Medicaid Program Lead — Hybrid (Anchorage)

State of Alaska; Anchorage (AK); On-site; USD 90,000 - 125,000; Full time

Job summary

State of Alaska is seeking a Medicaid Program Specialist 3 in Anchorage to lead Medicaid claims processing, MMIS system management, and contract administration. You will supervise adjudication, pricing, service authorizations, and cost avoidance while tracking federal mandates and regulatory changes.

The role requires strong analytical thinking, quality assurance, and communication skills to coordinate with multiple stakeholders in a dynamic government environment.

Qualifications

• Analytical thinking and problem solving are required to identify and address complex issues.
• Clear oral and written communication for diverse audiences is essential.
• Knowledge of quality assurance concepts and methods is expected.

Responsibilities

• Support the Medicaid program by managing plan administration, QA, and contract oversight for claims processing and MMIS.
• Lead unit operations including claims adjudication, pricing, service authorizations, and regulatory tracking.

Skills

Analytical Thinking

Oral Communication

Written Communication

Problem Solving

Configuration Management

Quality Assurance

Job description

State of Alaska is seeking a Medicaid Program Specialist 3 in Anchorage to lead Medicaid claims processing, MMIS system management, and contract administration. You will supervise adjudication, pricing, service authorizations, and cost avoidance while tracking federal mandates and regulatory changes.

The role requires strong analytical thinking, quality assurance, and communication skills to coordinate with multiple stakeholders in a dynamic government environment.