DIRECTOR, ELIGIBILITY POLICY & SPECIAL PROJECTS DIVISION
PROGRAM MANAGER SENIOR I
|Department||DHMH Med Care Prgms - Ofc of Eligibility|
|Date Opened||3/10/2017 7:26:00 AM|
|Filing Deadline||3/24/2017 11:59:00 PM|
|Salary||$68,959.00 - $110,729.00/year|
|HR Analyst||Janet Esser|
LOCATION OF POSITION
DHMH, Office of Eligibility Services, Baltimore, MD
Main Purpose of Job
This is the senior level position in the Medicaid program that serves as a Director who will be responsible for the management of enrollment reconciliation (MAGI applicants) as they transition from the current CARES and PAC system in to the Maryland Health Exchange and to confirm that the systems reconcile with MMIS which is our system of payment. This person will also be responsible for identifying and managing system enhancements in all systems to ensure the appropriate benefits are provided to applicants. In order to manage the process and the staff this position will provide direct oversight to the following units: Medicaid and MCHP Policy Units, Training, Systems Interface, Special Projects Unit and Medicaid Eligibility Quality Control Division. These divisions will achieve success through training, policy review and interruption, monitoring, analysis and reporting of recipient eligibility determinations to ensure that eligibility determinations are accurate and in compliance with all Federal and State regulations and policies and maintain the integrity of Maryland's Medicaid eligibility process.
Qualified candidates must possess a Bachelor's degree from an accredited college or university and at least six years of professional experience, preferably in a health or human services environment, including three years at a supervisory/management level. The qualified applicant should have experience in implementing new programs, systems and system integration with the Medicaid Program. The candidate must have familiarity of the Federal Medicaid Integrity and Quality Control rules and with details of eligibility rules for multiple subprograms.
DESIRED OR PREFERRED QUALIFICATIONS
The qualified candidate should be able to navigate and query MMIS, MHC and CARES systems and design Customer Service Requests for ad hoc reports. The qualified candidate must be highly organized and able to deliver timely products, as well as have advanced management skills, and be capable of representing Maryland in calls, meetings and correspondence with federal oversight authorities.
This is a management service recruitment. A resume must accompany your application.
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 email@example.com.
Appropriate accommodations for individuals with disabilities are available upon request by calling: (410) 767-1251 or MD TTY Relay Service 1-800-735-2258.
As an equal opportunity employer, Maryland is committed to recruiting, retaining and promoting employees who are reflective of the State’s diversity.
People with disabilities and bilingual candidates are encouraged to apply.
We thank our Veterans for their service to our country.
The resulting certified eligible list for this recruitment may be used for similar positions in this or other State agencies.