Medicaid Program Specialist 4

Job Description

The recruitment period for this job posting has been extended. This individual position is exempt from the hiring freeze. Qualified applicants are encouraged to apply. Effective July 1, 2026, the wage for this position increased by 2.5%. The wage listed in this job posting reflects the increase. 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. This position is open to Alaskan residents only. Please check out the residency definition to determine if you qualify. This position is currently located in Anchorage. What you will be doing: In this supervisory position, you and your team ensure behavioral health claims and reimbursement align with program expectations and support high-quality care. Through billing and program guidance, claim analysis, provider reviews, and other quality assurance activities, you will help develop, implement, and administer Alaska Medicaid's behavioral health programs. You will also oversee fiscal agent activity, analyze federal and state regulations, apply national coding standards, and stay aware of clinical recommendations. Your knowledge of the behavioral health system, medical claims, and Medicaid policies informs how you apply your problem-solving, organization, and program skills. This is an opportunity to directly influence the alignment of behavioral health services with state and federal regulations, while driving continuous improvement in provider performance. If you're passionate about making a meaningful impact on Alaska's healthcare future, we would like to hear from you. Our mission, values, and culture: 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. Our division values: connection, collaboration, and community.

Benefits of joining our team: We are a small, dynamic team with opportunities to pursue your areas of interest and training to grow your skill set. We value employees with compassion, diversity, and integrity. This position is being recruited for in Anchorage and offers a hybrid telework environment. The working environment you can expect: The Anchorage regional office is located at 3601 C Street, Suite 878, Anchorage, AK 99503, which is conveniently located in Midtown Anchorage within walking distance of Cuddy Family Park, Loussac Library, and Natural Pantry. A hybrid work environment affords the opportunity for designated telework and in-office days.

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:

• Program Oversight: Knowledge of the principles and practices for monitoring, evaluating, and ensuring accountability for program performance and outcomes.
• Strategic Thinking: Formulates objectives and priorities and implements plans consistent with the long-term interests of the organization in a global environment. Capitalizes on opportunities and manages risks.
• Flexibility: Is open to change and new information; adapts behavior or work methods in response to new information, changing conditions, or unexpected obstacles; effectively deals with ambiguity and uncertainty.