Medicaid Program Specialist 4 (060480)

State of Alaska•Anchorage, AK

2d•Hybrid

About The Position

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. As the Medicaid Program Specialist 4, you will support the Medicaid program by providing project management support and leading business analyst services for the Systems and Analysis Unit in relation to the Medicaid Management Information System (MMIS). You will be responsible for providing expert policy and business system analyses for design, development, and implementation within the MMIS in accordance with state and federal laws and regulations. You will have supervisory duties for the following MMIS areas: provider, reference, third-party liability, and security. The Health Care Services vision is to: Innovate health plans that improve the quality of health care for all Alaskans, attract excellent providers, and be known for outstanding customer service. Division of Health Care Services' core values: Through quality service, prudent use of resources, and satisfied, productive employees, we will promote good health for the people we serve via ACCESS : Articulate Competent Constructive Ethical Strategic Sincere If you embrace these values and want to help HCS achieve its mission, we encourage you to apply today.

Requirements

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.
Knowledge of change management principles, strategies, and techniques required for effectively planning, implementing, and evaluating change in the organization.
Ability to make sound, well-informed, and objective decisions; perceive the impact and implications of decisions; commit to action, even in uncertain situations, to accomplish organizational goals; cause change.
Ability to plan, coordinate, and monitor programs to ensure that federal, state, and/or local government program requirements and plans are met, providing professional consultation on the specialized services of the program or associated project(s).
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 work and operates effectively within them; this includes the programs, policies, procedures, rules, and regulations of the organization.
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.

Responsibilities

Providing project management support for the Systems and Analysis Unit in relation to the Medicaid Management Information System (MMIS).
Leading business analyst services for the Systems and Analysis Unit in relation to the Medicaid Management Information System (MMIS).
Providing expert policy and business system analyses for design, development, and implementation within the MMIS in accordance with state and federal laws and regulations.
Supervisory duties for the following MMIS areas: provider, reference, third-party liability, and security.