Medicaid Program Specialist 4 (065107)

Job Description

*The Recruitment Period For This Job Posting Has Been Extended *

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

Effective July 1, 2026, the wage for this position increased by 2.5%.

The wage listed in this job posting reflects the increase.

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.

This position is currently located in Anchorage.

What You Will Be Doing:

In this supervisory position, you and your team ensure behavioral health claims and reimbursement align with program expectations and support high-quality care. Through billing and program guidance, claim analysis, provider reviews, and other quality assurance activities, you will help develop, implement, and administer Alaska Medicaid's behavioral health programs. You will also oversee Fiscal Agent activity, analyze federal and state regulations, apply national coding standards, and stay aware of clinical recommendations.

Your knowledge of the behavioral health system, medical claims, and Medicaid policies informs how you apply your problem-solving, organization, and program skills.

This is an opportunity to directly influence the alignment of behavioral health services with state and federal regulations, while driving continuous improvement in provider performance. If you're passionate about making a meaningful impact on Alaska's healthcare future, we would like to hear from you.

Our Mission, Values, and Culture:

The mission of the Division of Behavioral Health is to promote an integrated and comprehensive behavioral health system based on sound policy, effective practices, and partnerships.

Our Division Values: Connection, Collaboration, and Community.

Benefits of Joining Our Team:

We are a small, dynamic team with opportunities to pursue your areas of interest and training to grow your skill set. We value employees with compassion, diversity, and integrity.

This position is being recruited for in Anchorage and offers a hybrid telework environment.

The Working Environment You Can Expect:

The Anchorage Regional Office is located at

(3601 C Street, Suite 878, Anchorage, AK 99503 which is

conveniently located in Midtown Anchorage within walking distance of Cuddy Family Park, Loussac Library, and Natural Pantry.

A hybrid work environment affords the opportunity for designated telework and in-office days.

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:

Program Oversight:

Knowledge of the principles and practices for monitoring, evaluating, and ensuring accountability for program performance and outcomes.

Strategic Thinking:

Formulates objectives and priorities and implements plans consistent with the long-term interests of the organization in a global environment. Capitalizes on opportunities and manages risks.

Flexibility:

Is open to change and new information; adapts behavior or work methods in response to new information, changing conditions, or unexpected obstacles; effectively deals with ambiguity and uncertainty.

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

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 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.

Organizational Awareness:

Knows the organization's mission and functions, and how its social, political, and technological systems operate effectively within them; this includes the organization's programs, policies, procedures, rules, and regulations.

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.

“Professional experience” 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.

“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 sh