Medicaid Program Specialist 4 (pcn 065107)

Anchorage, AK, United States

Job Description






This position is open to Alaska Residents only.
Please check our residency definition t o determine if you qualify.

The Department of Health, Division of Behavioral Health, is recruiting for a

Medicaid Program Specialist 4 position in our Anchorage Regional Office .
What you will be doing:
Under the general direction of the Medicaid Provider Assistance Services Section (MPASS), the Medicaid Program Specialist 4 operates as the quality assurance and accountability section manager. The incumbent is responsible for the development, implementation, and administration of the Division of Behavioral Health 1115 Demonstration Waiver Project. The Medicaid Program Specialist 4 oversees financial accountability activities, including the management, maintenance, and oversight of the Administrative Services Organization (ASO) contract and performance. This position is responsible for ensuring the ASO is operating appropriately and in compliance with state and federal regulations.

Our organization, mission, and culture:
The Division of Behavioral Health\'s mission is to manage an integrated and comprehensive behavioral health system based on sound policy, effective practices, and professional partnerships.

Our Division Values: Honesty, Dignity, Innovation, Diversity, and Collaboration.

The benefits of joining our team:
We offer exciting work that has a positive impact on the lives of Alaskans. The Division is guided by our belief that every employee is a change agent whose ideas, values, and beliefs are respected as they enrich our overall team environment.

The working environment you can expect:
The position is being filled in Anchorage and is office-based work in a dynamic and engaging environment.

Division of Personnel and Labor Relations is offering telework options, which include flexible in-office and telework arrangements as determined by management.

Anchorage Regional Office:
Conveniently located in Midtown Anchorage and within walking distance to Cuddy Family Park, Loussac Library, and Natural Pantry.

Who we are looking for:
To be successful in this position, you will need the following knowledge, skills, and abilities:

  • Performance Measurement: Knowledge of the principles and methods for evaluating programmatic or organizational performance using financial and nonfinancial measures, including identification of evaluation factors (for example, workload, personnel requirements, metrics, and outcomes).
  • Administration and Management: Knowledge of planning, coordination, and execution of business functions, resource allocation, and production.
  • Program Oversight: Plans, coordinates, and monitors programs to ensure that federal, state, and/or local government program requirements and plans are met. Provide professional consultation on the specialized services of the program or associated project(s).
  • Quality Assurance: Knowledge of the principles, methods, and tools of quality assurance and quality control used to ensure a program fulfills requirements and standards.

A cover letter is NOT required for this position. Your complete application, including supplemental questions, will be used to determine which applicants will advance to the interview phase of the recruitment and selection process.

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 4 : https://www.governmentjobs.com/careers/Alaska/classspecs.
Minimum Qualifications

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\xe2\x80\x99s 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.

  • Organizational Awareness: Knows the organization\'s mission and functions, and how its social, political, and technological systems work and operates effectively within them; this includes the programs, policies, procedures, rules, and regulations of the organization.

  • 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.



Equivalent to those typically gained by:

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; 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:


\xe2\x80\x9cCompetencies\xe2\x80\x9d means a combination of interrelated knowledge, skills, abilities, and behaviors that enable a person to act effectively in a job or situation.


\xe2\x80\x9cProfessional experience\xe2\x80\x9d means work that is creative, analytical, evaluative, and interpretive; requires a range and depth of specialized knowledge of the profession\'s principles, concepts, theories, and practices; and is performed with the power or right to decide or act according to one\'s own judgment.


\xe2\x80\x9cProgressively responsible\xe2\x80\x9d means indicating growth and/or advancement in complexity, difficulty, or level of responsibility.


\xe2\x80\x9cTraining\xe2\x80\x9d and \xe2\x80\x9ceducation\xe2\x80\x9d 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.


\xe2\x80\x9cTypically gained by\xe2\x80\x9d 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:


  • A copy of academic transcripts (unofficial are okay; please ensure that the institution name/URL is listed on the transcripts) is used to support that you meet the minimum qualification competencies.
  • Three (3) professional references and current contact numbers, including two (2) current or former supervisors.
  • Copies of your two (2) most recent employment performance evaluations if available.

Please read the below information carefully. This applies to your application submission.

SUPPLEMENTAL QUESTIONS
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 employer\'s 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 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 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.

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: Ryan J. Knight-Cole, Administrative Assistant 2
Phone: (907) 269-3614
Fax: (907) 269-3623
E-mail: ryan.knight@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
  • Health insurance, which includes employer contributions toward medical/vision/dental
    • The following employee groups are under AlaskaCare Benefits administered by the State: See http://doa.alaska.gov/drb/programs/index.html for additional information.
      • AVTEC
      • Confidential
      • Correctional Officers
      • Marine Engineers
      • Mt. Edgecumbe Teachers
      • Supervisory
      • Unlicensed Vessel Personnel/Inland Boatman\'s Union
      • Exempt employees (not covered by collective bargaining)
    • 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
  • Employer paid Basic Life insurance with additional coverage available (amount depends on Bargaining Unit)

Optional Insurance Benefits
  • 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

See http://doa.alaska.gov/drb/retirement/index.html for additional information
Paid Leave & Other Benefits
  • Personal leave with an accrual rate increase based on time served
  • Eleven paid holidays a year
  • Gym discounts at participating fitness providers in multiple locations throughout the state.

See http://doa.alaska.gov/drb/ghlb/employee/health/gymListing.html for additional information

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Job Detail

  • Job Id
    JD4357605
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Anchorage, AK, United States
  • Education
    Not mentioned