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Recruitment #16-004532-0005




DHMH, Office of Finance, Medical Care Programs, Baltimore, MD

Main Purpose of Job

This position plans, directs and administers the revenue, accounting and budget operations of the Medical Care Programs.

With regard to revenue and accounting, the position directly supervises an Accountant Manager II in the Statewide claiming, reconciliation and distribution of Title XIX (Medicaid) and Title XXI (SCHIP) federal funds, which exceed $5 billion annually. The position directs the implementation of automated and manual accounting systems, operating within generally accepted accounting principles and agency accounting operations, and directs the fiscal year end close out of the Medical Care Programs. This position also supervises Division staff in preparing and/or reviewing Medicaid Administrative Cost Allocation Plans for a number of State agencies, with attention to cost accounting methodologies.

Under the direction of this position, fiscal staff prepare both standard and special statistical reports for use by management and control agencies. The position directly supervises an Accountant Supervisor II in evaluating and resolving major problems and modifying system financial reports, and in providing ad hoc reports. The position reviews and responds to State and federal audit reports and develops corrective action plans, where required.

With regard to the Medicaid budget function, this position directly supervises an Administrator III and Accounting Supervisor II in the preparation of the annual administrative and provider reimbursement budgets for the Medical Care Programs, and in the quarterly projection of expenditures. The total budgets equal approximately $11 billion and include General, Federal, Special and Reimbursable fund sources. The major provider reimbursement budgets are Medicaid, SCHIP, Behavioral Health and the Kidney Disease Program. The administrative budgets are in six separate programs: Executive Direction; Office of Operations, Systems and Pharmacy; Office of Health Services; Office of Finance; Major I.T. Development; and the Office of Eligibility Services. The annual budget and quarterly projections require the integration of statistical data on Program enrollment, actual and projected expenditures and reimbursement rates, and actual and projected recovery of Federal Special and Reimbursable funds, and communicating between divisions.



This position requires a Bachelor’s Degree in Finance, Accounting, Public Administration, or other related major; and five years of accounting/financial or budget management experience, three of which must have included supervision at the management/leadership level. 

A CPA Certificate or a Master’s Degree in Accounting, Finance, Business Administration, or Public Administration will substitute for one year of the general experience.  Applicants who met the CPA exam admission requirement prior to July 1, 1974 will meet the above education requirements. 


The successful applicant should have government healthcare accounting and budgeting management experience with proven ability to delegate and work with team members, internal/external auditors, stakeholders and management.


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

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.

The resulting certified eligible list for this recruitment may be used for similar positions in this or other State agencies.

We thank our Veterans for their service to our country, and encourage them to apply.

Bilingual applicants are encouraged to apply.