Medicaid Program Specialist 5 (PCN 064058)

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Medicaid Program Specialist 5 (PCN 064058)

Salary

$3,666.40 Biweekly

Location

Anchorage, AK

Job Type

Full Time

Job Number

49687

Department

Health

Division

Health Care Services

Opening Date

03/13/2025

Closing Date

4/1/2025 5:00 PM Alaska

Division

Health Care Services

Position Open To

Alaska Residents Only

Bargaining Unit

Supervisory

Range

22

Job Description

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.

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What You Will Be Doing:
In this role, you will serve as one of Health Care Services` senior managers and manage the Recovery and Reclamation Section. In this role, you will be responsible for the development, implementation, and administration of programs and initiatives that optimize various sources of revenue, including third-party liability collection, post-payment recoveries, Medicare and Medicaid Buy-in, Subrogation, Estate and Trust Recoveries, and Tribal Reclamation. The section also tracks the department`s Medicaid Federal Financial Participation while working closely with Finance and Management Services to report the financial position and budgets of the Medicaid program. You will be responsible for ensuring the program is operating appropriately and in compliance with state and federal requirements.

Mission and Values/Culture:
Health Care Services' mission is to provide all eligible Alaskans access and oversight to the full range of appropriate Medicaid services. We also protect Alaska's most vulnerable populations through our certification and licensing section. Our team members are expected to be high-performing professionals who can work independently and with others. The incumbent helps establish and supports a productive, efficient, inclusive, and enjoyable work environment for the team.

Benefits of Joining Our Team:
Our team is highly functional, hard-working, and supportive of each other. Joining our team will bring the opportunity to positively impact Alaskans' lives, as our work is critical to the DOH mission to improve the health, well-being, and self-sufficiency of Alaskans. Our team is dedicated to ensuring we meet this mission and the division's goals and objectives. We believe in enhancing the strengths of our staff by providing training and other necessary tools and resources to perform the work successfully.

The Working Environment You Can Expect:
This position is located at 4601 Business Park Blvd., Building K, close to various dining options and we are close to Starbucks.

This position offers the opportunity to work from a hybrid telework agreement based on the division's business needs. Telework is possible for this position after training and approval from the division director. This position will be supervised by a position based in Anchorage.

Who We Are Looking For:

We are interested in candidates who possess some or all of the following position-specific competencies:

  • Client Engagement/Change Management: Knowledge of the impact of change on people, processes, procedures, leadership, and organizational culture; knowledge of change management principles, strategies, and techniques required for effectively planning, implementing, and evaluating change in the organization.
  • Vision: Takes a long-term view and builds a shared vision with others; acts as a catalyst for organizational change. Influences others to translate vision into action.
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 5: 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 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.

Please ensure your application (through work history, training, education, licenses, certifications, etc.) supports/demonstrates 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. 
  • Leadership: Influences, motivates, and challenges others; adapts leadership styles to a variety of situations. 
  • 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.  
  • Strategic Thinking: Formulates objectives and priorities; implements plans consistent with the long-term interests of the organization in a global environment. Capitalizes on opportunities and manages risks. 
  • 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. 

Equivalent to those typically gained by:

Progressively responsible professional experience which includes supervising subordinate staff and such work 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 supervising subordinate staff and 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.

 

“Professional experience” means work that is creative, analytical, evaluative, and interpretive; requires a range and depth of specialized knowledge of the profession's principles, concepts, theories, and practices; and is performed with the power or right to decide or act according to one's own judgment.  

 

“Progressively responsible” means indicating growth and/or advancement in complexity, difficulty, or level of responsibility.

 

“Typically gained by” means the prevalent, usual method of gaining the competencies expected for entry into the job.  

 

“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. 

Additional Required Information

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. Copies of your two (2) most recent performance appraisals. If unavailable, supervisory letters of reference may be substituted.

  3. A copy of academic transcripts (unofficial are 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 below information 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 already documented in your application, please provide the employer's name, your job title, employment dates, and whether you were working 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 to which you are applying.
 
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 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 hardcopy application. If you accessed this recruitment bulletin through a job search portal such as AlaskaJobs or any other database, you MUST use a Workplace Alaska online or hardcopy 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 your email address is correct on your application and that the spam filter will permit email from the 'govermentjobs.com' domains. 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 accommodation, auxiliary aides 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 torecruitment.services@alaska.gov.
 
For applicant password assistance, please visit: https://www.governmentjobs.com/OnlineApplication/User/ResetPassword.

