Medicaid Program Specialist 2 (PCN 060267)

Alaska Manufacturing Extension Partnership; Anchorage (AK); Hybrid; USD 80,000 - 110,000; Full time

Benefits offered by this job

Hybrid work schedule

Alternate Work Week (AWW)

Job summary

The Office of Rate Review within the Alaska Department of Health seeks a Medicaid Program Specialist 2 (PCN 060267) in Anchorage. The role provides professional support administering ORR programs, rate-setting, and reporting, and serves as the primary contact for cross-functional intake and compliance reviews.

Ideal candidates will demonstrate integrity, professionalism, transparency, and collaboration, with strong written and oral communication, and the ability to adapt within a dynamic work

Qualifications

• Competency-based minimum qualifications emphasizing analytical thinking, problem solving, oral and written communication.
• Ability to support administration of Medicaid/MHI programs and related systems.

Responsibilities

• Provide professional support administering ORR programs, rate-setting processes, reporting, and implementing federal rule changes
• Primary contact for cross-functional intake, reviewing and analyzing report submissions for compliance
• Facilitate internal and external partner and stakeholder engagement
• Identify issues and develop and implement solutions
• Coordinate regulatory processes, including drafting and submitting materials

Skills

Analytical Thinking/Problem Solving

Oral Communication

Written Communication

Attention to Detail

Cross-functional Collaboration

Tools

Reporting systems

Job description

Medicaid Program Specialist 2 (PCN 060267) | Workplace Alaska page has loaded.

This position is open to Alaskan Residents only.

• Provide professional support administering Office of Rate Review (ORR) programs, rate-setting processes, reporting, and implementing federal rule changes
• Primary contact for unit cross-functional intake work, including reviewing and analyzing report submissions for compliance
• Facilitate internal and external partner and stakeholder engagement
• Identify problem issues; develop methods for addressing problems; develop and implement solutions
• Coordinate unit’s regulatory processes, including organizing, drafting, and submitting materials

Job Description

The Office of Rate Review (ORR), within the Commissioner’s Office of the Alaska State Health Department, is a 17-person team that helps Alaskans access quality health care by setting fair Medicaid rates, supporting health programs across Alaska, and encouraging smart & fair development of health care services & facilities.

Beyond technical abilities, ORR values: Integrity; Professionalism; Transparency; Collaboration; and Innovation.

We seek an individual who identifies with our core values and demonstrates a high level of initiative, models good interpersonal skills, and is able to adapt to a dynamic, changing work environment.

The benefits of joining our team:

• want to be part of a supportive, professional team
• enjoy both independent and collaborative work
• want to positively impact health care delivery in Alaska

The position offers opportunities to work on projects that

• foster continuous professional development
• build skills within the Medicaid Program
• flex your clear communication and technical writing skills

Team members currently enjoy a hybrid work schedule, the option of Alternate Work Week (AWW) agreements, and a generous benefit package.

The working environment you can expect:

This position is in the Frontier Building in midtown Anchorage, a secure office space with free covered parking. While we offer a professional office environment with daily collaboration among dedicated colleagues, we also offer a hybrid work schedule (minimum of one day in the office - ORR Team is in the office on Wednesdays) along with the option of Alternate Work Week (AWW) agreements.

Who we are looking for:

• Attention to Detail: Is thorough when performing work and conscientious about attention to detail.
• Analytical Thinking/Problem Solving: Uses a logical, systematic, 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.
• Adaptability: Knowledge of decision support theories, methods, and tools for identifying, synthesizing, representing, and evaluating the important aspects of a decision situation and prescribing the recommended course for decision makers and other stakeholders.

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 2: https://www.governmentjobs.com/careers/Alaska/classspecs

Minimum Qualifications

Competency-Based Minimum Qualifications Instructions. This job class uses competency-based minimum qualifications. Please ensure your application (through work history, volunteer experience (duties summary), training, education, licenses, certifications, etc.) supports how you have gained the knowledge, skills, abilities, and behaviors (competencies) and that you possess the minimum required competencies for the job class.

Competency Description. The competency description(s) listed below have been designed to promote a common understanding of the essential elements of the job class. They highlight the more general and customary knowledge, skills, abilities (KSAs), tasks, and behaviors used to describe the competency. They typically list expectations rather than specific tasks and are to be used only as parameters and guidelines. A competency’s description is not intended to exclusively define every KSA, task, and behavior needed to successfully meet the competency, but rather to provide the manager/agency with a broad reference of options as to how an applicant can meet the job expectation.

Please ensure your application (through work history, training, education, licenses, certifications, etc.) supports/demonstrates that you possess the minimum required competencies for the job class.

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: Progressively responsible 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.

“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, whom we may contact by phone, are required. One (1) of these references must be your current or most recent supervisor, if not already provided in the application.
• Current performance evaluation, if available.
• A copy of academic transcripts (unofficial is okay; please ensure that the institution name/URL is listed on the transcripts) is used to support that you meet the minimum qualifications competencies.

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 documented in your application, please provide the employer’s name, job title, employment dates, and whether you worked 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 you are applying for.

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 that 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.

EEO Statement

The State of Alaska complies with Title I of the Americans with Disabilities Act (ADA). Individuals with disabilities who require accommodations, auxiliary aids, 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.

Contact Information

For specific information in reference to the position, feel free to contact the hiring manager at: Nicole Lebo/ Executive Director, Office of Rate Review Phone: [phone] Email: [e-mail]

Phone [phone] (Statewide toll-free number)
[phone] (Juneau and out-of-state callers)