Medical Assistance Administrator III occupation at Workplace Alaska in Anchorage

Workplace Alaska is in need of Medical Assistance Administrator III on Fri, 27 Apr 2018 22:55:01 GMT. If utilizing this education you must show that the education credentials have been submitted to a private organization that specializes in interpretation of...

Medical Assistance Administrator III

Location: Anchorage, Alaska

Description: Workplace Alaska is in need of Medical Assistance Administrator III right now, this occupation will be presented in Alaska. More details about this occupation opportunity please give attention to these descriptions.

This position is open to Alaska Residents only. Please check our residency definition to determine if you qualify.

The Division of Behavioral Health is recruiting for a
Medi cal Assistance Administrator III in the
Medicaid Provider Assistance Services Section in our Anchorage office.

Under the general direction of the Medicaid Provider Section Manager, this position is responsible for effectively implementing the Alaska Medicaid program goals and objectives as they relate to both Alaska Behavioral Health Providers, Autism Services Providers and out of State Residential Psychiatric Treatment Facilities.

This position will work closely with providers and Division and Departmental staff to ensure compliance with State and Federal laws and regulations which will include providing regulatory guidance, fair hearing representation, writing policy guidance and clarification.

This position will also work as the Division's lead Medicaid Program Integrity and Quality Assurance Reviewer working closely with the Departments Program Integrity office as well as the Medicaid Fraud Control Unit with the Atto rney General's office.

The ideal candidate will possess the following knowledge, skills, abilities, and experience (KSAEs). Please respond to each of the following items in your cover letter:

• Excellent knowledge of the regulatory process and how to read, interpret and apply regulations to business practices.
• Experience in Fair Hearing representation including writing position statements that include all pertinent state statutes and regulations as well as Federal Code of Federal Regulations, then presenting the Division's position before an Administrative Hearing Officer.
• Understanding of Medicaid Program Integrity and Quality Assurance practices and the ability to conduct both utilization reviews as well as clinical quality assurance reviews for Behavioral Health records.
• Ability to translate regulatory language to lay terms to assist both recipients of services as well as providers.
• Demonstrated ability to bui ld strong productive relationships with partners and coworkers.
• Ability to communicate complex behavioral health program information to higher management and to external interests, both orally and in writing.
• Excellent writing skills.

If you feel you embody these strengths, then we want to hear from you.

To view the general description and example duties for a

Medical Assistance Administrator III please go to the following link:
https://www.governmentjobs.com/careers/Alaska/classspecs

MINIMUM QUALIFICATIONS:

A Bachelor's degree or the equivalent from an accredited college in public health, health sciences, health education, nursing, medical social work, health services administration, public administration, business administration or a closely related field.
AND EITHER
1. One year of exp erience equivalent to a Medical Assistance Administrator II with the State of Alaska;
OR
2. One year leading/supervising on-site inspections and reviews of health care facilities and programs for compliance with licensing and certification requirements. This experience is equivalent to a Health Facility Surveyor II with the State of Alaska;
OR
3. One year of experience managing a health care program which includes Medicaid or medical assistance elements at a level comparable to Health Program Manager II with the State of Alaska.

Substitution: Additional technical/paraprofessional experience working with health care practices, services, delivery systems, terminology, financing, business practices and operations; or medical/public assistance program and eligibility requirements; or health care evaluation and processing may substitute for the education on a year-for-year basis.

Special Note:
Qualifying experience at eac h level in this series which would provide the needed knowledge of health care and medical assistance services, programs, delivery systems and/or business practices, terminology, operations, financing, etc. may be gained in a variety of situations under numerous working titles. Examples of such work experience would include any health care professional; health insurance claims processing supervisor or investigator; health educator, researcher or planner; and positions which determine and interpret health insurance policy coverage. Within the State of Alaska, job classes to consider would include Eligibility Technician II, Eligibility Quality Control Technician I, Public Assistance Analyst I, Health Program Associate, Health Program Manager I or Health and Social Services Planner I.

