Audit and Review Analyst ; PCN

Audit and Review Analyst 1/2 (PCN 060259) in Anchorage, AK

We’d be delighted to have you join our team.

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.

We’d be delighted to have you join our team.

• Aims to ensure fiscally responsible access to health care to 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.

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, and encouraging smart & fair development of health care services & facilities.

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

• be part of a supportive, professional team
• enjoy both independent and collaborative work
• and positively impact health care delivery in Alaska

The position offers opportunities to work on projects that

• foster continuous professional development
• build skills within the Medicaid Program
• flex your clear communication and technical writing skills

Team members currently enjoy a hybrid work schedule, the option of Alternate Work Week (AWW) agreements, and a generous benefit package.

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) along with the option of Alternate Work Week (AWW) agreements.

• 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.

Competency-Based Minimum Qualifications Instructions. This job class uses competency-based minimum qualifications. Please ensure your application supports how you have gained the knowledge, skills, abilities, and behaviors (competencies) and that you possess the minimum required competencies for the job class.

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,…