DIRECTOR, ELIGIBILITY POLICY & SPECIAL PROJECTS DIVISION

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MDH, Office of Eligibility Services, Baltimore, MD

The senior level position in the Medicaid program serves as a Director who will be responsible for the management of enrollment reconciliation which will require working in several Eligibility Systems such as CARES, Maryland Health Benefit Exchange and MD Think, etc. to ensure that the systems reconcile with MMIS which is our system of payment. This individual will also be responsible for identifying and providing team oversight for system enhancements in all systems to ensure the appropriate benefits are provided to applicants. In order to manage the process this position will provide direct oversight to the following units: Maryland Children's Health Insurance (MCHP) Policy Units which includes grant administration and oversight to 24 Local Health Departments, Medicaid Policy Unit which includes Training, Special Project Unit and Medicaid Eligibility Quality Control Division. In this capacity, the Director will develop, implement and manage staff on short and long-range plans for program operations. The mentioned divisions will also be responsible for audit findings, prevention and mitigation of legislative audits, federal reviews and audits of the local offices. The unit will achieve success through training, policy compliance, monitoring of data and reports for recipient eligibility determinations to ensure that eligibility determinations are accurate and comply with all Federal and State regulations and policies and maintain the integrity of Maryland's Medicaid Program.

Qualified candidates must possess a Bachelor's degree from an accredited college or university and at least six years of professional health or human services experience, 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 knowledge of the Federal Medicaid rules and regulations and deep knowledge of the work flows associated with MHC, CARES and MMIS to ensure applicants receive the benefits for which they are entitled. 

The qualified candidate must be highly organized and able to deliver timely products, as well as have advanced management skills.  The qualified candidate must have experience with interacting with MDH's State and Federal partners.

This is a Management Service position, and serves at the pleasure of the Appointing Authority.  A resume must accompany your application.

Applicants who meet the minimum (and selective) qualifications will be included in further evaluation. 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. Clearly indicate your college degree and major on your application, if applicable. For education obtained outside the U.S., any job offer will be contingent on the candidate providing an evaluation for equivalency by a foreign credential evaluation service prior to starting employment (and may be requested prior to interview). Complete applications must be submitted by the closing date. Information submitted after this date will not be added. Candidates may remain on the certified eligible list for a period of at least one year.

Online applications are highly recommended. However, if you are unable to apply online, the paper application may be submitted to MDH, 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 additional information is required, the preferred method is to upload.  If unable to upload, please fax requested information only to 410-333-5689.  Only additional materials that are required will be accepted for this recruitment. All additional information must be received by the closing date and time.

Resumes will not be accepted in lieu of a completed application.

For questions regarding this recruitment, please contact the MDH Recruitment and Selection Division at 410-767-1251. 

If you are having difficulty with your user account or have general questions about the online application system, please contact the MD Department of Budget and Management, Recruitment and Examination Division at 410-767-4850 or Application.Help@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.

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. 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.