Salary: $2,799.75 Biweekly
Location : Anchorage, AK
Job Type: Full Time
Job Number: 45947
Department: Health
Division: Health Care Services
Opening Date: 06/20/2024
Closing Date: 7/18/2024 5:00 PM Alaska
Division: Health
Position Open To: Alaska Residents Only
Bargaining Unit: General Government
Range: 20
Job Description
This position is open to Alaskan Residents only.
Please check out the residency definition to determine if you qualify.
What You Will Be Doing:
As the Medicaid Program Specialist 3, you will serve within the Systems and Analysis unit in direct support of the Medicaid Management Information System (MMIS). You will be responsible for quality assurance, contract management tasks, DDI (design, development, and implementation) tasks, and monitoring changes in health industry standards and federal and state requirements as they relate to Medicaid and the MMIS. You will act as the subject matter expert (SME) over areas such as benefit plan configuration, Clinical Laboratory Improvement Amendments (CLIA), institutional claims processing, and maintenance of ICD diagnosis and surgical procedure codes within the MMIS.

Mission and Values/Culture:
The mission of the Division is to provide all eligible Alaskans access to quality Medicaid services. The vision of the Division is to improve quality of health care for all Alaskans, attract excellent providers, and provide outstanding customer service.
Benefits of Joining Our Team:
We are a dynamic, innovative, and fast-paced team. All team members' input is valued, and we are always looking to provide growth and learning opportunities for our team members.
In addition, this position has comprehensive benefits from the State of Alaska, including health insurance, 11 paid holidays, leave accrual, annual/bi-annual pay increases, and other supplemental benefits. For more in-depth benefit information, please go to:

The Working Environment You Can Expect:
The current work environment involves two days in the office for team interaction and three days teleworking from home. The office is located at 4601 Business Park Blvd, Bldg. K is in Anchorage and is conveniently situated near shopping, restaurants, and commuting. Free parking is also available. For remote work, laptops, monitors, and docking stations are provided.

Who We Are Looking For: The ideal candidate will possess some or all the following position-specific competencies:

• Process Control : Knowledge of the principles, methods, and procedures used for the automated control of a process, including the design, development, and maintenance of associated software, hardware, and systems.
• Program Oversight : Plans, coordinates, and monitors 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).
• Quality Management : Knowledge of the principles, methods, and tools of quality assurance, quality control, and reliability used to ensure that a project, system, or product fulfills requirements and standards.

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 3: https://www.governmentjobs.com/careers/Alaska/classspecs
A cover letter IS required for this position. Applications submitted without a cover letter will not be considered Your complete application, including supplemental questions, will be used to determine which applicants will advance to the interview phase of the recruitment and selection process.
Minimum Qualifications
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, as opposed to 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, volunteer work, etc.) supports/demonstrates that 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.

• 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.

• 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 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.
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.
"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.
Additional Required Information

At the time of application, please submit the following:

1. Cover letter

At the time of the interview, please provide the following:

1. Three (3) professional references with current phone and email addresses, one (1) of which must be a current or recent former supervisor, if not already provided in the application.
2. Your two (2) most recent performance evaluations or letters of recommendation
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.

COVER LETTER
A cover letter in standard business format is required. Applications submitted without a cover letter will not be considered. The cover letter must describe your knowledge, skills, and abilities per the above-mentioned job description. Please attach the cover letter as a separate document to your application before applying online. If unable to attach to your application, email or fax the cover letter to the contact number provided in the job posting before the closing date of this recruitment. Your cover letter will be used to determine which applicants will advance to the interview phase of the recruitment and selection process. The omission of any required documentation will result in an incomplete application, and you will not receive further consideration.

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:

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

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 to

For applicant password assistance, please visit
Contact Information

For specific information in reference to the position, feel free to contact the hiring manager at:
Name/Title: Alexis Wilks, Medicaid Program Specialist 4
Email:
Careers with the State of Alaska offer MANY benefits
The following information describes typical benefits available to employees of the State of Alaska. Actual benefits received may differ by bargaining unit or branch of government, position type, or be prorated for other than full time work.
For a quick breakdown of the insurance, health, and retirement benefits available for State Employees you can view an (Please note this video is specifically designed for new State Employees.)
Insurance Benefits

• Health insurance, which includes employer contributions toward medical/vision/dental
  • The following employee groups are under AlaskaCare Benefits administered by the State: See for additional information.
    • AVTEC
    • Confidential
    • Correctional Officers
    • Marine Engineers
    • Mt. Edgecumbe Teachers
    • Supervisory
    • Unlicensed Vessel Personnel/Inland Boatman's Union
    • Exempt employees (not covered by collective bargaining)

The following employee groups are covered by Union health trusts. Contact the appropriate Union for additional information.

• General Government
• Labor, Trades and Crafts
• Public Safety Employees Association
• Masters, Mates & Pilots

Employer paid Basic Life insurance with additional coverage available (amount depends on Bargaining Unit)

Optional Insurance Benefits

• Group-based insurance premiums for
  • Term life (employee, spouse or qualified same sex partner, and dependents)
  • Long-term and short-term disability
  • Accidental Death and Dismemberment
  • Long-term care (self and eligible family members)
  • Supplemental Survivor Benefits

Employee-funded flexible spending accounts for tax savings on eligible health care or dependent care expenses

Retirement Benefits

• Membership in the Public Employees Retirement System (PERS)/Teachers' Retirement System (TRS)
• Matching employer contribution into a defined contribution program (new employees)
• Employer contribution into a defined benefit or defined contribution program (current employees)
• Contributions to the Alaska Supplemental Annuity Plan in lieu of contributions to Social Security
• Option to enroll in the Alaska Deferred Compensation Program
• Note: The Defined Contribution Plan, Supplemental Annuity Plan and Deferred Compensation Program offer a variety of investment options

See for additional information

Paid Leave & Other Benefits

• Personal leave with an accrual rate increase based on time served
• Eleven paid holidays a year

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.

• I acknowledge and understand this requirement.

02

Please rate your level of proficiency in Process Control: Knowledge of the principles, methods, and procedures used for the automated control of a process, including the design, development, and maintenance of associated software, hardware, and systems.

• 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.

03

Please rate your level of proficiency in Program Oversight: Plans, coordinates, and monitors 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).

• 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 Quality Management: Knowledge of the principles, methods, and tools of quality assurance, quality control, and reliability used to ensure that a project, system, or product fulfills requirements and standards.

• 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 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.

• 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 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.

• 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 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.

08

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.

Required Question