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#19-004434-0001
Supplemental Questionnaire

Last Name
First Name

 

***Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit.***


1.

Describe your clerical experience applying policies in a medical care, health insurance or Federal or State entitlement program.

Please include name of employer, job title, dates of employment, and hours worked per week.  If you do not possess experience in this area, put N/A in the box below.

2.

Describe your experience as a Medical Assistance (MA) case manager.

With your description, include name of employer, job title, dates of employment, and hours worked per week for each relevant position.  This experience must also be reflected in the "Work Experience" section of your application.  If you do not have this experience, put N/A in the box below.

3.

Describe your knowledge and experience with the following systems:  Health Benefit Exchange (HBX), Medical Management Information System (MMIS), Maryland Automated Benefit Systems (MABS), State Verification and Exchange Systems (SVES), and Client Automated Resource Eligibility System (CARES).

With your description, include name of employer, job title, dates of employment, and hours worked per week for each relevant position.  This experience must also be reflected in the "Work Experience" section of your application.  If you do not have this experience, put N/A in the box below.


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