Medicaid Program Specialist

State of Alaska

This Individual Position is Exempt from the Hiring Freeze. Qualified Applicants are Encouraged To Apply.

Welcome to the Department of Health!

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

If you envision yourself in this role and are ready to start an exciting career with us, apply today!

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 4, you will support the Medicaid program by providing project management support and leading business analyst services for the Systems and Analysis Unit in relation to the Medicaid Management Information System (MMIS). You will be responsible for providing expert policy and business system analyses for design, development, and implementation within the MMIS in accordance with state and federal laws and regulations. You will have supervisory duties for the following MMIS areas: provider, reference, third-party liability, and security.

Mission And Values/Culture

The Health Care Services vision is to: Innovate health plans that improve the quality of health care for all Alaskans, attract excellent providers, and be known for outstanding customer service. Division of Health Care Services' core values: Through quality service, prudent use of resources, and satisfied, productive employees, we will promote good health for the people we serve via

ACCESS

Articulate
Competent
Constructive
Ethical
Strategic
Sincere

If you embrace these values and want to help HCS achieve its mission, we encourage you to apply today.

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 our team members.

The Working Environment You Can Expect

This position is conveniently located at 4601 Business Park Blvd, Bldg K, in midtown Anchorage, with access to restaurants, shopping, bike paths, and the nearby Cuddy Family Midtown Park. Free parking is provided. The workweek is Monday through Friday, with Monday in the office and Tuesday through Friday teleworking.

Who We Are Looking For

We are interested in candidates who possess some or all of the following position-specific competencies:

Change Management: Knowledge of change management principles, strategies, and techniques required for effectively planning, implementing, and evaluating change in the organization.
Decision Making: Makes sound, well-informed, and objective decisions; perceives the impact and implications of decisions; commits to action, even in uncertain situations, to accomplish organizational goals; causes change.
Program Oversight: Plans, coordinates, and monitors programs to ensure that federal, state, and/or local government program requirements and plans are met, providing professional consultation on the specialized services of the program or associated project(s).

T o 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

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 instead of 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 meet the competency successfully, 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 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.
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

“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, online, 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, one (1) of whom must be your current or most recent supervisor, if not already provided in the application.
A copy of your last three (3) performance evaluations, or two (2) letters of reference if evaluations are unavailable.
A copy of academic transcripts (unofficial is okay; please ensure that the institution name/URL is listed on the transcripts), if used to support that you meet the minimum qualification competencies.

Please read the information below 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 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.

APPLICATION NOTICE

You can ONLY apply for this position through the Workplace Alaska website or via a hard copy application. If you accessed this recruitment bulletin through a job search portal such as AlaskaJobs or another database, you MUST use a Workplace Alaska online or hard-copy 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 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' 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 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.

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 ***email_hidden***

For assistance with applying for a password, please visit https://www.governmentjobs.com/OnlineApplication/User/ResetPassword

Contact Information

For specific information about the position, feel free to contact the hiring manager at:

Name/Title: Jennifer Ritchie / Medicaid Program Specialist 5

Phone: (907) 903-1229

Email: [email protected]

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 https://drb.alaska.gov/help/plans.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 https://drb.alaska.gov/retiree/ for additional information

Paid Leave & Other Benefits

Personal leave with an accrual rate increase based on time served
Twelve (12) paid holidays a year

I acknowledge and understand that the education and/or experience used to meet the minimum competencies for this position must be adequately documented in this application to be considered.

Please rate your level of proficiency 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.

Mastery: Able to successfully apply all relevant concepts, procedures, and practices of the subject area. I have successfully performed all relevant concepts, procedures, and practices and facilitate knowledge transfer to others.
Fluency: Able to successfully apply all relevant concepts, procedures and practices of the subject area. I have successfully performed the concepts, procedures, and practices independently.
Literacy: Ability to communicate all relevant concepts, procedures and practices of the subject area. I have limited application or practice.
Discovery: Awareness of basic/fundamental concepts, procedures, and practices of the subject area.
None of the above.

Please rate your level of proficiency in 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.

