Alaska State Troopers

Medicaid Program Specialist 1 (PCN 062443)


Pay$30.62 / hour
LocationAnchorage/Alaska
Employment typeOther

This job is now closed

  • Job Description

      Req#: 5004311
      Join the Department of Health!
      We’re thrilled to welcome you!
      We’ve made our application process more accessible than ever.
      Please take a look at our job announcement below.
      If you can see yourself in this role, apply now—your next opportunity awaits!

      This position is open to Alaskan Residents only.
      Please check out the residency definition to determine if you qualify.


      What You Will Be Doing:
      In this role, you will request and manage service authorizations for approved Medicaid Waiver/State Plan and Personal Care Services program, work closely with service provider agencies and multiple state entities in managing day-to-day service authorization requests, and process service authorization requests through use of the designated system (MMIS), in accordance with all applicable policies and state and federal regulatory guidance.

      Mission and Values/Culture:
      Our mission is to promote 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.

      Benefits of Joining Our Team:

      The Quality Assurance Unit is a multi-faceted environment, where we strive to create a balance between hard work, compassion, collaboration, and fun. By joining our team, you will work alongside a group of professionals committed to the well-being and safety of seniors and individuals with disabilities, while ensuring their continued access to quality services in the setting of their choice.

      Telework is possible in this position upon successful completion of a probationary period and approval from the Division Director.

      The position is scheduled for a 7.5-hour workday with flexible hours between 8 and 5:30 pm.

      The Working Environment You Can Expect:
      The office is located in Anchorage, Alaska at 1835 Bragaw Street, Suite 350. This location is convenient to numerous shops, restaurants, and trails.

      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 attending to detail.
      • Computer Skills: Uses computers, software applications, databases, and automated systems to accomplish work.
      • Customer Service: Anticipates and meets the needs of both internal and external customers. Delivers high-quality products and services; is committed to continuous improvement


      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 : https://www.governmentjobs.com/careers/Alaska/ classspecs


      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.


      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:
      1. 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.
      2. Two (2) of your most recent job performance evaluations. If they are not available, then provide two (2) letters of recommendation from previous supervisors.
      3. 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 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 recruitment.services@alaska.gov


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

      For specific information about the position, feel free to contact the hiring manager at:
      Bonnie Olsen-Lee/Health Program Manager 2
      Phone: (907) 269-4134
  • About the company

      The Alaska State Troopers, officially the Division of Alaska State Troopers, is the state police agency of the US state of Alaska.

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