SURVEILLANCE SUPERVISOR jobs in Alaska

SURVEILLANCE SUPERVISOR implements policies and procedures for the surveillance department. Ensures compliance with gaming requirements set by state gaming authority and local law enforcement. Being a SURVEILLANCE SUPERVISOR supervises and evaluates surveillance employees. Safeguards the assets of the organization. Additionally, SURVEILLANCE SUPERVISOR reports improper activity or disturbances to security team for further investigation. May require an associate degree or its equivalent. Typically reports to a manager. The SURVEILLANCE SUPERVISOR supervises a small group of para-professional staff in an organization characterized by highly transactional or repetitive processes. Contributes to the development of processes and procedures. Thorough knowledge of functional area under supervision. To be a SURVEILLANCE SUPERVISOR typically requires 3 years experience in the related area as an individual contributor. (Copyright 2024 Salary.com)

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Medicaid Program Specialist 4 (Surveillance and Utilization Review Supervisor, PCN 064034)
  • State of Alaska
  • Anchorage, AK FULL_TIME
  • Job Description

    This position is open to Alaska Residents only. 
    Please check our residency definition to determine if you qualify.



    What you will be doing: 
    As the Surveillance and Utilization Review Supervisor within the Quality Assurance section, you will be responsible for leading a team of professionals in support of Alaska's fraud, waste, and abuse efforts for the Medicaid Program. This will include leading provider investigations, reviewing medical records, analyzing data, pursuing overpayments, following up on tips/leads generated from data analysis, explaining medical benefits responses, and caring for the fraud and abuse hotline. Additionally, this position leads the patient-facing initiatives to care for vulnerable Alaskans, overseeing the Care Management Program and the Alaska Medicaid Coordinated Care Initiative.
     
    Our organization, mission, and culture: 
    The Quality Assurance unit is instrumental in protecting the integrity of the Medicaid Program. By monitoring compliance with State and Federal health care regulations, this role directly helps safeguard Alaska's member and provider communities. The business processes and contracts overseen by this unit are central to supporting the Division's mission to provide oversight of Medicaid services for eligible Alaskans.
     
    Benefits of joining our team:
    The Quality Assurance team provides many opportunities for professional growth and development. The QA team provides frequent opportunities to interface with Division leadership from around the Department of Health in support of investigations and special projects. This role also plays a critical role with external law enforcement and Federal oversight entities. The QA team operates on a hybrid work schedule, combining in-office and work-from-home days.
     
    The working environment you can expect: 
    Our newly renovated office space is in the heart of Anchorage, close to many amenities, such as shopping, parks, and dining. The workspace is clean and bright and features mountain views from the office suite. This position also features an assigned parking space for convenience.
     
    Who we are looking for:
     
    To be successful in this position, you will need the following competencies:
    • Decision Maker: 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.
    • Reading: Understands and interprets written material, including technical material, rules, regulations, instructions, reports, charts, graphs, or tables; applies what is learned from written material to specific situations.
    • Integrity/Honesty: Contributes to maintaining the integrity of the organization; displays high standards of ethical conduct and understands the impact of violating these standards on an organization, self, and others; is trustworthy.
    • Oral and Written Communication: Expresses information (for example, ideas or facts) to individuals or groups effectively, considering the audience and nature of the information (for example, technical, sensitive, controversial); makes clear and convincing oral and written presentations; listens to others, attends to nonverbal cues, and responds appropriately.
    • Team Building: Inspires and fosters team commitment, spirit, pride, and trust. Facilitates cooperation and motivates team members to accomplish group goals.
     Special Notice:
    • Preferred knowledge of Medicaid/Medical Assistance terminology, programs, policies and procedures, and rules and regulations at the state and federal levels.
    • Preferred knowledge of health care services, health care claiming, and delivery systems. 
    A cover letter IS required for this position. Your complete application, including supplemental questions, will be used to determine which applicants will advance to the interview phase of the recruitment and selection process. 

    To view the general description and example of duties for this job class, please go to the following link and search for Medicaid Program Specialist 4: https://www.governmentjobs.com/careers/Alaska/classspecs.

    Minimum Qualifications

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

    • Analytical Thinking/Problem Solving: Uses a logical, systematic, and 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. 
    • 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. 
    • 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.  
    • Technical Expertise: Effectively applies technical knowledge to solve a range of problems; develops technical solutions to new or highly complex problems that cannot be solved using existing methods or approaches; is sought out as an expert to provide advice or solutions in the technical area. 
    • Written Communication: Writes in a clear, concise, organized, and convincing manner for the intended audience. 

    equivalent to those typically gained by:

    Progressively responsible professional experience such as supporting the administration of a Medicaid or Medicare program, health insurance service, health insurance management information system, health insurance finance or accounting program, Supplemental Security Income benefits or vocational rehabilitation program; auditing or monitoring medical or public assistance programs for fraud or quality assurance; designing, developing, testing for quality assurance, and implementing an information system and/or training or education which includes such course work 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.

     

    “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.

     

    “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, 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. 

     

    “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 application, please submit the following: 

    1.  Cover letter.
    At the time of the interview, please provide the following: 
    1. Last two (2) performance evaluations.
    2. Three (3) professional references we may contact by phone, one (1) of which must be a current or former supervisor, if not already provided in the application.
    3. 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.
    COVER LETTER 
    A cover letter is required.  Applicants are required to include a cover letter for this position. The cover letter should be written in a professional business format. It should highlight your experience and education as it pertains to the competencies outlined in the "Who we are looking for" section of the posting. Your cover letter will be used as a writing example. Applicants are advised to pay attention to spelling, punctuation, and grammar.

