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Medicaid Program Specialist 4 (PCN 060070)

This Individual Position is Exempt from the Hiring Freeze. Qualified Applicants are Encouraged To Apply.

Effective July 1, 2025 the wage for this position increased by 3%. 
The wage listed in this job posting reflects the increase.

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.



Do you want to be a part of a supportive and professional leadership team?

Are you committed to making data-driven decisions that improve healthcare delivery in Alaska?

If so, we encourage you to apply today!




What You Will Be Doing:

As part of a tight-knit leadership team reporting to the Executive Director, this position plays a pivotal role in statewide data analysis. It directly supports the Medicaid program as a top-level analyst and manager for the Certificate of Need (CON) program.

A Certificate of Need is what a healthcare facility applies for when it hopes to expand services in the state. 

The review process that this position leads and directs aims to:

  • Enhance community healthcare access
  • Improve healthcare quality
  • Ensure accountability in delivery
  • Facilitate health facility planning
  • Engage the public in service development
  • Optimize resource use
  • Generate cost savings for the state and Medicaid

All this work is done in adherence to statutes and regulations at the state and federal level as well as departmental policies and industry standards.

Mission and Values/Culture:

The Office of Rate Review, within the Commissioner’s Office of the Alaska State Health Department, helps Alaskans access quality health care by

  • Setting fair Medicaid rates
  • supporting health programs across Alaska
  • Encouraging smart & fair development of health care services and facilities
 
Benefits of Joining Our Team:

The position offers opportunities to 

  • Make recommendations on complex, complicated topics 
  • Flex your clear communication and technical writing skills 
  • Be the programmatic spokesperson in front of large stakeholder groups, healthcare executives, the legislature, the media, and department leaders
  • Grow your ability to adhere to and, at times, generate health-focused policy, statutes, and regulations.

The Working Environment You Can Expect:
This position is in the Frontier Building in midtown Anchorage, a secure office space with free parking. 

Team members currently enjoy a hybrid work schedule, which includes time in the office (with great views) and time teleworking. 

We offer a professional office environment with daily collaboration among dedicated colleagues, and we provide a hybrid work schedule (with a minimum of one day in the office). The Office of Rate Review Team is in the office on Wednesdays.

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:  

  • Accountability: Holds self and others accountable for measurable high-quality, timely, and cost-effective results. Determines objectives, sets priorities, and delegates work. Accepts responsibility for own actions and decisions. Complies with established control systems and rules.

  • Decision Support: Knowledge of decision support theories, methods, and tools for identifying, synthesizing, representing, and evaluating the important aspects of a decision situation and prescribing the recommended course for decision makers and other stakeholders.

  • Stakeholder Management: Knowledge of the concepts, practices, and techniques used to identify, engage, influence, and monitor relationships with individuals and groups connected to a work effort; including those actively involved, those who exert influence over the process and its results, and those who have a vested interest in the outcome (positive or negative).


Special Notice:

  • A valid driver’s license is desired but not required. Some travel and off-schedule hours (less than 5%) may be required.   

  • If selected for interview, please provide a writing sample of research or technical writing of a complex nature, e.g., a policy briefing, a recommendation, an explanation of regulations, an email laying out a complicated plan, etc.


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 4  https://www.governmentjobs.com/careers/Alaska/classspecs
 

Requirements

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. 
  • 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. 
  • 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.  
  • 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; 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.

Qualifications

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

  1. A writing sample of research or technical writing of a complex nature, e.g., a policy briefing, a recommendation, an explanation of regulations, an email laying out a complicated plan, etc.

  2. 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. 

  3. Current performance evaluation, if available.

  4. 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 qualification competencies.


If chosen for the position, the candidate will be required to provide the following items before employment:

  1. A copy of your current driver’s license is desired, but not required.

Please read the information below 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 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 Alaska Jobs 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 athttps://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 torecruitment.services@alaska.gov

For assistance with applying for a password, please visithttps://www.governmentjobs.com/OnlineApplication/User/ResetPassword
For specific information about the position, feel free to contact the hiring manager at:
 
Name/Title: Nicole Lebo/ Project Coordinator 
Phone: 907-269-7800
Date Posted
07/16/2025
Job Reference
50857
Organization
Health, Finance & Management Services
Location
Anchorage, AK
Category
Health Policy Management
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