Medicaid Program Specialist 1 (PCN 064017)

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Job description

This position is open to Alaskan Residents only. Please check out the residency definition to determine if you qualify. What You Will Be Doing: As the Medicaid Program Specialist 1, you will be pivotal in the Systems and Analysis unit, directly supporting the Medicaid Management Information System (MMIS). You'll have the opportunity to showcase your skills in quality control, contract oversight, and DDI (design, development, and implementation) tasks. Additionally, you'll be instrumental in monitoring changes in health industry standards and federal and state requirements related to Medicaid and the MMIS. As the provider functional area specialist, you will be vital in driving successful outcomes and ensuring the system meets the needs of providers and stakeholders. Mission and Values/Culture: The Division of Health Care Services' mission is to provide all eligible Alaskans access to quality Medicaid services. Its vision is to improve the quality of health care for all Alaskans, attract excellent providers, and provide outstanding customer service. Benefits of Joining Our Team: We are a dynamic, innovative, and fast-paced team. All team members' input is valued, and we are always looking to provide growth and learning opportunities for them. In addition, this position has comprehensive benefits, including health insurance, 12 paid holidays, leave accrual, annual/bi-annual pay increases based on merit and performance, and other supplemental benefits. For more in-depth benefit information, please go to: The Working Environment You Can Expect: The current work environment involves one day a week in the office for team interaction and four days teleworking from home. The office is located at 4601 Business Park Blvd, Bldg. K in Anchorage is conveniently situated near shopping, restaurants, and commuting. Free parking is also available. For remote work, laptops, monitors, and docking stations are provided. Who We Are Looking For: The ideal candidate will possess some or all of the following position-specific competencies in addition to the minimum qualifications listed below: Computer Skills: Uses computers, software applications, databases, and automated systems to accomplish work. Information Technology Research and Development: Knowledge of scientific principles, methods, and tools of basic and applied research used to conduct a systematic inquiry into a subject matter area. Quality Management: Knowledge of the principles, methods, and tools of quality assurance, quality control, and reliability used to ensure that a project, system, or product 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 1: 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, as opposed to 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 (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. 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'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: 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 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. "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. At the time of the interview, please provide the following: Three (3) professional references with current phone and email addresses, one (1) of which must be a current or recent former supervisor, if not already provided in the application. Your two (2) most recent performance evaluations or letters of recommendation 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. 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. The State of Alaska uses four proficiency levels to measure and describe an applicant's level of competence in applying certain behaviors, knowledge, skills, and abilities to accomplish a specific task. The four proficiency levels are Mastery, Fluency, Literacy, and Discovery. You must rate your proficiency level for each competency listed in the supplemental questions. 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 to which you are applying. 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 . click apply for full job details

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