# Medicaid Program Specialist I (Certification Reviewer) — Health · Alaska Jobs [← The Board](https://alaskajobs.org/) · [Healthcare jobs](https://alaskajobs.org/jobs/healthcare) # Medicaid Program Specialist I (Certification Reviewer) Health - **Location** — Anchorage, AK - **PCN** — 062351 - **Salary** — $31.54 Hourly (Range 16) - **Type** — Full Time - **Open to** — Alaska Residents Only - **Bargaining unit** — General Government - **Timing** — Year-round - **Posted** — 2026-07-14 - **Closes** — 2026-07-27 - **Source** — Workplace Alaska (State of Alaska) (synced) Job Description 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 I, Certification Reviewer, you will play a key role in the certification process for current and prospective Medicaid Home and Community-Based Services (HCBS) providers. As a member of the Provider Certification and Compliance Unit, you will be primarily responsible for reviewing and evaluating applications in accordance with applicable standards for HCBS providers (waiver and personal care services) who apply to obtain or maintain certification to participate in Medicaid. You will review and analyze provider documentation and issue determinations on certification applications, track and trend issues with providers, and make recommendations for quality improvement activities. In addition, you will serve in a vital technical assistance role for providers as well as process changes in provider statuses during certification periods. Collaboration with appropriate partner agencies and referrals for inappropriate service provisions and/or non-compliance are also included in the duties of this position. Some Travel may be required in this postion. Our organization, mission, and culture: Senior and Disabilities Services promotes health, well-being, and safety for individuals with disabilities, seniors, and vulnerable adults by facilitating access to quality services and supports that foster independence, personal choice, and dignity. The benefits of joining our team: You will work with a talented, dedicated, and professional team that is driven to ensure quality services are provided to Alaska’s most vulnerable citizens so they can thrive in their home communities. Working within a team of nine staff and in very close collaboration with other teams at SDS as well as other partner agencies, there is ample opportunity to have a positive impact on the lives of Alaskans as well as gain valuable professional experience in the field of Medicaid compliance, certification, and quality assurance. The working environment you can expect: This position is located in East Anchorage, next to East High School. We are currently working in a hybrid teleworking model, with a 90-day in-person office requirement during initial hire and training. This position is mostly office/home based, however, some local travel may be required. 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: Reading Comprehension: Understands and interprets written material, including technical material, rules, regulations, instructions, reports, charts, graphs, or tables; applies what is learned from written material to specific situations. Writing: Recognizes or uses correct English grammar, punctuation, and spelling; communicates information (for example, facts, ideas, or messages) in a succinct and organized manner; produces written information, which may include technical material, that is appropriate for the intended audience. Interpersonal Skills: Shows understanding, friendliness, courtesy, tact, empathy, concern, and politeness to others; develops and maintains effective relationships with others; may include effectively dealing with individuals who are possibly difficult, hostile, or distressed; relates well to people from varied backgrounds and different situations; is sensitive to cultural diversity, race, gender, disabilities, and other individual differences. 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 : 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: 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, 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 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 competence in applying specific behaviors, knowledge, [Apply at the source ↗](https://www.governmentjobs.com/careers/alaska/jobs/5409819/medicaid-program-specialist-i-certification-reviewer-pcn-062351) ## Express confidential interest Alaska politics is a small world. If you can't be seen job-hunting, submit a sealed interest : the employer sees only your alias and pitch. Your name and contact stay sealed until they request an introduction and you approve it . Decline, and they never learn who asked. ## More on the board - [Supervisory Medical Records Technician (Coder)](https://alaskajobs.org/job/supervisory-medical-records-technician-coder-876609100) — Veterans Health Administration (federal) - [Nurse](https://alaskajobs.org/job/nurse-11435) — Kenai Peninsula Borough School District - [Nurse](https://alaskajobs.org/job/nurse-11439) — Kenai Peninsula Borough School District [What this role pays in Alaska →](https://alaskajobs.org/salaries/medicaid-program-specialist) [More about Health →](https://alaskajobs.org/employers/health) [Healthcare jobs →](https://alaskajobs.org/jobs/healthcare) [Jobs in Anchorage →](https://alaskajobs.org/jobs/anchorage) [All Alaska jobs →](https://alaskajobs.org/) Posted on Alaska Jobs — the daily board for Alaska public-sector work. https://alaskajobs.org/job/medicaid-program-specialist-i-certification-reviewer-5409819 --- Markdown mirror of https://alaskajobs.org/job/medicaid-program-specialist-i-certification-reviewer-5409819 · full index: https://alaskajobs.org/llms.txt