Medical Assistance Administrator IV (PCN 06-0480)
Location: An! chorage Alaska
Description: Workplace Alaska is currently seeking to employ Medical Assistance Administrator IV (PCN 06-0480) right now, this job will be placed in Alaska. More details about this job opportunity please read the description below. The Department of Health and Social Services is recruiting for a Medical Assistance Administrator IV.
The position will primarily serve as a lead business systems analyst and unit supervisor for the Division of Health Care Services Systems and Analysis Unit. The incumbent will coordinate, monitor, communicate, and test MMIS systems processing outcomes with the contractor and Department stakeholders.
The primary position responsibilities include coordination and conducting design analysis, syste! ms analysis and testing of changes to the Alaska Medicaid clai! ms processing system with particular emphasis in functional areas of service authorization, claims processing and payment. The position will supervise staff having responsibilities in these functional areas, and will conduct second level review of work performed by subordinate unit staff. The position will serve as a unit subject matter expert on health payer industry standards, and Medicaid billing and processing standards.
The position will be responsible for:
Performing Medicaid program analytical support to assure program standards are appropriately operating within the claims payment system.
Performing management and coordination duties on special projects.
Providing Medicaid lead business systems analyst services to assure timely and accurate implementations of Federal and State mandates, executive branch initiatives, and regulatory program actions.
Conducting design analysis, oversight and testing of Medical Assistance information proc! essing system development and maintenance activities.
Oversight of contractor activities involving system impacts.
Monitoring health payer industry standards and laws to identify impacts to Alaska Medicaid. The successful applicant must have demonstrated experience leading a team in conducting design analysis, system analysis and testing modifications for a claims processing system. The individual must have knowledge, skills, abilities and experience working both independently and interdependently to analyze design concepts and system modifications for thoroughness, accuracy and Medicaid compliance. The individual must demonstrate experience, skills and abilities in successful, positive collaboration with multi-functional areas to assess business needs and communicate technical design concepts.
The following demonstrated knowledge, skills, abilities and experience must be supported in your cover letter and application:
Expert knowledge in Alaska Medicai! d MMIS claims processing standards.
Detailed, comprehensive and tec! hnically-oriented skills in conducting review of system testing documents, audit trails, system output reports, and similar documents.
Expert knowledge in Alaska Medicaid provider billing and payment standards.
Strong working knowledge of health payer industry standards including HIPAA transaction sets.
Highly skilled in software applications including MS Word, Excel, Access, Outlook, Power Point, and decision support systems.
Excellent technical writing skills with demonstrated ability to effectively communicate highly technical concepts to non-technical business associates.
Verifiable effective communication skills presenting complex ideas or data, both verbally and in writing, in a clear, logical, precise and professional manner.
Skilled in project leadership/coordination.
Work history that demonstrates excellent skills and experience leading a team of analysts in defining business rules, conducting design analysis, and performing quality assu! rance review of design changes to a processing system.
Job history confirming excellent interpersonal, organizational, analytical, detail-oriented and teamwork-oriented skills, as well as the ability to maintain the confidentiality of information.
Work history that demonstrates, verifiable by references, the ability to take initiative and to find new ways to improve work tasks with limited supervision.
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 experience equivalent to a Medical Assistance Administrator III with the State of Alaska;
OR
2. One year of management level experience with responsibility for supervising and directing multiple, integrated health services programs w! hich include Medicaid or medical assistance elements. This is comparabl! e to Health Program Manager III 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 each 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 interp! ret 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:
At time of interview, applicant must submit:
1. A complete chronological job history/resume showing all previous employment and any breaks in employment. Include employer and supervisor contacts (names, addresses, phone numbers), dates of employment, job title, and brief job description.
2. A copy of academic transcripts, if using education to meet minimum qualifications.
3. A technical writing sample (cover letter may not be used as example).
4. A list of (3) three professional references, including daytime tel! ephone numbers and email addresses. At least one must be from a current! or former supervisor.
5. Copies of your (2) two most recent performance evaluations, if available. If unavailable, (2) two supervisory letters of reference may be substituted.
6. Documentation supporting Veteran’s Preference, if applicable.
Please read the below information carefully. This applies to your application submission.
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. If substituting technical/paraprofessional/professional experience to meet the minimum qualifications, the cover letter must describe the specific experience used for this substitution. Please attach the cover letter to your application before submitting it online or, if unable to attach to your application, fax it to the contact number provided in the job posting. The c! over letter will be used to help determine which applicants will advance to the interview phase of the recruitment and selection process .
EDUCATION
If post-secondary education is required to meet the minimum qualifications, 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 if used to meet the minimum qualifications for a position. Transcripts can be attached at the time of application or provided at the time of interview.
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.
WORK EXPERIENCE
If using work experience not already documented in your application, also provide the employer name, your 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. If they are not, the applicant may not advance to the interview and selection phase of the recruitment.
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.
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 Relati! ons at the address above. The State of Alaska is an equal opportunity e! mployer.
Contact Information:
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 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: Britt Pederson, Administrative Assistant II
Phone: (907) 334-2446
Fax: (907) 561-1684
Email: britt.pederson@alaska.gov
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If you were eligible to this job, please email us your resume, with salary requirements and a resume to Workplace Alaska.
If you interested on this job just cl! ick on the Apply button, you will be redirected to the official website
This job starts available on: Wed, 08 Jan 2014 01:56:06 GMT
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