ELIGIBILITY MANAGER

19

Maryland Health Benefit Exchange, Baltimore, MD

The main purpose of this position is to facilitate the eligibility determination process for Exchange services. The position determines client eligibility across multiple programs and quality assures evaluation of applications and determinations of eligibility.  The position also provides information and support to the eligibility appeals process.  The position serves as a subject matter expert providing leadership, consultation and technical assistance in the interpretation and application of federal and state laws and regulations regarding individual eligibility determinations and interfacing/overlapping areas within the Medicaid program.

Education:  A Bachelor’s degree from an accredited college or university in Public Health, Public Policy, Healthcare Management or related area.

Experience:  Seven years of experience in medical care, health insurance, or federal or State entitlement programs eligibility or appeals case management including four years of supervision.  Extensive knowledge of the Affordable Care Act and IRS, HHS and/or DOL regulations implementing the ACA.  Specific knowledge of Medicaid.

This is a manangement service position.

It is essential that you provide complete and accurate information on your application.  Please report all related education, experience, dates and hours of work.  For education obtained outside the U.S., a copy of the equivalent American education as determined by a foreign credential evaluation service must accompany the application.  All information concerning your qualifications must be submitted by the closing date.  We will not consider information submitted after this date.  Applicants certified to list will receive eligibility for a period of one (1) year.
Eligibility may be extended beyond one (1) year period.  For Recorded Job Information Call:  410-767-6018.

Online applications are highly recommended, however the paper application may be submitted to DHMH, Recruitment and Selection Division, 201 W. Preston St., Room 114-B, Baltimore, MD 21201.  The paper application must be received by 5 pm, close of business, on the closing date for the recruitment, no postmarks will be accepted.

Incorrect application forms will not be accepted.

Appropriate accommodations for individuals with disabilities are available upon request by calling: (410) 767-1251 or MD TTY Relay Service 1-800-735-2258.

STATE OF MARYLAND BENEFITS  

As an equal opportunity employer Maryland is committed to recruiting, retaining and promoting employees who are reflective of the State’s diversity.

If you need to submit additional information, the preferred method is to upload.  If unable to upload, please fax requested information only to 410-333-5689.