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MEDICAL CARE PROGRAM ASSOCIATE SUPERVISOR

Recruitment #23-004435-0001

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GRADE

14

LOCATION OF POSITION

MDH - Office of Eligibility Services
6 St. Paul Street
Baltimore, MD 21202

Main Purpose of Job

The primary function of this position is to lead, manage and monitor the eligibility determinations and special projects workflows for inmates residing in a Department of Public Safety and Correctional Services (DPSCS) institution throughout the State upon admission to the institution and prior to their release in a cohesive and ethical manner. Successful management and monitoring of the Unit(s) includes developing, analyzing, implementing, and applying federal and State regulations and policies, training materials, and standard operating protocols. This position must be able to develop and maintain electronic tools to track and assess data to monitor key performance indicators to identify workflow efficiencies and gaps to ensure compliance with federal and State regulations, improve operational performance, and monitor Eligibility Determination Associates (Medical Care Program Associates I and/or II) overall performance.

This position must continuously be knowledgeable of DPSCS, federal and State Medicaid regulations and policies. This knowledge is imperative to this position successfully being able to ensure efficient operations within the DPSCS facilities and to analyze eligibility determinations to ensure regulations and policies are interpreted and applied accurately and timely by Eligibility Determination Associates Lead Workers, Associates I and/or II. This positions quality assurance assessment must ensure the Eligibility Determination Associates Lead Work and Associates I and/or II accurately analyzed and authenticated verifications including but not limited to applications, technical verifications, income, asset, resource, financial verifications, and clearances in the appropriate federal and state data systems for accuracy and timeliness compliance when rendering eligibility decisions. This knowledge is also required when this position is training Eligibility Determination Associates I and/or II or other internal customers, drafting Standard Operating Protocols (SOP), providing technical assistance, researching, and resolving provider payment concerns, serving as the Department’s expert witness at administrative appeals hearings or subject matter expert during systems development sessions. 

This position may participate in the administrative appeal hearing process by conducting pre-hearing conferences, providing expert testimony based on accurate analysis of federal and State regulations and policies at administrative appeals hearings and ensuring compliance to the Administrative Law Judge’s dispositions. 

Additionally, this position must be able to communicate concisely due to their contact with DPSCS personnel, inmates, applicants, recipients, authorized representatives or representatives from federal and State government entities to address concerns. 

At all times, this position must adhere to DPSCS regulations and policies including criminal background requirements. Travel throughout the state is required. This position must maintain a valid driver’s license and meet the Department’s requirements to drive a State vehicle or have their own transportation when needed. This position must also provide customer service to both internal and external customers that meet or exceed the standards by EDD, the Department, and or State.

MINIMUM QUALIFICATIONS

Education:   Graduation from an accredited high school or possession of a high school equivalency certificate.

Experience: Four years of clerical experience applying policies in a medical care, health insurance or federal or State entitlement program to include two years applying, interpreting and processing program specific information, policies, regulations and guidelines in a medical care program.

Notes:

1. Candidates may substitute additional general clerical experience on a year-for-year basis for the required education.

2. Candidates may substitute thirty credit hours from an accredited college or university for one year of the required experience.

DESIRED OR PREFERRED QUALIFICATIONS

The desired candidate should possess the following:
  • Experience applying, interpreting, determining, and providing technical assistance of Non-MAGI and MAGI Medicaid regulations and policies
  • Knowledge of Microsoft Office and Google Suites
  • Experience coaching and counseling employees to achieve specified program goals 
  • Good verbal and written communication skills; able to communicate effectively with DPSCS, co-workers, supervisors and the general public

SELECTION PROCESS

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.

BENEFITS

FURTHER INSTRUCTIONS

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.




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