Summary

This job involves reviewing financial data and billing reports to set fair payment rates for health care providers in Alaska's Medicaid program, ensuring people get affordable access to care.

You'll work with health organizations, join discussions to improve rate-setting methods, and use accounting skills to follow state and federal rules.

It's a great fit for someone detail-oriented who enjoys analyzing numbers, collaborating with teams, and making a real difference in public health.

Key Requirements

Experience analyzing financial data and billing reports to determine reimbursement rates
Knowledge of accounting principles and critical thinking skills for rate-setting
Familiarity with state and federal statutes and regulations related to Medicaid
Strong attention to detail and analytical problem-solving abilities
Excellent interpersonal and communication skills for interacting with health care organizations and stakeholders
Ability to adapt to a dynamic work environment with initiative and professionalism
Residency in Alaska (open to Alaskan residents only)

Full Job Description

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!

This position is open to Alaskan Residents only.

Please check out the residency definition to determine if you qualify.

This position will be filled at either the 1 or 2 level, depending on the applicant's qualifications and job experience.

What You Will Be Doing:

Your work aims to ensure fiscally responsible access to health care for Medicaid beneficiaries

Analyze and review financial data and billing reports to determine appropriate Medicaid rates for specific provider types, using national models and modeled methodologies.
Interact with health care organizations.
Establish Alaska Medicaid reimbursement rates, using accounting and critical thinking skills guided by state and federal statutes and regulations.

Participate in committee and stakeholder engagement sessions to help design and/or revise rate-setting methodologies of health care services.

Mission and Values/Culture:
The Office of Rate Review (ORR), within the Commissioner’s Office of the Alaska State Health Department, is a 17-person team that helps Alaskans access quality health care by

setting fair Medicaid rates
supporting health programs across Alaska
encouraging smart & fair development of health care services & facilities

Beyond technical abilities, ORR values Integrity, Professionalism, Transparency, Collaboration, and Innovation.

We seek an individual who identifies with our core values, demonstrates a high level of initiative, models strong interpersonal skills, and can adapt to a dynamic, changing work environment.

Benefits of Joining Our Team:
Join a supportive, professional team where you’ll enjoy both independent and collaborative work while making a positive impact on health care delivery in Alaska. This position offers opportunities for professional growth, skill-building within the Medicaid Program, and the chance to showcase your communication and technical writing skills—all with a hybrid schedule, optional Alternate Work Week agreements, and a generous benefits package.

The Working Environment You Can Expect:
This position is in the Frontier Building in midtown Anchorage, a secure office space with free covered parking. While we offer a professional office environment with daily collaboration among dedicated colleagues, we also offer a hybrid work schedule (minimum of one day in the office - ORR Team is in the office on Wednesdays). There is also the option of an Alternate Work Week (AWW) agreement.

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 attention to detail.
Analytical Thinking/Problem Solving: uses a logical, systematic, 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.
Self-Management: Sets well-defined and realistic personal goals; displays a high level of initiative, effort, and commitment towards completing assignments in a timely manner; works with minimal supervision; is motivated to achieve; demonstrates responsible behavior.

Special Notice:

A valid Driver's License is preferred at the time of appointment.

To view the general description and example of duties for this job class, please go to the following link and search for Audit and Review Analyst 1/2: 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.

Minimum Qualifications:

Audit and Review Analyst 1:

Any combination of education and/or experience that provides the applicant with competencies in:

Principles of Accounting: Knowledge of generally accepted accounting principles, standards, and practices (for example, double entry accounting, accrual accounting), including the full accounting cycle and the preparation of work sheets, financial statements, ledgers, and journals.
Financial Systems: Knowledge of the standards, architecture, and specifications of automated financial systems, including source documents, system flows, system interfaces, and related internal controls.3…
Analysis and Assessment: Uses information technology in accessing, collecting, analyzing, maintaining, and disseminating data and information.
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.
Written Communication: Writes in a clear, concise, organized, and convincing manner for the intended audience.

Audit and Review Analyst 2:

Any combination of education and/or experience that provides the applicant with competencies in:

Principles of Accounting: Knowledge of generally accepted accounting principles, standards, and practices (for example, double entry accounting, accrual accounting), including the full accounting cycle and the preparation of work sheets, financial statements, ledgers, and journals.
Auditing: Knowledge of generally accepted auditing standards and procedures for conducting financial and compliance, economy and efficiency, and program audits.
Analysis and Assessment: Uses information technology in accessing, collecting, analyzing, maintaining, and disseminating data and information.
Compliance: Knowledge of procedures for assessing, evaluating, and monitoring programs or projects for compliance with State and federal laws, regulations, and guidance.
Audit Reporting: Knowledge of the principles, practices, and techniques used to report audit findings (criteria, condition, cause, effect, and recommendation).

Equivalent to those typically gained by:

Certification as a Certified Public Accountant;

And/or

Post-secondary education in accounting, public administration, business administration or a closely related field that includes or is supplemented by 16 semester hours/24 quarter hours in accounting and 3 semester hours/4 quarter hours in auditing;

And/or

Professional experience performing independent audits of organizations to assure fiscal compliance with contractual or grant terms or performing less complex management analyses and/or operational audits.

Special Note:
“Training” and “education” 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.

Qualifications

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

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.
One (1) letter of recommendation OR one (1) copy of most recent performance evaluation.
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:

If chosen for the position, candidate is requested to provide a valid drivers license.

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.

FLEXIBLY STAFFED
This position is flexibly staffed. This vacancy may be filled at either the 1 or 2 levels, depending on the applicant's training and/or experience. The full range of salaries is listed above. Starting salary will be determined by the level of the position. If filled at a lower level, promotion to the higher level will only occur upon successful completion of the probationary period and the required training, provided the applicant meets the minimum qualifications of the higher job class and receives final approval from the supervisor.

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 VACANCIESThis 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 NOTICEYou 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/NOTICEQuestions 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 https://www.governmentjobs.com/OnlineApplication/User/ResetPassword.EEO STATEMENTThe 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 & ASSISTANCEQuestions 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 recruitment.services@alaska.govFor assistance with applying for a password, please visit https://www.governmentjobs.com/OnlineApplication/User/ResetPassword

Additional Information

For specific information about the position, feel free to contact the hiring manager at:

Name/Title: Christine Goetz

Phone: 907-334-2476

Email: christine.goetz@alaska.gov

✓ Fresh Listing

Audit and Review Analyst 1/2 (PCN060266)

Job Description

Summary

Key Requirements

Full Job Description

Requirements

Qualifications

Additional Information

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