Coordinator Jobs

About The Position

Requirements

• Demonstrated competencies in analytical thinking and problem solving, oral communication, and written communication.
• Ability to use a logical, systematic, and sequential approach to address problems, drawing on knowledge and experience and consulting references or resources as needed.
• Ability to communicate effectively with individuals or groups, adapt to the audience and subject matter, present information clearly, listen, and respond appropriately.
• Ability to write clearly, concisely, and in an organized and convincing manner for the intended audience.
• Progressively responsible experience or education/training providing relevant competencies. Typical backgrounds include Medicaid or Medicare program administration; health insurance services, management information systems, or finance/accounting; Supplemental Security Income benefits or vocational rehabilitation; medical or public assistance program auditing or quality assurance monitoring; medical claims processing using coding and billing knowledge; or information-system quality assurance, development, implementation, or relevant training and education.
• Application must document relevant work experience, education, training, licenses, and certifications used to demonstrate minimum qualifications.
• Alaskan residency is required.

Nice To Haves

• Basic knowledge of Medicaid/Medical Assistance terminology, programs, policies, procedures, and state and federal rules and regulations.
• Knowledge of Medicaid or other health care services, health care claiming, and delivery systems.
• Self-management, including setting realistic goals, showing initiative and commitment, working with minimal supervision, and acting responsibly.
• Writing skills, including correct English grammar, punctuation, and spelling, and the ability to communicate clearly and appropriately for the audience.
• Problem-solving skills, including identifying problems, assessing information for accuracy and relevance, exercising sound judgment, evaluating alternatives, and making recommendations.

Responsibilities

• Provide professional-level administrative support to the Care Management Program (CMP) and Surveillance and Utilization Review (SURS) teams in the Quality Assurance Unit.
• Coordinate, plan, implement, and assess Medicaid activities.
• Monitor no-show activity.
• Analyze, interpret, and provide input on policies and procedures.
• Draft policies, procedures, or regulations.
• Oversee fiscal agent activities.
• Review authorization and claims processing activities.
• Conduct member reviews and generate notification materials for program placement in accordance with Department policies and state and federal regulations.
• Research fair hearings and analyze claims data.
• Ensure compliance with program requirements.
• Assist with CMP and SURS processes.

Benefits

• Growth and learning opportunities.
• Hybrid work schedule with a mix of in-office and work-from-home days.
• Assigned parking space.