Contact Information

For specific information about the position, feel free to contact the hiring manager at:

Robert Nave/Division Operations Manager

Phone: 907-310-2736

E-mail: robert.nave@alaska.gov

N/a

01
I acknowledge and understand that the education and/or experience used to meet the minimum competencies for this position must be adequately documented in this application to be considered.
  • Yes
  • No
02
Please rate your level of proficiency 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.
  • Able to successfully apply all relevant concepts, procedures, and practices of the subject area. I have successfully performed all relevant concepts, procedures, and practices and facilitate knowledge transfer to others.
  • Fluency: Able to successfully apply all relevant concepts, procedures and practices of the subject area. I have successfully performed the concepts, procedures, and practices independently.
  • Literacy: Ability to communicate all relevant concepts, procedures and practices of the subject area. I have limited application or practice.
  • Discovery: Awareness of basic/fundamental concepts, procedures, and practices of the subject area.
  • None of the above.
03
Please rate your level of proficiency in Leadership: Influences, motivates, and challenges others; adapts leadership styles to a variety of situations.
  • Mastery: Able to successfully apply all relevant concepts, procedures, and practices of the subject area. I have successfully performed all relevant concepts, procedures, and practices and facilitate knowledge transfer to others.
  • Fluency: Able to successfully apply all relevant concepts, procedures and practices of the subject area. I have successfully performed the concepts, procedures, and practices independently.
  • Literacy: Ability to communicate all relevant concepts, procedures and practices of the subject area. I have limited application or practice.
  • Discovery: Awareness of basic/fundamental concepts, procedures, and practices of the subject area.
  • None of the above.
04
Please rate your level of proficiency in 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.
  • Mastery: Able to successfully apply all relevant concepts, procedures, and practices of the subject area. I have successfully performed all relevant concepts, procedures, and practices and facilitate knowledge transfer to others.
  • Fluency: Able to successfully apply all relevant concepts, procedures and practices of the subject area. I have successfully performed the concepts, procedures, and practices independently.
  • Literacy: Ability to communicate all relevant concepts, procedures and practices of the subject area. I have limited application or practice.
  • Discovery: Awareness of basic/fundamental concepts, procedures, and practices of the subject area.
  • None of the above.
05
Please rate your level of proficiency in Strategic Thinking: Formulates objectives and priorities; implements plans consistent with the long-term interests of the organization in a global environment. Capitalizes on opportunities and manages risks.
  • Mastery: Able to successfully apply all relevant concepts, procedures, and practices of the subject area. I have successfully performed all relevant concepts, procedures, and practices and facilitate knowledge transfer to others.
  • Fluency: Able to successfully apply all relevant concepts, procedures and practices of the subject area. I have successfully performed the concepts, procedures, and practices independently.
  • Literacy: Ability to communicate all relevant concepts, procedures and practices of the subject area. I have limited application or practice.
  • Discovery: Awareness of basic/fundamental concepts, procedures, and practices of the subject area.
  • None of the above.
06
Please rate your level of proficiency in 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.
  • Mastery: Able to successfully apply all relevant concepts, procedures, and practices of the subject area. I have successfully performed all relevant concepts, procedures, and practices and facilitate knowledge transfer to others.
  • Fluency: Able to successfully apply all relevant concepts, procedures and practices of the subject area. I have successfully performed the concepts, procedures, and practices independently.
  • Literacy: Ability to communicate all relevant concepts, procedures and practices of the subject area. I have limited application or practice.
  • Discovery: Awareness of basic/fundamental concepts, procedures, and practices of the subject area.
  • None of the above.
07
Please rate your level of proficiency in Written Communication: Writes in a clear, concise, organized, and convincing manner for the intended audience.
  • Mastery: Able to successfully apply all relevant concepts, procedures, and practices of the subject area. I have successfully performed all relevant concepts, procedures, and practices and facilitate knowledge transfer to others.
  • Fluency: Able to successfully apply all relevant concepts, procedures and practices of the subject area. I have successfully performed the concepts, procedures, and practices independently.
  • Literacy: Ability to communicate all relevant concepts, procedures and practices of the subject area. I have limited application or practice.
  • Discovery: Awareness of basic/fundamental concepts, procedures, and practices of the subject area.
  • None of the above.
08
Please rate your proficiency in Client Engagement/Change Management: Knowledge of the impact of change on people, processes, procedures, leadership, and organizational culture; knowledge of change management principles, strategies, and techniques required for effectively planning, implementing, and evaluating change in the organization.
  • Mastery: Able to successfully apply all relevant concepts, procedures, and practices of the subject area. I have successfully performed all relevant concepts, procedures, and practices and facilitate knowledge transfer to others.
  • Fluency: Able to successfully apply all relevant concepts, procedures and practices of the subject area. I have successfully performed the concepts, procedures, and practices independently.
  • Literacy: Ability to communicate all relevant concepts, procedures and practices of the subject area. I have limited application or practice.
  • Discovery: Awareness of basic/fundamental concepts, procedures, and practices of the subject area.
  • None of the above.
09
Please rate your proficiency in Vision: Takes a long-term view and builds a shared vision with others; acts as a catalyst for organizational change. Influences others to translate vision into action.
  • Mastery: Able to successfully apply all relevant concepts, procedures, and practices of the subject area. I have successfully performed all relevant concepts, procedures, and practices and facilitate knowledge transfer to others.
  • Fluency: Able to successfully apply all relevant concepts, procedures and practices of the subject area. I have successfully performed the concepts, procedures, and practices independently.
  • Literacy: Ability to communicate all relevant concepts, procedures and practices of the subject area. I have limited application or practice.
  • Discovery: Awareness of basic/fundamental concepts, procedures, and practices of the subject area.
  • None of the above.

Required Question

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State of Alaska
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Juneau, Alaska, 99811
Phone
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(907) 465-4095 (Juneau and out-of-state callers)
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http://workplace.alaska.gov/
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