Medicaid Program Specialist 2 (PCN 060267)
About The Position
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. 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. Consider joining this team if you want to be part of a supportive, professional team, enjoy both independent and collaborative work, and 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, and 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.
Requirements
- 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.
- Competency 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.
- Competency 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.
- Competency in Written Communication: Writes in a clear, concise, organized, and convincing manner for the intended audience.
Nice To Haves
- 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.
Responsibilities
- 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
Benefits
- Hybrid work schedule
- Alternate Work Week (AWW) agreements
- Generous benefit package
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
