Medicaid Program Specialist 3
Apply Here Job Description :
This position is open to Alaskan Residents only.
Please check out the
residency definition
to determine if you qualify.
This position is currently located in Anchorage , but it may be in Anchorage or Juneau, depending on the location of the most qualified candidate.
What you will be doing:
As the Children’s Health Insurance Program Administrator, you will be responsible for developing, implementing, evaluating, and managing the childrens Medicaid program. You will also support the Division of Health Care Services in complying with state and federal audit requirements. In addition, you will be responsible for coordinating the development and maintenance of Division-wide policies and procedures, documenting them clearly, getting them approved, and compiling them for full transparency, training, and cross-training purposes.
Our organization, mission, and culture:
Our mission is to provide health coverage to Alaskans in need and maintain the operations aspects of health care programs for Alaskans in need. We provide a full range of healthcare services and support services while ensuring 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.
The benefits of joining our team:
The State of Alaska has a generous benefits package and an excellent retirement plan. Please see here for more information: https://doa.alaska.gov/dop/workplace/benefits/
You will play a vital role in influencing policy and policymakers and 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 schedule includes two days of working in the office for team interactions and three days of teleworking from home. The onsite workdays may take place at either 4601 Business Park Blvd, Bldg. K in Anchorage or at the Alaska Office Building located at 350 Main Street in Juneau. Both locations are convenient and centrally located for shopping, restaurants, and commuting. Additionally, free parking is available.
Who we are looking for:
- Compliance: Knowledge of procedures for assessing, evaluating, and monitoring programs or projects for compliance with Federal laws, regulations, and guidance.
- Manages and Organizes Information: Identifies a need gathers, organizes, and maintains information determines its importance and accuracy and communicates it by various methods.
- Oral and Written 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 and written presentations listens to others, attends to nonverbal cues, and responds appropriately.
- Partnering: Develops networks and builds alliances collaborates across boundaries to build strategic relationships and achieve common goals.
- Performance Measurement: Knowledge of the principles and methods for evaluating program or organizational performance using financial and nonfinancial measures, including identification of evaluation factors (for example, workload, personnel requirements), metrics, and outcomes.
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: https://www.governmentjobs.com/careers/Alaska/classspecs
Minimum Qualifications
Any combination of education and/or experience that provides the applicant with competencies in
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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.
- 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 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, 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 we may contact by phone, one (1) of which must be a current or recent former supervisor, if not already provided in the application.
- A copy of your last three (3) performance evaluations or two (2) letters of reference if evaluations are unavailable.
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 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. 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 LOCATIONS: This position is currently located in Anchorage, but it may be located in Anchorage or Juneau , depending on the location of the most qualified candidate. Please select the location(s) you are willing to be considered for. There is one (1) position to be filled.
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:
Name/Title: Kate Hudson, Medicaid Program Specialist 5
Email: kate.hudson@alaska.gov
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 orientation video from Division of Retirement and Benefits. (Please note this video is specifically designed for new State Employees.)
Insurance Benefits
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Health insurance, which includes employer contributions toward medical/vision/dental
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The following employee groups are under AlaskaCare Benefits administered by the State: See https://drb.alaska.gov/help/plans.html for additional information.
- AVTEC
- Confidential
- Correctional Officers
- Marine Engineers
- Mt. Edgecumbe Teachers
- Supervisory
- Unlicensed Vessel Personnel/Inland Boatmans Union
- Exempt employees (not covered by collective bargaining)
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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
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The following employee groups are under AlaskaCare Benefits administered by the State: See https://drb.alaska.gov/help/plans.html for additional information.
- Employer paid Basic Life insurance with additional coverage available (amount depends on Bargaining Unit)
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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
Paid Leave & Other Benefits
- Personal leave with an accrual rate increase based on time served
- Eleven paid holidays a year
