State of Alaska

The State of Alaska, otherwise known as "The Last Frontier," operates various government departments and agencies out of its capital of Juneau, Alaska. Alaska w

Medicaid Program Associate

Location

Alaska

Posted

11 days ago

Salary

0

Seniority

Senior

No structured requirement data.

Job Description

Medicaid Program Associate

State of Alaska

Title: Medicaid Program Associate - PCN 064064 Location: Anchorage United States Anchorage Hybrid Job Type Full Time Job Number 53861 Department Health Job Description: 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. What You Will Be Doing: As the Medicaid Program Associate, you will play a key role in ensuring Medicaid uses the right funding sources by keeping third-party insurance information accurate and up to date. You will solve interesting coverage and claims puzzles by researching insurance details, analyzing data, and resolving issues that impact beneficiaries and providers. You will work closely with staff, contractors, and major insurance carriers to coordinate benefits and keep the Medicaid program running smoothly. You'll be responsible for reviewing and investigating complex claims to determine correct payment decisions, protecting Medicaid resources, and playing an active role in protecting Medicaid resources by assisting the TPL Recovery team with accurate, high-impact data entry work. Mission and Values/Culture: The division is focused on ensuring Medicaid remains the payer of last resort by accurately identifying, coordinating, and recovering from all available third-party resources. Its mission emphasizes program integrity, fiscal responsibility, and compliance with state and federal requirements to safeguard Medicaid funds. This position directly supports that mission by maintaining accurate TPL data, resolving complex insurance issues, and ensuring all liable parties are billed before Medicaid pay. Benefits of Joining Our Team: Joining our team offers opportunities for professional growth through hands-on experience with Medicaid policy, third-party liability coordination, and cross-division collaboration. We support career development with training, knowledge-building, and exposure to complex program processes. Flexible scheduling and potential telework options help staff maintain a healthy work-life balance. Our work is meaningful because it protects program integrity, ensures Medicaid dollars are spent responsibly, and directly supports vulnerable Alaskans who rely on essential health services. By contributing to this team, employees make a real impact on their community and the sustainability of the Medicaid program. The Working Environment You Can Expect: This position is based in a professional office setting in Anchorage, with work that is primarily computer-based and focused on reviewing, researching, and coordinating third-party liability information. The team operates in a hybrid schedule with regular telework and one in-office day per week, creating a flexible, collaborative, and detail-oriented work environment with minimal travel expected. 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: - Technical Credibility - Understands and appropriately applies principles, procedures, requirements, regulations, and policies related to specialized expertise. - Attention to Detail - Is thorough when performing work and conscientious about attending 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. Minimum Qualifications 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: Any combination of education and/or experience that provides the applicant with competencies in - Customer Service: Anticipates and meets the needs of both internal and external customers. Delivers high-quality products and services; is committed to continuous improvement. - 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. equivalent to those typically gained by: Experience applying program requirements and working with individuals in stressful situations and/or training or education, which includes such coursework as business administration, computer sciences, economics, healthcare, legal studies, medical billing or coding, public health, public assistance, psychology. Special Note: "Competencies" means a combination of interrelated knowledge, skills, abilities, and behaviors that enable a person to act effectively in a job or situation. "Training" and "education" in this guidance are synonyms for the process of acquiring knowledge and skills through instruction. It includes instruction through formal and informal methods (such as classroom, online, 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. "Typically gained by" means the prevalent, usual method of gaining the competencies expected for entry into the job. Additional Required Information 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. - Two (2) most current performance evaluations, if available. - 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. 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. 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 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. APPLICATION NOTICE You 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 Careers with the State of Alaska offer MANY benefits The following information describes typical benefits available to employees of the State of Alaska. Actual benefits received may differ by bargaining unit or branch of government, position type, or be prorated for other than full time work. For a quick breakdown of the insurance, health, and retirement benefits available for State Employees you can view an orientation video from Division of Retirement and Benefits. (Please note this video is specifically designed for new State Employees.) Insurance Benefits - Health insurance, which includes employer contributions toward medical/vision/dental - AVTEC - Confidential - Correctional Officers - Marine Engineers - Mt. Edgecumbe Teachers - Supervisory - Unlicensed Vessel Personnel/Inland Boatman's Union - Exempt employees (not covered by collective bargaining) - The following employee groups are covered by Union health trusts. Contact the appropriate Union for additional information. - General