, if available.
If chosen for the position, the candidate will be required to provide the following items before employment:
A copy of your current driver’s license.
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 ExperienceWhen 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 at 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: Ryan J. Knight-Cole, Administrative Assistant 2 Phone: (907) 269-3614Fax: (907) 269-3623Email: ryan .knight@alaska.gov