Medicaid Program Integrity Specialist

State of Alaska; Anchorage (AK); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Hybrid work schedule

Training opportunities (MII/NAMPI/NHCA

Free parking

Job summary

The State of Alaska invites qualified applicants to join the Medicaid Program Integrity team as an Audit/Review Associate in Anchorage. You will research provider and claims information, organize documentation, maintain case records, and track activities to support fraud, waste, and abuse prevention in Medicaid.

This exempt position emphasizes attention to detail, organized information management, and effective communication with providers and Department staff.

Qualifications

• Customer Service: Anticipates and meets the needs of both internal and external customers.
• Oral Communication: Communicates ideas clearly to diverse audiences.
• Written Communication: Writes clearly and persuasively for the intended audience.
• Equivalent To Those Typically Gained By Experience including business admin, computer science, economics, healthcare, or public health.
• Special Note: Competencies are a combination of knowledge, skills, abilities and behaviors.

Responsibilities

• Support audit and review staff by researching provider and claims information.
• Review and organize supporting documentation and maintain accurate case records.
• Track audit and review activities and follow up on identified concerns with timely communication.

Skills

Attention to Detail

Organized Information

Technical Credibility

Job description

The State of Alaska invites qualified applicants to join the Medicaid Program Integrity team as an Audit/Review Associate in Anchorage. You will research provider and claims information, organize documentation, maintain case records, and track activities to support fraud, waste, and abuse prevention in Medicaid.

This exempt position emphasizes attention to detail, organized information management, and effective communication with providers and Department staff.