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NON-MAGI, ELIGIBILITY DETERMINATION ASSISTANT DIRECTOR

MEDICAL CARE PROGRAM MANAGER III

Recruitment #25-000934-0003

GRADE

20

LOCATION OF POSITION

MDH - OES-EDD, Non-Magi Medicaid
6 St. Paul Street
Baltimore, MD 21202

Main Purpose of Job

This position functions as the Medicaid Eligibility Determination Assistant Director of Home and Community Based Services (HCBS) Waivers, Long Term Care (LTC) and Disabilities Division for the Maryland Department of Health, Office of Eligibility Services (OES), Eligibility Determination Division (EDD). This position in accordance with federal and state legislation, policies, regulations and procedures, provides overall leadership, administration and direction to Non-MAGI Medicaid Units, ensuring program compliance and integrity. In this capacity, this position administers the daily activities of the four Non-MAGI/Aged Blind and Disabled (ABD) Medicaid Units and Problem Resolution Unit providing personnel management of its employees.

The Assistant Director is responsible for setting the goals and priorities of the Division as well as coordinating and monitoring the completion of the goals. As such, this position routinely ensures team members’ interpretation and application of Medicaid regulations is accurate. This position is responsible for planning, organizing, training, and supervising the work of the Division; developing, revising, and implementing protocols, guidelines and controls for the administration of daily tasks for the Medicaid waivers/programs in which the Division determines financial eligibility for the Community Options Waiver, Autism Waiver, Waiver for Adults with Brain Injury, Model Waiver, Developmental Disabilities Administration, Community Pathways Waiver, and Institutes for Mental Diseases, and Employed Individuals with Disabilities program overseeing the daily operations, monitoring changes in federal and State laws and regulations and systems; making recommendations for regulations, policies and system changes to ensure alignment with federal and State laws and regulations. This position represents EDD in meetings with officials from other agencies, states, the federal government, applicants, recipients and in legal proceedings. The Assistant Director is also responsible for complying, analyzing, and reporting on data for the programs under their purview.

This position operates in a hybrid manner, meaning job duties will be performed both remotely and on-site unless otherwise directed by the appointing authority.

MINIMUM QUALIFICATIONS

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

Experience: Four years of experience supervising employees in developing and applying policies and regulations or directing a program or project in a medical care program.

Notes:

1. Candidates may substitute additional administrative or professional experience developing or applying policies and regulations in medical care, health insurance, federal or State entitlement programs or in a health or human service program on a year-for-year basis for the required education.

2. Candidates may substitute U.S. Armed Forces military service experience at a rank of Corporal/Petty Officer or higher as a commissioned officer in Health Care Administration classifications or Health Services Management specialty codes in the health-related field of work on a year-for-year basis for the required experience and education.

DESIRED OR PREFERRED QUALIFICATIONS

The desired candidate should possess the following:
  • Experience performing qualitative and quantitative analyses on programmatic data to identify operational priorities, gaps, and enhancements.
  • Experience planning, organizing, and supervising the work of multiple needs-based/entitlement programs; developing, revising, and implementing protocols, guidelines and controls to ensure successful operations that are in accordance with regulations.
  • Experience interpreting and applying federal and State laws and regulations for Medicaid.
  • Experience providing management of personnel, including participating in the hiring process, disciplinary action process, performance evaluation, training, etc.
  • Experience writing, developing, and presenting various materials; managing a large, fast paced workload; managing multiple competing projects and deadlines.

LICENSES, REGISTRATIONS AND CERTIFICATIONS

Employees in these classifications 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.

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.

MDHMedCare




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