Government - Labor, Trades and Crafts - Public Safety Employees Association - Masters, Mates & Pilots - Employer paid Basic Life insurance with additional coverage available (amount depends on Bargaining Unit) Optional Insurance Benefits - Group-based insurance premiums for - Term life (employee, spouse or qualified same sex partner, and dependents) - Long-term and short-term disability - Accidental Death and Dismemberment - Long-term care (self and eligible family members) - Supplemental Survivor Benefits - Employee-funded flexible spending accounts for tax savings on eligible health care or dependent care expenses Retirement Benefits - Membership in the Public Employees Retirement System (PERS)/Teachers' Retirement System (TRS) - Matching employer contribution into a defined contribution program (new employees) - Employer contribution into a defined benefit or defined contribution program (current employees) - Contributions to the Alaska Supplemental Annuity Plan in lieu of contributions to Social Security - Option to enroll in the Alaska Deferred Compensation Program - Note: The Defined Contribution Plan, Supplemental Annuity Plan and Deferred Compensation Program offer a variety of investment options - Mastery: Able to successfully apply all relevant concepts, procedures, and practices of the subject area. I have successfully performed all relevant concepts, procedures, and practices and facilitate knowledge transfer to others. - Fluency: Able to successfully apply all relevant concepts, procedures, and practices of the subject area. I have successfully performed the concepts, procedures, and practices independently. - Literacy: Ability to communicate all relevant concepts, procedures, and practices of the subject area. I have limited application or practice. - Discovery: Awareness of basic/fundamental concepts, procedures, and practices of the subject area. - None of the above. 04 Please rate your level of proficiency in Written Communication: Writes in a clear, concise, organized, and convincing manner for the intended audience. - Mastery: Able to successfully apply all relevant concepts, procedures, and practices of the subject area. I have successfully performed all relevant concepts, procedures, and practices and facilitate knowledge transfer to others. - Fluency: Able to successfully apply all relevant concepts, procedures, and practices of the subject area. I have successfully performed the concepts, procedures, and practices independently. - Literacy: Ability to communicate all relevant concepts, procedures, and practices of the subject area. I have limited application or practice. - Discovery: Awareness of basic/fundamental concepts, procedures, and practices of the subject area. - None of the above. 05 Please rate your level of proficiency in Technical Credibility: Understands and appropriately applies principles, procedures, requirements, regulations, and policies related to specialized expertise. This competency is essential because the position requires deep knowledge of Medicaid policies, Third Party Liability processes, and multiple eligibility and claims systems (EIS, ARIES, MMIS/AHE). Accurate coordination and verification of insurance resources depend on understanding complex program rules and system functions. - Mastery: Able to successfully apply all relevant concepts, procedures, and practices of the subject area. I have successfully performed all relevant concepts, procedures, and practices and facilitate knowledge transfer to others. - Fluency: Able to successfully apply all relevant concepts, procedures, and practices of the subject area. I have successfully performed the concepts, procedures, and practices independently. - Literacy: Ability to communicate all relevant concepts, procedures, and practices of the subject area. I have limited application or practice. - Discovery: Awareness of basic/fundamental concepts, procedures, and practices of the subject area. - None of the above. 06 Please rate your level of proficiency in Attention to Detail: Is thorough when performing work and conscientious about attending to detail. Attention to detail is critical because even small inaccuracies in TPL information can lead to improper payments, claim denials, or loss of recoverable funds. The role requires careful review of insurance data, claims, and documentation to ensure Medicaid remains the payer of last resort. - Mastery: Able to successfully apply all relevant concepts, procedures, and practices of the subject area. I have successfully performed all relevant concepts, procedures, and practices and facilitate knowledge transfer to others. - Fluency: Able to successfully apply all relevant concepts, procedures, and practices of the subject area. I have successfully performed the concepts, procedures, and practices independently. - Literacy: Ability to communicate all relevant concepts, procedures, and practices of the subject area. I have limited application or practice. - Discovery: Awareness of basic/fundamental concepts, procedures, and practices of the subject area. - None of the above. 07 Please rate your level of proficiency in 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. This competency is important because the position must investigate discrepancies, resolve complex TPL and claims issues, and make informed decisions based on multiple data sources. Strong analytical skills enable the employee to interpret information, identify errors or inconsistencies, and take the correct action to protect program integrity. - Mastery: Able to successfully apply all relevant concepts, procedures, and practices of the subject area. I have successfully performed all relevant concepts, procedures, and practices and facilitate knowledge transfer to others. - Fluency: Able to successfully apply all relevant concepts, procedures, and practices of the subject area. I have successfully performed the concepts, procedures, and practices independently. - Literacy: Ability to communicate all relevant concepts, procedures, and practices of the subject area. I have limited application or practice. - Discovery: Awareness of basic/fundamental concepts, procedures, and practices of the subject area. - None of the above.

