Medicaid Program Associate (PCN 061050)

About the Department

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!

What you will be doing:
As the Medicaid Program Associate, you will play an important role in supporting the Medicaid Program Integrity and protecting Medicaid resources. You will assist audit and review staff by researching provider and claims information, reviewing and organizing supporting documentation, maintaining accurate case records, and tracking audit and review activities.   You will communicate with providers, contractors, and Department staff to obtain information and support timely follow-up on identified concerns.  Your attention to detail and ability to organize and manage information will help the Medicaid Program Integrity team ensure identified issues are properly documented, followed up on, and resolved while supporting the Department’s efforts to prevent and address fraud, waste, and abuse within the Medicaid program.

Our organization, mission, and culture:
The Department of Health, Medicaid Program Integrity is a small team whose mission is to preserve and protect the integrity of the Medicaid program by proactively developing strategies to identify, deter, and prevent fraud, waste and abuse. 

The benefits of joining our team:
This position offers an opportunity to work with a team of professionals dedicated to safeguarding the integrity of the Medicaid program by proactively developing strategies to prevent fraud, waste, and abuse. Our team encourages continual learning, including training opportunities through the Medicaid Integrity Institute (MII) hosted by Centers for Medicare and Medicaid Services (CMS), the National Association for Medicaid Program Integrity (NAMPI), and the National Health Care Anti-Fraud Association (NHCAA). Team members currently enjoy a hybrid work schedule that includes time in the office and time teleworking, and it encourages a collaborative and supportive work environment. 

The working environment you can expect:
This position is in the Frontier Building in midtown Anchorage, a secure office space with free parking.  We offer a professional office environment with daily collaboration among dedicated colleagues and offer a hybrid work schedule.

Who we are looking for:
The ideal candidate will possess some or all of the following position-specific competencies in addition to the minimum qualifications listed below: 

• Attention to Detail: Is thorough when performing work and conscientious about attending to detail.
• Manages and Organized Information: Identifies a need; gathers, organizes, and maintains information; determines its importance and accuracy, and communicates it by a variety of methods. 
• Technical Credibility: Understands and appropriately applies principles, procedures, requirements, regulations, and policies related to specialized expertise.

To view the general description and example of duties for this job class, please go to the following link and search for Medicaid Program Associate: https://www.governmentjobs.com/careers/Alaska/classspecs

Position Duties

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 rather than 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 successfully meet the competency, 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 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 

equivalent to those typically gained by:

Experience applying program requirements and working with individuals in stressful situations 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.

“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.  

Minimum Qualifications

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

1. Three (3) professional references, whom we may contact by phone, are required. One (1) of these references 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 is okay; please ensure that the institution name/URL is listed on the transcripts) is used to support that you meet the minimum qualifications competencies.

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 competence in applying specific 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.

When using work experience not documented in your application, please provide the employer's name, job title, employment dates, and whether you worked 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 you are applying for.

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 that 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 a hard copy application. If you accessed this recruitment bulletin through a job search portal such as AlaskaJobs or another database, you MUST use a Workplace Alaska online or hard-copy 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 that your email address is correct on your application and that your spam filter will permit emails from the 'governmentjobs.com' domain. For information on allowing emails from the 'governmentjobs.com' domains, visit the Lost Password Help page at h 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 accommodations, auxiliary aids, 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 [email protected]

For assistance with applying for a password, please visit https://www.governmentjobs.com/OnlineApplication/User/ResetPassword

Other Qualifications

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 orientation video from Division of Retirement and Benefits. (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 https://drb.alaska.gov/help/plans.html 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)

• 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

Paid Leave & Other Benefits

• Personal leave with an accrual rate increase based on time served
• Twelve (12) paid holidays a year

Supplemental Questions

Required Question

Agency Information

EmployerState of AlaskaAddress PO Box 110201

Juneau, Alaska, 99811 Phone(800) 587-0430 (Statewide toll-free number)
(907) 465-4095 (Juneau and out-of-state callers)Website http://workplace.alaska.gov/