What are the responsibilities and job description for the MEDICAL CARE PROGRAM SUPERVISOR (REPOST) position at State of Maryland - MDH Med Care Prgms - Ofc of Eligibility?
Introduction
GRADE
17
LOCATION OF POSITION
MDH - HC Beneficiary Enrollment & Call Center Division 201 W. Preston Street Baltimore, MD 21201
Main Purpose of Job
The main purpose of this position is to function as the Manager of the Beneficiary/Managed Care Services Section of the HealthChoice Beneficiary Enrollment & Call Center under the Office of Eligibility Services (OES). This Section comprises two units, the Beneficiary Relations Unit and the Managed Care Enrollment Unit. Duties include, but are not limited to planning, directing and coordinating the activities of the Beneficiary/Managed Care Services Section, supervising the management and support staff of each unit, handling special Medical Assistance Program enrollment, reimbursement and capitation problems and providing liaison services to the Medical Care Program Recipient population, their legal and advocacy representatives, and managed care organizations (MCOs). This position requires an in-depth knowledge of COMAR Regulations and the various Medical Assistance Programs.
MINIMUM QUALIFICATIONS
Experience:�Eight years of administrative or professional experience developing or applying policies and regulations in medical assistance, health insurance, federal or State entitlement programs.�One year of this experience must have been in a medical assistance program. Notes: 1. Candidates may substitute the possession of a Bachelor's degree from an accredited college or university and four years of administrative or professional experience developing or applying policies and regulations in medical�assistance, health insurance, federal or State entitlement�programs for the required experience.� One year of this experience must have been in a medical assistance program. 2. Candidates may substitute the possession of a Master’s degree from an accredited college or university in the related�field of work for the required experience. 3. Candidates may substitute U.S. Armed Forces military service experience as a commissioned officer in Operational�Analysis classifications or Health Services Management specialty codes in the health-related field of work on a year-for-year basis for the required experience.
DESIRED OR PREFERRED QUALIFICATIONS
The desired candidate should possess the following: Experience with the Maryland Medicaid Program and governing regulations. Experience providing corrective action plans based on data, training on policies and procedures, and reviewing plan progress.
LICENSES, REGISTRATIONS AND CERTIFICATIONS
Employees in this classification may be assigned duties which require the operation of a motor vehicle. Employees assigned such duties will be required to possess a motor vehicle operator’s license valid in the State of Maryland.
SELECTION PROCESS
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.� Incorrect application forms will not be accepted.�Resumes will not be accepted in lieu of a completed application. Candidates may remain on the�certified eligible list for a period of at least one year. The resulting certified eligible list for this recruitment may be used for similar positions in this or other State agencies.
BENEFITS
STATE OF MARYLAND BENEFITS
FURTHER INSTRUCTIONS
Online applications are highly recommended. However, if you are unable to apply online,�the paper application (and supplemental questionnaire) may be submitted to MDH, Recruitment and Selection Division, 201 W. Preston St., Room 114-B, Baltimore, MD 21201.�Paper application materials must be received by 5 pm, close of business, on the closing date for the recruitment, no postmarks will be accepted. If additional information is required, the preferred method is to upload.� If you are unable to upload, please fax the requested information�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. 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. We thank our Veterans for their service to our country. People with disabilities and bilingual candidates are encouraged to apply. As an equal opportunity employer, Maryland is committed to recruitment, retaining and promoting employees who are reflective of the State's diversity.
Salary : $64,984 - $84,702