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Responsible AI Senior Consultant

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Consultant11 days ago

Title: Responsible AI Senior Consultant (Remote) Location: Saint Paul United States Full time Job Description: - Securian Financial Groups internal position title is Risk Management Senior Consultant. Position Summary: The Responsible AI Sr Consultant is a key member of Securian Financial's Artificial Intelligence Center of Excellence (AI CoE), specifically within the AI Technology & Platform Strategy team. This team serves as the enterprise's internal experts on how to apply and deliver AI at scale turning strategy into enablement, consultation, and delivery support across the business. AI has the potential to transform the value we provide our customers, clients, and channel partners, but it also introduces unique risks: including bias and discrimination, privacy and information leakage, security vulnerabilities, third-party and vendor risk, model drift, and sustainability concerns. 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Admissions Advisor

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Consultant11 days ago

Position: Admissions Advisor Location: United States Job Description: Reports to: Manager, Institutional Relations Department: Institutional Relations Location: Remote- Ohio, Connecticut, New Jersey, and Pennsylvania Who we are: CIEE is a nonprofit study abroad and intercultural exchange organization that transforms lives and builds bridges between individuals and nations through study abroad and international exchange experiences that help people develop skills for living in a globally interdependent and multi-cultural world. Why work with us: - You will change the world. CIEE builds bridges between people, countries, and cultures. We help young people participate in high-quality international exchange and study abroad programs that bring the world together. We change lives; our alumni change the world. Be part of the change! - You will receive a competitive total rewards package. 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Wipfli Advisory LLC logo

Consultant III - Intacct

Wipfli Advisory LLC

Wipfli is an equal opportunity/affirmative action employer. All candidates will receive consideration for employment without regards to race, creed, color, religion, national origin, sex, age, marital status, sexual orientation, gender identity, veteran status, disability, or any other characteristics protected by federal, state, or local laws. Wipfli is committed to providing reasonable accommodations for people with disabilities. If you require a reasonable accommodation to complete an application, interview, or participate in our recruiting process, please send us an email at hr@wipfli.com. "Wipfli" is the brand name under which Wipfli LLP and Wipfli Advisory LLC and its respective subsidiary entities provide professional services.

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Save the Children US logo

Lead Advisor, Capital Campaigns

Save the Children US

We give children a healthy start in life, the opportunity to learn and protection from harm in the US & around the world

