ADMINISTRATOR II

17

MDH, Office of the Inspector General, Baltimore, MD

The primary responsibility of this position is to supervise and manage the Recipient Investigations Unit and Special Project Unit of the Program Integrity Division within the Office of Inspector General(OIG). These unit are charged with investigating whether individuals are qualified to be Medicaid recipients and taking the necessary action to either the individual for criminal prosecution, administrative recovery of the funds spent on behalf of the ineligible recipient, or removal of the individual from the eligibility rolls. This position is responsible for directing, overseeing and supervising a variety of highly complex cases and special projects with in any given fiscal year as cases and projects evolve from the point of entry, through processing, to potential recovery and/or prosecution and closure.

This position is responsible for two(2) units within OIG - Special Projects and Recipient Investigations.

The Special Projects group conducts specialized reviews recommended by the Office of Legislative Audits (OLA), the Secretary and others mandated by federal Centers for Medicaid and Medicare Services( CMS). Special Projects includes the PERM project, federally required recipients various reviews of ' special populations', such as lottery winner, death matches, and PARIS matches( those identified as having Medical assistance in other States). This Unit may also participate in joint investigations with other State and federal entities.

The Recipient Investigations group is charged with investigating allegations of fraud, waste and abuse by Medicaid recipients. Allegations maybe received via Office of Inspector General's OIG hotlines referral from OLA, the U.S Health and Human Services OIG and other State and local governmental entities. This Unit mat also participate in joint investigations with other State and federal entities.

In addition to supervising staff, the incumbent will be required to maintain a small case load and investigate allegations of fraud, waste and abuse by Medicaid recipients.

This position significantly contributes to the Office of Inspector General's recoveries and cost avoidance savings. Investigation audits and special project activities that this position oversees result in significant Medicaid monetary recoveries and cost avoidance.

Education: A Bachelor's degree from an accredited college or university.

Experience: Four years of experience in administrative staff or professional work.

Notes:

1. Additional experience in administrative staff or professional work may be substituted on a year-for-year basis for the required education.

2. Additional graduate level education at an accredited college or university may be substituted at the rate of 30 semester credit hours on a year-for-year basis for the required general experience.

3. Candidates may substitute U.S. Armed Forces military service experience as a commissioned officer involving staff work related to the administration of rules, regulations, policy, procedures and processes, or overseeing or coordinating unit operations or functioning as a staff assistant to a higher ranking commissioned officer on a year-for-year basis for the required education and experience.

The ideal applicant should have 2 years experience with determining Medical Assistance eligibility or interpreting Medical assistance eligibility regulations.

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.

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. Candidates may remain on the certified eligible list for a period of at least one year.

Online applications are highly recommended. However, if you are unable to apply online, the paper application may be submitted to MDH, 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 additional information is required, the preferred method is to upload.  If unable to upload, please fax requested information only 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.

Resumes will not be accepted in lieu of a completed application.

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.

STATE OF MARYLAND BENEFITS

As an equal opportunity employer, Maryland is committed to recruiting, retaining and promoting employees who are reflective of the State’s diversity. People with disabilities and bilingual candidates are encouraged to apply. We thank our Veterans for their service to our country.

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