Mastery: Able to successfully apply all relevant concepts, procedures, and practices of the subject area. I have successfully performed all relevant concepts, procedures, and practices and facilitate knowledge transfer to others.
Fluency: Able to successfully apply all relevant concepts, procedures and practices of the subject area. I have successfully performed the concepts, procedures, and practices independently.
Literacy: Ability to communicate all relevant concepts, procedures and practices of the subject area. I have limited application or practice.
Discovery: Awareness of basic/fundamental concepts, procedures, and practices of the subject area.
None of the above.

Please rate your level of proficiency in 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.

Mastery: Able to successfully apply all relevant concepts, procedures, and practices of the subject area. I have successfully performed all relevant concepts, procedures, and practices and facilitate knowledge transfer to others.
Fluency: Able to successfully apply all relevant concepts, procedures and practices of the subject area. I have successfully performed the concepts, procedures, and practices independently.
Literacy: Ability to communicate all relevant concepts, procedures and practices of the subject area. I have limited application or practice.
Discovery: Awareness of basic/fundamental concepts, procedures, and practices of the subject area.
None of the above.

Please rate your level of proficiency in 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.

Mastery: Able to successfully apply all relevant concepts, procedures, and practices of the subject area. I have successfully performed all relevant concepts, procedures, and practices and facilitate knowledge transfer to others.
Fluency: Able to successfully apply all relevant concepts, procedures and practices of the subject area. I have successfully performed the concepts, procedures, and practices independently.
Literacy: Ability to communicate all relevant concepts, procedures and practices of the subject area. I have limited application or practice.
Discovery: Awareness of basic/fundamental concepts, procedures, and practices of the subject area.
None of the above.

Please rate your level of proficiency in Written Communication: Writes in a clear, concise, organized, and convincing manner for the intended audience.

Mastery: Able to successfully apply all relevant concepts, procedures, and practices of the subject area. I have successfully performed all relevant concepts, procedures, and practices and facilitate knowledge transfer to others.
Fluency: Able to successfully apply all relevant concepts, procedures and practices of the subject area. I have successfully performed the concepts, procedures, and practices independently.
Literacy: Ability to communicate all relevant concepts, procedures and practices of the subject area. I have limited application or practice.
Discovery: Awareness of basic/fundamental concepts, procedures, and practices of the subject area.
None of the above.

Please rate your level of proficiency in Change Management: Knowledge of change management principles, strategies, and techniques required for effectively planning, implementing, and evaluating change in the organization.

Mastery: Able to successfully apply all relevant concepts, procedures, and practices of the subject area. I have successfully performed all relevant concepts, procedures, and practices and facilitate knowledge transfer to others.
Fluency: Able to successfully apply all relevant concepts, procedures and practices of the subject area. I have successfully performed the concepts, procedures, and practices independently.
Literacy: Ability to communicate all relevant concepts, procedures and practices of the subject area. I have limited application or practice.
Discovery: Awareness of basic/fundamental concepts, procedures, and practices of the subject area.
None of the above.

Please rate your level of proficiency in Decision Making: Makes sound, well-informed, and objective decisions; perceives the impact and implications of decisions; commits to action, even in uncertain situations, to accomplish organizational goals; causes change

Mastery: Able to successfully apply all relevant concepts, procedures, and practices of the subject area. I have successfully performed all relevant concepts, procedures, and practices and facilitate knowledge transfer to others.
Fluency: Able to successfully apply all relevant concepts, procedures and practices of the subject area. I have successfully performed the concepts, procedures, and practices independently.
Literacy: Ability to communicate all relevant concepts, procedures and practices of the subject area. I have limited application or practice.
Discovery: Awareness of basic/fundamental concepts, procedures, and practices of the subject area.
None of the above.

Please rate your level of proficiency in Program Oversight: Plans, coordinates, and monitors programs to ensure that federal, state, and/or local government program requirements and plans are met, providing professional consultation on the specialized services of the program or associated project(s)

Mastery: Able to successfully apply all relevant concepts, procedures, and practices of the subject area. I have successfully performed all relevant concepts, procedures, and practices and facilitate knowledge transfer to others.
Fluency: Able to successfully apply all relevant concepts, procedures and practices of the subject area. I have successfully performed the concepts, procedures, and practices independently.
Literacy: Ability to communicate all relevant concepts, procedures and practices of the subject area. I have limited application or practice.
Discovery: Awareness of basic/fundamental concepts, procedures, and practices of the subject area.
None of the above.
Required Question