Consultant11 days ago
Full TimeHybridTeam 1,001-5,000Since 1932H1B No Sponsor

Title: Lead Advisor, Capital Campaigns (P5 - limited term) Location: Hybrid - London, Washington DC, Fairfield, CT or Lexington, KY office locations Job Category: New Business Requisition Number: LEADA008186 Full-Time Hybrid Job Description: Save the Children For over 100 years, Save the Children has been fighting for the rights of children. The right to a healthy start in life. To have access to education. To be in a safe environment, protected from harm. We work in some of the world's hardest-to-reach places - over 100 countries, including the U.S. No matter what your role is, when you join Save the Children, you're creating positive, irreversible change for children, and the future we all share. The Role This is a 12 month opportunity with the possibility of extension to support the ongoing needs and duration of the campaign. As the Lead Advisor, Capital Campaigns, you'll be integral to our work in helping vulnerable children achieve a brighter future. You will serve as a strategic leader and subject matter expert responsible for the design, execution, and impact of Save the Children US' capital campaign. Additionally, you will adapt the campaign for strategic implementation across other priority Save the Children markets in partnership with global Members and Save the Children International (SCI), as well as facilitate key global donor partnerships across donor markets. You will drive the development of integrated fundraising strategies, anticipate internal and external challenges, and lead initiatives that shape the organization's long-term financial sustainability and mission delivery. With a focus on strategic development and measurable outcomes, you will partner closely with senior leadership, board members, and cross-functional teams to ensure campaign success. You must be an innovative thinker, possess strong business acumen, and have the ability to influence at the highest levels of the organization. Location Hybrid - London, Washington DC, Fairfield, CT or Lexington, KY office locations What You'll Be Doing (Essential Duties) - not inclusive of all role responsibilities. May be subject to change. Strategic Campaign Leadership (20%) - Work in partnership with Head, Individual Philanthropy, Save the Children US leadership and campaign consultant to develop a comprehensive, multi-year capital campaign strategy aligned with organizational priorities. - Develop campaign timelines, milestones, and performance metrics. - Anticipate donor, market, and regulatory trends to proactively refine campaign approaches. - Serve as the primary strategist and advisor to executive leadership and campaign committees and ensure alignment with broader fundraising and organizational strategies. Donor Pipeline & Stewardship (20%) - Together with the Marketing & Growth Division, build and manage a robust pipeline of major donors, foundations, and corporate partners. - Develop and implement stewardship strategies that enhance donor engagement and retention. - Oversee systems for tracking donor activity and campaign performance. - Ensure accurate and timely reporting on campaign performance. Stakeholder Engagement (20%) - Serve as lead staff for the Campaign Cabinet and support the Committee Chair in setting strategic direction and facilitating engagement. - Collaborate with senior executives, campaign staff, and consultants to advance campaign goals. - Communicate complex concepts and campaign progress to diverse audiences, including board members and external partners. - Coordinate cross-functional efforts with communications, finance, and program teams. Operational Oversight and Integration (20%) - Prepare monthly campaign progress reports and periodic updates, to include numerical analysis, for stakeholders. - Manage campaign budgets, reporting, and vendor relationships. - Ensure compliance with fundraising regulations and ethical standards. - Optimize internal systems and workflows to support campaign execution. - Ensure campaign strategy is integrated across Marketing & Growth, Office of the President, Finance, Programs, and Communications. - Align campaign goals with broader organizational objectives to maximize impact and resource efficiency. - Lead initiatives with significant complexity and visibility, contributing to long-term organizational growth. Global Integration (20%) - Be the primary contact point on the campaign between Save the Children International (SCI), Save the Children US and other Member markets. Advocate for the campaign across the movement and advise Members on incorporating the campaign into Member fundraising strategies. - Support pipeline development and donor strategies around the solicitation of six and seven figure gifts for the campaign in 3-4 key markets and ensure teams are confident pitching the campaign to donors and partners. - Support cross-member UHNWI campaign donor opportunities, such as multi-country donor strategies, program visits and board philanthropy. - Work closely with the SC Canada team to further develop their major donor strategy and program, leveraging the campaign to support their longer-term fundraising growth. Required qualifications for the role - Minimum of a bachelor's degree or equivalent experience, plus at least 10 years of progressive relevant experience in fundraising, with a strong track record in leading large-scale capital campaigns. - Proven ability to develop and execute complex strategies with broad organizational impact. - Strong business acumen and strategic thinking skills. - Expertise in fundraising CRM systems, data analysis, and performance metrics. - Exceptional communication and stakeholder engagement skills, with the ability to influence senior executives and external partners - Professional proficiency in MS Office suite - Professional proficiency in spoken and written English Preferred qualifications for the role - Advanced degree Compensation Save the Children is offering the following salary ranges for this position, dependent on candidate location: - Geo 1 - NY Metro, DC, and other locations with labor costs significantly above national average: Target Salary for this position is $143,650 - $160,550 base salary - Geo 2 - Locations around the US National Labor Cost Average: Target Salary for this position is $130,900 - $146,300 base salary - Geo 3 - Locations significantly below the US National Labor Cost Average: Target Salary for this position is $116,875 - $130,625 base salary The salary ranges listed above are for US based candidates. For candidates located outside of the US, salary ranges will be based on the salary scales of the local employer of record. Actual base salary may vary based on, but not limited to, relevant experience, base salary of internal peers, business sector, and geographic location (more information on job structure is available here). About Us We are looking to build an inclusive team at Save the Children. We offer a range of outstanding benefits to support this goal: - Flexible schedules and time off: Flexible schedules, generous PTO, 11 paid holidays plus 2 floating holidays and hybrid working opportunities - Health: Competitive health care, dental and vision coverage for you and your family - Family: A variety of paid leaves: caregiver, parental/adoption, critical child illness and fertility benefits - Employee Rewards Program: Annual merit increases and/or additional incentives for eligible employees - Retirement: A retirement savings plan with employer contributions (after one year) - Wellness: 15 safety and wellness days annually (if hired on or after July 1, safety and wellness days prorated to 8 days), mental health benefits and support through Calm and company-hosted events - Employee Assistance Program: free and confidential assessments, short-term counseling, referrals, and follow-up services - Learning & Growth: Access to internal and external learning & development opportunities and mentorships

District Of Columbia + 3 moreAll locations: District Of Columbia | Connecticut | Kentucky | United Kingdom
$116.9K - $160.6K / year