Some positions may require specialized training and background, such as a Registered Nurse.

ADDITIONAL REQUIRED INFORMATION:

< div>At time of application, applicant must attach the following items. (If unable to attach, please fax or e-mail the items to the contact listed below prior to the closing date of this recruitment).

NOTE: Omission of any required documentation listed below will result in an incomplete application and you will not receive further consideration.

• A copy of academic transcripts, to verify post-secondary education used to meet the minimum qualifications. Transcripts are required with each application. (Unofficial are okay, please ensure that the institution/URL name is listed on the transcripts).
• Cover Letter, addressing the KSAEs stated above.

Please provide the following at the time of an interview:

• Three (3) professional references with current daytime telephone numbers, two (2) of which must be of current or former supervisors.
• Two (2) of your most recent job performance evaluations, if available.
• Three (3) letters of recommendation, and
• A professional writing sample.

Please read the below information carefully. This applies to your application submission.

CLASSIFICATION STUDY
This position is currently undergoing review as a part of the Medical Assistance Administrator job class study and therefore both the title and the pay range assigned may be subject to change upon the completion of the study.

COVER LETTER
A cover letter is required. Please attach it as a separate document for this position. The cover letter should highlight your knowledge, skills, abilities, and experience as they pertain to the responsibilities listed in the job description above. Please attach the cover letter to your application before submitting it online or, if unable to attach to your application, fax it to the cont act number provided in the job posting, prior to the closing of this recruitment. The cover letter will be used to help determine which applicants will advance to the interview phase of the recruitment and selection process. Omission of any required documentation will result in an incomplete application and you will not receive further consideration.

EDUCATION
To verify education used to meet the required minimum qualifications, you must fill in the Education section of the application. When a degree has not been received, please indicate the number of units completed. When transcripts are required to verify educational credentials for this position the transcripts must be attached at the time of application. Omission of required documentation listed in the Minimum Qualifications will result in an incomplete application and you will not receive further consideration.

SPECIAL INSTRUCTIONS FOR FOREIGN EDUCATION
Education completed in foreign colleges or universities 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 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. Omission of any required documentation 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 name, y our job title, dates of employment, and whether full-or part-time. Applications will be reviewed to determine if the responses are supported and minimum qualifications are clearly met. Work experience needed to meet the minimum qualifications must be documented in the application. A resume will not be used to determine that minimum qualifications have been met for the position in which you are applying. If the application does not support minimum qualifications, the applicant may not advance to the interview and selection phase of the recruitment.

If you are 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 there are minimum qualifications that 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 is not an alternative to filling out the application in its entirety. Noting "see resume" 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.

RECRUITMENT SCOPE
This position is open to Alaska Residents only. Please check our residency definition to determine if you qualify.

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 t o 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 ALEXsys or any other database, you MUST use a Workplace Alaska online or hardcopy application to successfully apply. 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/howtoapply/

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 located at
https://www.governmentjobs.com/js_lostpswd.cfm?&topheader=alaska.

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 1-800-587-0430 or 465-4095 in Juneau or (907) 465-3412 (TTY) 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.

This individual position is EXEMPT from the hiring restrictions. Qualified applicants are encouraged to apply.

CONTACT INFORMATION:

WORKPLACE ALASKA APPLICATION QUESTIONS & ASSISTANCE
Questions regarding application submission or system operation errors sh ould be directed to the Workplace Alaska hotline at 1-800-587-0430 (toll free) or (907) 465-4095 if you are located in the Juneau area. Requests for information may also be emailed to recruitment.services@alaska.gov.

For applicant password assistance please visit: https://www.governmentjobs.com/js_lostpswd.cfm?&topheader=alaska

For specific information in reference to the position please contact the hiring manager at:

Name: Angela Asplund, Administrative Officer II
Phone: (907) 269-3633
Fax: (907) 269-3623
Email: Angela.Asplund@alaska.gov