Medicaid Program Specialist 2

Job Description

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:

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

Our organization, mission, and culture:

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:

The ideal candidate will possess some or all of the following position-specific competencies in addition to the minimum qualifications listed below:

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.

EDUCATION

To verify education is being used to meet and/or support the required minimum qualifications/competencies, you must fill in t