Medicaid Program Specialist 3

Join our team and play a key role in advancing Alaska's Medicaid program, with a focus on behavioral health services. In this impactful position, you'll ensure Medicaid policy compliance, manage provider enrollment and certification, and collaborate with stakeholders to improve service delivery and access to care.

The ideal candidate will bring knowledge of the behavioral health Medicaid system and support key areas such as program communication, technical assistance, program development, billing manual creation, provider enrollment, and quality assurance.

The mission of the Division of Behavioral Health is to promote an integrated and comprehensive behavioral health system based on sound policy, effective practices, and partnerships.

• Interpersonal Skills: Shows understanding, friendliness, courtesy, tact, empathy, concern, and politeness to others; develops and maintains effective relationships with others; may include effectively dealing with individuals who are possibly difficult, hostile, or distressed; relates well to people from varied backgrounds and different situations; is sensitive to cultural diversity, race, gender, disabilities, and other individual differences. 
• 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).

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:

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, online, 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.  

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. Current performance evaluation, if available.
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, if not already provided in the application. 

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.