HEALTH POLICY ANALYST II

MDH, Medical Care Programs-Office of Eligibility Services, 201 W. Preston Street, Baltimore, MD  

The main purpose of this position is to function as a Health Policy Analyst in support of the Division of Program Integrity in the Office of Eligibility Services overseeing the Payment Review and Corrective Action components of the Medicaid Eligibility Quality Control (MEQC); reviewing claims and ensuring follow through for corrective actions with payments in MMIS; developing and coordinating implementation of corrective action for errors and deficiencies identified during MEQC reviews and other audit finding reviews; analyzing data in support of policies, programs and services; writing JIRAs and other system tickets for enhancements and defect corrections; and preparing and writing materials for the Division Manager as needed. This position staffs the Quarterly Error Review Committee; and, serves on other special and ongoing task forces, workgroups and other essential work teams. This position analyzes, evaluates, researches, develops and monitors health care claims, case reviews and Medicaid program actions, usually in conjunction with other senior staff within MDH as well as other agencies as needed to develop, implement and clarify policy and/or customer service issues.

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

Experience:  Two 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 the required experience.

Desirable qualifications include experience in Medicaid policy, claims, corrective action or eligibility; data analysis skills and experience.

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. 

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.

Online applications are highly recommended. However, if you are unable to apply online, the paper application (and supplemental questionnaire) may be submitted to MDH, Recruitment and Selection Division, 201 W. Preston St., Room 114-B, Baltimore, MD 21201. Paper application materials must be received by 5 pm, close of business, on the closing date for the recruitment, no postmarks will be accepted.

If additional information is required, the preferred method is to upload.  If you are unable to upload, please fax the requested information 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.

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.

We thank our Veterans for their service to our country.

People with disabilities and bilingual candidates are encouraged to apply.

As an equal opportunity employer, Maryland is committed to recruitment, retaining and promoting employees who are reflective of the State's diversity.