Eligibility Manager

21

Maryland Health Benefit Exchange, Baltimore, MD

This position serves as the Eligibility Manager. 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 with the Medicaid program. This position develops policies and procedures that ensure accurate and timely eligibility determination and enrollments. This position also provides policy support for MHBE training and consumer assistance. Requires a high level of expertise regarding eligibility rules at the federal and state level.

Bachelor’s degree and six years administrative or professional experience, including two years of management or supervisory experience. A master’s degree will substitute for one year of general experience.  Additional general experience will substitute year for year for the bachelor’s degree.   

A Juris Doctorate (JD) degree is preferred.

This is a management service position.

Applicants who meet the minimum qualifications will be evaluated.  The evaluation may be a rating of your application based on your education, training and experience as they relate to the requirements of the position.  Therefore, 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 STRONGLY preferred, 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.

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.

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 

The resulting certified eligible list for this recruitment may be used for similar positions in this or other State agencies.

We thank our Veterans for their service to our country, and encourage them to apply.

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