Audit and Review Analyst 4 (Medicaid Program Integrity Manager - PCN 064104)

Salary: $4,488.00 Biweekly
Location : Anchorage, AK
Job Type: Full Time
Job Number: 50007
Department: Health
Division: Finance & Management Services
Opening Date: 04/02/2025
Closing Date: 4/12/2025 5:00 PM Alaska
Division: Departmental Support Services
Position Open To: Alaska Residents Only
Bargaining Unit: Supervisory
Range: 25

Job Description
Join the Department of Health!

We're thrilled to welcome you!

We've made our application process more accessible than ever.
Please take a look at our job announcement below.

If you can see yourself in this role, apply now-your next opportunity awaits!
This position is open to Alaskan Residents only.

Please check out the to determine if you qualify.

What you will be doing:

This role is ideal for individuals with expertise in financial oversight, audit management, and Medicaid program integrity. In this position you will:

• Serve as Alaska's Medicaid Program Integrity Office manager, coordinating Medicaid audit and program integrity activities and ensuring compliance with state and federal regulations.
• Manage and oversee Medicaid quality assurance and audit activities for the Department of Health, including management of provider overpayment recovery, sanctions, and self-audit programs.
• Supervise and direct audit staff and oversee audit programs, including recovery audits and federally required audits, such as PERM, ARRA, and HITECH audits.
• Act as the primary liaison with other agencies on audit-related matters, coordinating closely with the Department of Law's Medicaid Fraud Control Unit, federal oversight agencies, and CMS Medicaid Integrity Contractors.
• Lead agency communications, presenting audit findings, recommending corrective actions, and ensuring departmental compliance with audit recommendations.

Our mission, values, and culture:
The Department of Health is committed to promoting the health, well-being, and self-sufficiency of Alaskans through accountability and excellence in program management. This position directly contributes to this mission by ensuring efficient use of resources, maintaining program integrity, and fostering public trust.

Benefits of joining our team:
Joining our team offers significant professional development opportunities, leadership experience in audit and financial oversight, and the chance to shape critical cross-departmental initiatives. We support flexible work schedules and telework opportunities and encourage a collaborative and supportive work environment.

The working environment you can expect:
This position is in the Frontier Building in midtown Anchorage, a secured office space with free parking. We offer a professional office environment with daily collaboration among dedicated colleagues and the option for a hybrid work schedule as appropriate. Occasional travel for audits, meetings, or training sessions may be required.

Who we are looking for:
We are interested in candidates who possess some or all of the following position-specific competencies:

• Compliance: Knowledge of procedures for assessing, evaluating, and monitoring programs or projects for compliance with 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).
• Decision Making: Makes sound, well-informed, and objective decisions; perceives the impact and implications of decisions; commits to action, even in uncertain situations, to accomplish organizational goals; causes change.

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 4": https://www.governmentjobs.com/careers/Alaska/classspecs.
Minimum Qualifications
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 DescriptionThe 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:

• Auditing: Knowledge of generally accepted auditing standards and procedures for conducting financial and compliance, economy and efficiency, and program audits.
• Financial Systems: Knowledge of the standards, architecture, and specifications of automated financial systems, including source documents, system flows, system interfaces, and related internal controls.
• Organizational Awareness: Knows the organization's mission and functions, and how its social, political, and technological systems work and operates effectively within them; this includes the programs, policies, procedures, rules, and regulations of the organization.
• Leadership: Influences, motivates, and challenges others; adapts leadership styles to a variety of situations.
• Manages Human Resources: Plans, distributes, and monitors work assignments; evaluates work performance and provides feedback to others on their performance.

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

Progressively responsible professional experience performing the full range of audit functions that includes examination of agency operations and internal, management, fiscal and accounting controls, and serving as an auditor-in-charge, leading a team of lower-level auditors performing full scope 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.

"Professional experience" means work that is creative, analytical, evaluative, and interpretive; requires a range and depth of specialized knowledge of the profession's principles, concepts, theories, and practices; and is performed with the power or right to decide or act according to one's own judgment.

"Progressively responsible" means indicating growth and/or advancement in complexity, difficulty, or level of responsibility.
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.

Current performance evaluation, if available.

A copy of academic transcripts (unofficial are 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 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 hardcopy application. If you accessed this recruitment bulletin through a job search portal such as AlaskaJobs or any other database, you MUST use a Workplace Alaska online or hardcopy 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:

NOTICE
Questions 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 your email address is correct on your application and that the spam filter will permit email from the 'govermentjobs.com' domains. For information on allowing emails from the 'governmentjobs.com' domains, visit the Lost Password Help page at

EEO STATEMENT
The State of Alaska complies with Title I of the Americans with Disabilities Act (ADA). Individuals with disabilities who require accommodation, auxiliary aides 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 & ASSISTANCE
Questions 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.

For applicant password assistance, please visit
Contact Information
For specific information about the position, feel free to contact the hiring manager at:

Name/Title: Betsy Wood / Associate Director, Office of Health Savings

Phone: 907-419-1869

Email: betsy.wood@alaska.gov
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 (Please note this video is specifically designed for new State Employees.)

Insurance Benefits

• Health insurance, which includes employer contributions toward medical/vision/dental
  • The following employee groups are under AlaskaCare Benefits administered by the State: See for additional information.
    • 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

See for additional information

Paid Leave & Other Benefits

• Personal leave with an accrual rate increase based on time served
• Twelve (12) paid holidays a year

01

I acknowledge and understand that the education and/or experience used to meet the minimum competencies for this position must be adequately documented in this application to be considered.

• Yes
• No

02

Please rate your level of proficiency in Auditing:Knowledge of generally accepted auditing standards and procedures for conducting financial and compliance, economy and efficiency, and program audits.

• 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.

03

Please rate your level of proficiency in Financial Systems:Knowledge of the standards, architecture, and specifications of automated financial systems, including source documents, system flows, system interfaces, and related internal controls.

• 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 Organizational Awareness:Knows the organization's mission and functions, and how its social, political, and technological systems work and operates effectively within them; this includes the programs, policies, procedures, rules, and regulations of the organization.

• 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 Leadership:Influences, motivates, and challenges others; adapts leadership styles to a variety of situations.

• 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 Manages Human Resources:Plans, distributes, and monitors work assignments; evaluates work performance and provides feedback to others on their performance.

• 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 Compliance:Knowledge of procedures for assessing, evaluating, and monitoring programs or projects for compliance with Federal laws, regulations, and guidance.

• 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.

08

Please rate your level of proficiency in Audit Reporting:Knowledge of the principles, practices, and techniques used to report audit findings (criteria, condition, cause, effect, and recommendation).

• 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.

09

Please rate your level of proficiency in Decision Making:Makes sound, well-informed, and objective decisions; perceives the impact and implications of decisions; commits to action, even in uncertain situations, to accomplish organizational goals; causes change.)

• 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.

Required Question