Main Purpose of Job

This position is responsible for the supervision of a Medical Care Program Specialist, a Medical Care Program Associate-Lead Advanced, and an Administrative Officer involved in the Fair Hearings Process, State Audit Reviews and Responses, Corrective Action Plans, Reconciliation Reports, Quality Analysis to track data and trends to ensure program compliance and integrity for the Home and Community Based Services Waivers, (HCBS), Employed Individuals with Disabilities (EID), Institutions for Mental Diseases (IMD) and Women’s Breast and Cervical Cancer Health Program (WBCCHP).

The MCP Supervisor is responsible for interpreting, developing and applying eligibility regulations and policies, handling complex, high profile eligibility issues, inquiries and complaints.

This position will educate the staff within the Division to clarify or update them on any new policies and procedures. The MCP Supervisor will conduct case action reviews to ensure accurate and timely completion of the Fair Hearing process, such as analyzing current policies and procedures and recommending revised or new policies and procedures and serving as a liaison to other State, federal and local government and private agencies.

This position must establish and maintain effective working relationships with MDH internal partners including EDD Assistant Directors, Supervisors, Leads and case managers and external customers.

Additionally, the MCP Supervisor must exercise tact and discretion when interacting with internal and external customers verbally, in person or in writing including but not limited to Administrative Law Judges, constituents who are denied Medical Assistance or their advocates.

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 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 processing complex Medicaid eligibility applications
• Experience working with consumers and other stakeholders resolving concerns
• Experience with Home and Community Based Waivers, Long Term Care (LTC) Medicaid, and Earned Income Disallowance (EID) policies and regulations
• Experience preparing cases including preparing concise hearing summaries and presenting Appeals before an Administrative Law Judge
• Experience managing and training staff
• Experience with Long Term Service and Supports (LTSSMaryland), Eligibility & Enrollment (E&E), Medicaid Management Information System (MMIS)
• Ability to meet established deadlines
• Willingness to attend hearings in person and / or remotely throughout the State of Maryland

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 , 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

Last updated : 2024-05-05