Medicaid Program Specialist 2 (PCN 060267)

State of Alaska; Anchorage (AK); Hybrid; USD 90,000 - 110,000; Full time

Benefits offered by this job

Hybrid work schedule

Alternate Work Week (AWW) agreements

Generous benefits package

Job summary

The Medicaid Program Specialist 2 role with the State of Alaska is based in Anchorage and involves providing professional support for ORR programs, rate-setting processes, and related reporting. The position emphasizes collaboration with internal teams and external partners while adapting to federal rule changes and policy updates.

Ideal candidates will demonstrate strong analytical thinking, attention to detail, and clear communication skills, with a focus on compliance, documentation, and

Qualifications

• Attention to detail in problem solving and data reviews.
• Strong written and oral communication for complex rate-review topics.
• Ability to adapt to changing rules and policy guidance.

Responsibilities

• Provide professional support administering ORR programs and rate-setting processes.
• Coordinate unit regulatory workflows and prepare required materials.
• Engage internal and external partners to gather submissions and ensure compliance.
• Identify issues and develop practical solutions to program challenges.

Skills

Attention to detail

Analytical thinking

Adaptability

Oral communication

Written communication

Job description

Medicaid Program Specialist 2 (PCN 060267) in Anchorage, AK | GovernmentJobs.com page has loaded.

Job Description

Welcome to the Department of Health!

We’d be delighted to have you join our team.

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.

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

Consider joining this team if you

• 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.

Minimum Qualifications

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.

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.

Additional Required Information

• 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.

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.

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.

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.

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 that your email address is correct on your application and that your spam filter will permit emails from the 'governmentjobs.com' domain. For information on allowing emails from the 'governmentjobs.com' domain, 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 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)