Medicaid Program Specialist SURS Administrative Coordinator; PCN

Medicaid Program Specialist 2 – (SURS Administrative Coordinator (PCN 064062) in Anchorage, AK |  page has loaded.

Welcome to the Department of Health!

This position is open to Alaskan Residents only.

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

In this role, the SURS Administrative Coordinator provides a variety of professional-level administrative functions to support the Care Management Program (CMP) and Surveillance and Utilization Review (SURS) teams in the Quality Assurance Unit. You will be responsible for a variety of assignments that are analytical, coordinative, implementing, and assessing, and require knowledge and experience with Medicaid/Medical Assistance programs and services.

Additionally, the position provides a variety of professional services and assignments such as coordinating, planning, implementing, and assessing Medicaid activities, monitoring no-show activity, providing policy and procedure analysis, interpretation, or input, drafting policy and procedure or regulations, overseeing numerous fiscal agent activities, reviewing authorization and claims processing activities, and providing other professional services to administer and maintain Medicaid/Medical Assistance programs, to include conducting member reviews and generating notification materials for program placement in line with the Department policies and State and Federal regulations.

This position may respond to and provide research for a variety of tasks such as Fair hearing research, analyzing claim data, ensuring compliance with program requirements, and assisting with CMP and SURS processes.

The Quality Assurance unit is instrumental in ensuring that the integrity of the Medicaid Program is protected. The mission of the Division is to provide all eligible Alaskans with access to quality Medicaid services. The vision of the Division is to improve quality of health care for all Alaskans, attract excellent providers, and provide outstanding customer service. The contributions of the selected candidate ensure that the goals and vision of the Division are met by ensuring programs conform to federal and state rules and regulations.

The Quality Assurance Unit (QA) is a multi-faceted environment where we strive to create a balance between hard work, compassion, collaboration, and fun. We are a dynamic, diverse, high-performing team of highly dedicated, hardworking individuals committed to ensuring our vulnerable population’s health, well-being, and safety. All team members’ input is valued, and we are always looking to provide growth and learning opportunities for our team members.

The QA team operates on a hybrid work schedule with a mix of in-office and work from home days.

Our office is located midtown in the Calais Building, at 3201

C. Street. Ste. 202. The workspace is clean, bright, and features mountain views from the office suite. This position also features an assigned parking space for convenience.

• Self-Management: Sets well-defined and realistic personal goals; displays a high level of initiative, effort, and commitment towards completing assignments promptly; works with minimal supervision; is motivated to achieve; demonstrates responsible behavior.
• Writing: Recognizes or uses correct English grammar, punctuation, and spelling; communicates information (for example, facts, ideas, or messages) in a brief, clear, and organized manner; produces written information, which may include technical material, that is appropriate for the intended audience.
• Problem Solving: Identifies problems; determines accuracy and…