MEDICAL CARE PROGRAM SPECIALIST II

15

DHMH, Office of Eligibility Services, Eligibility Policy Unit, Baltimore, MD

First Job Description: The main purpose of this position is to research, develop, review, revise, maintain, communicate, and implement Medical Assistance eligibility policies, procedures, forms, and leters. This position focuses on eligibility for home and community-based services waivers, Medicaid long-term, and other special populations.

Second Job Description: The main purpose of this position is to monitor the performance of the HealthChoice Enrollment Broker contractor consisting of a thirty-three (33) member call center, including two (2) Call Center Lead Workers while applying knowledge of Medicaid policies and regulations and contract requirements. This includes developing assessment tools, recommending corrective actions, reporting back to DHMH management orally  and in writing, and serving as liaison between the Enrollment Broker, the Managed Care Organization (MCOs), and DHMH."

Education: A Bachelor's degree from an accredited college or university.

Experience: Three years of administrative or professional experience developing or applying policies and regulations in medical assistance, health insurance, federal or State entitlement programs.

Note:

1.  Additional administrative or professional experience applying policies and regulations in medical assistance, health insurance, federal or State entitlement programs or in a health or human service program may be substituted on a year-for-year basis for the required education.

2.  A Master's degree in the related field of work can be substituted for the required experience.

3. Candidates may substitute U.S. Armed Forces military service experience as a commissioned officer in Operational Analyst classifications or Health Services Management specialty codes in the health related field of work on a year-for-year basis for the required experience and education.

The successful applicant should have training experience, especially in Medical Assistance eligibility processing and policy, as well as experience using  the Maryland Health Connection, Client Automated Resource Eligibility and Medicaid Management Information Systems (MHC, CARES & MMIS), and be able to utilize this knowledge to prepare training materials and conduct training sessions for various Medical Assistance program areas. Powerpoint skills and/or ability to use new technologies for preparing distance learning are desired.

Employees in this classification may be assigned duties which require the operation of a motor vehicle. Employees assigned such duties may be required to possess a motor vehicle operator's license valid in the State of Maryland.

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.

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.

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.

Should additional information regarding this recruitment be required, please contact the DHMH Recruitment and Selection Division at 410-767-1251 or via email at dhmh.jobs@maryland.gov. 

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

The incumbent in this position is a member of a covered bargaining unit and will be required to pay a bi-weekly service fee to the exclusive representative of the bargaining unit.

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.

Bilingual applicants are encouraged to apply.

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