HEALTH POLICY ANALYST ADVANCED
Program Supervisor
Recruitment #18-002420-0003
Department | MD Health Benefit Exchange |
---|---|
Date Opened | 6/22/2018 11:59:00 PM |
Filing Deadline | 7/6/2018 11:59:00 PM |
Salary | $49,899.00 - $80,078.00/year |
Employment Type |
Full-Time
|
HR Analyst | Shadrick Phillips |
Work Location |
Baltimore City
|
GRADE
LOCATION OF POSITION
750 East Pratt St., 6th Floor Baltimore, Maryland 21202
Main Purpose of Job
The main purpose of this position is to research and develop eligibility and enrollment policies as well as, evaluate, analyze, and assist in facilitating the eligibility determination process for Exchange services. The position is responsible for initiating, planning, designing and executing projects with staff across the agency to support leadership in the interpretation and application of federal and state laws / regulations regarding individual eligibility determinations and interfacing/overlapping areas with the Medicaid program. This position will provide technical advice to information technology, appeals communications and programmatic staff working with the agency. This position will also provide critical feedback and recommendations to the Program Manager of Appeals and Constituent Services, Executive Team and Legislators for Maryland, through written reports, presentations, emails, data reporting, trainings and verbal communications. Employee in this position may provide technical advice and guidance to Appeals Administrators as needed.
POSITION DUTIES
1.Provide extensive interpretation of state and federal eligibility statutes, regulations, policies and guidelines to the administrative vendor, enrolled subscribers and the general public.
2. Coordinate with the IT department on system resolutions and fixes for Qualified Health Plans and Medicaid policy.
3. Provide interpretation, correspondence and feedback to Legislators, State Agencies, MHBE Executives, Constituents and others seeking information concerning enrollments, eligibility, grievances or appeals.
4. Prepare testimony supporting the policy decisions of Maryland Health Benefit Exchange and testifies at court hearings.
5. Establish and maintain an effective working relationships with State, federal and private industry health care officials, employees and the general public.
MINIMUM QUALIFICATIONS
Education: A Bachelor's degree from an accredited college or university.
Experience: Three years of experience evaluating, analyzing, researching and developing health care services, policies and programs.
Notes:
1. A Master's degree in Health Sciences, Health Care Administration, Public Health, Public Policy or closely related field may be substituted for one year of the required experience.
2. A PhD in Health Sciences, Health Care Administration, Public Health, Public Policy or closely related field may be substituted for two years of the required experience.
LIMITATIONS ON SELECTION
LICENSES, REGISTRATIONS AND CERTIFICATIONS
SELECTION PROCESS
Please make sure that you provide sufficient information on your application to show that you meet the qualifications for this recruitment. All information concerning your qualifications must be submitted by the closing date. We will not consider information submitted after this date. Successful candidates will be ranked as Best Qualified, Better Qualified, or Qualified and placed on the employment (eligible) list for at least one year.
EXAMINATION PROCESS
BENEFITS
FURTHER INSTRUCTIONS
The online application process is STRONGLY preferred. If online access is not available, you may submit a paper application and resume to:
Maryland Health Benefit Exchange
Attn: Shadrick Phillips, Office of Human Resources
Email: shadrick.phillips1@maryland.gov
750 E. Pratt Street, 6th Floor
Baltimore, MD 21202
Resumes will NOT be accepted in lieu of completing the online or paper application.
As an equal opportunity employer, Maryland is committed to recruiting, retaining and promoting employees who are reflective of the State’s diversity. We thank our Veterans for their service to our country, and encourage them to apply
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