    Please attach the cover letter as a separate document to your application before applying online. If unable to attach to your application, email or fax the cover letter to the contact number provided in the job posting before the closing date of this recruitment.  Your cover letter will be used to determine which applicants will advance to the interview phase of the recruitment and selection process. The omission of any required documentation will result in an incomplete application, and you will not receive further consideration.

    SUPPLEMENTAL QUESTIONS
    For your application to be evaluated, you must answer the Supplemental Questions.  Be specific in your answers and describe how you acquired the relevant experience. Please use complete sentences and proofread your submissions when answering the supplemental questions. Your responses will be considered a writing sample and used to determine which applicants will advance to the interview phase of the recruitment process.
     
    EDUCATION
    To verify education is being used to meet and/or support the required minimum qualifications/competencies, you must fill out 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 already documented in your application, please provide the employer's name, your job title, employment dates, and whether you were working 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: http://doa.alaska.gov/dop/workplace/help/
     
    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 https://www.governmentjobs.com/OnlineApplication/User/ResetPassword.
     
    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 recruitment.services@alaska.gov.
     
    For applicant password assistance, please visithttps://www.governmentjobs.com/OnlineApplication/User/ResetPassword.  

    Contact Information

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

    Name/Title: Tracey Marshall, Quality Assurance Manager
    Phone: 907-310-5090
    Email: tracey.marshall@alaska.gov
  • 12 Days Ago

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Surveillance Investigator
  • Allied Universal
  • Anchorage, AK FULL_TIME
  • Allied Universal® Compliance and Investigations, North America’s leading expert insurance claim investigations, compliance and corporate governance company, provides rewarding careers that give you a ...
  • Just Posted

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Supervisor
  • BAC Transportation LLC
  • Anchorage, AK FULL_TIME
  • The Supervisor reports to the Department Manager. The Supervisor assists the Department Manager with administrative duties around daily operations of the department which can include, training, custom...
  • 25 Days Ago

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Maintenance Supervisor
  • Mayroad
  • Eielson AFB, AK FULL_TIME
  • Summary/Objective Supervises a team of maintenance technicians in diagnosing, repairing, and maintaining the physical condition and appearance of residential properties and other Mayroad assets (pool,...
  • 18 Days Ago

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Maintenance Supervisor
  • Mayroad
  • Force, AK FULL_TIME
  • Summary/ObjectiveSupervises a team of maintenance technicians in diagnosing, repairing, and maintaining the physical condition and appearance of residential properties and other Mayroad assets (pool, ...
  • 18 Days Ago

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Recreation Supervisor
  • Alaska Job Corps
  • Palmer, AK FULL_TIME
  • Job Summary:We are seeking a highly motivated and experienced Recreation Supervisor to join our team. As the Recreation Manager, you will be responsible for overseeing all recreational activities and ...
  • 22 Days Ago

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Juvenile Supervision Officer/Detention Officer
  • Hidalgo County, TX
  • Edinburg, TX
  • Salary: $38,462.00 Annually Location : Edinburg, TX Job Type: Regular Full-Time Job Number: 2024-02224 Department: JUVEN...
  • 4/26/2024 12:00:00 AM

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Surveillance Operator- Grave Shift
  • Santa Ana Star Casino
  • Bernalillo, NM
  • Job Summary: Under direct supervision of the Surveillance Supervisor, the Surveillance Operator identifies, records and ...
  • 4/25/2024 12:00:00 AM

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Supervisory Roles (Program Coordinator / Team Leader) All Counties
  • Helen Ross McNabb Center
  • Knoxville, TN
  • Supervisory Roles (Program Coordinator / Team Leader) All Counties We've been waiting for someonelike you! With a wide r...
  • 4/25/2024 12:00:00 AM

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Juvenile Supervision Officer
  • Collin County
  • McKinney, TX
  • This position works a unique schedule of 12-hour shifts that provides 3 to 4 days off in a row every week. Starting at $...
  • 4/23/2024 12:00:00 AM

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Supervising Agent
  • Waggoner Holdings
  • Nashville, TN
  • Job Description Job Description We are hiring for a leader to add to our organization who has passion and purpose. We’ve...
  • 4/23/2024 12:00:00 AM

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Maintenance Supervisor- Overlook at Brook Run
  • Peak Living
  • Richmond, VA
  • Peak Living is currently seeking a qualified Maintenance Supervisor to join our team!At Peak Living, our employees love ...
  • 4/23/2024 12:00:00 AM

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Juvenile Supervision Officer
  • Midland County, TX
  • Midland, TX
  • Salary : $44,294.76 Annually Location : Midland, TX Job Type: Full-Time Job Number: 2019-00273 Department: Juvenile Dete...
  • 4/22/2024 12:00:00 AM

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Surveillance Operator- Part Time
  • Boomtown Casino Biloxi
  • Biloxi, MS
  • WERE CHANGING ENTERTAINMENT. COME JOIN US.: Were always looking for talent that believes in having fun. At PENN Entertai...
  • 4/22/2024 12:00:00 AM

Alaska is the northernmost and westernmost state in the United States and has the most easterly longitude in the United States because the Aleutian Islands extend into the Eastern Hemisphere. Alaska is the only non-contiguous U.S. state on continental North America; about 500 miles (800 km) of British Columbia (Canada) separates Alaska from Washington. It is technically part of the continental U.S., but is sometimes not included in colloquial use; Alaska is not part of the contiguous U.S., often called "the Lower 48". The capital city, Juneau, is situated on the mainland of the North American ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for SURVEILLANCE SUPERVISOR jobs
$54,448 to $65,889

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