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MEDICAL CARE PROGRAM ASSOCIATE LEAD/ADVANCED

FULL TIME CONTRACTUAL

Recruitment #24-004434-0002

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Introduction

GRADE

ASTD12

LOCATION OF POSITION

MDH - Division of Recipient Eligibility Program
201 W. Preston Street
Baltimore, MD 21201 

Main Purpose of Job

This full-time contractual position assists the Medical Care Program Associate Supervisor in coordinating operational functions, which include reviewing, interpreting, verifying, and utilizing Medicaid eligibility data to accurately update and maintain the Medicaid Management Information System (MMIS) Recipient Eligibility sub-system in accordance with State and Federally mandated policies and regulations necessary to establish eligibility for Medical Assistance consumers. This position requires knowledge of Federal and State regulations, policies and procedures as they pertain to the Medical Assistance Programs. This position requires technical knowledge to access, interpret, and verify data in the Maryland Health Connect (MHC), Eligibility and Enrollment (E&E), and other systems of record. A Lead Worker provides technical assistance and guidance to Medical Care Program Associates, including assigning, reviewing work, and conducting quality assurance reviews. This position recommends solutions to problems as identified and provides training to staff as indicated. Provide customer service to internal staff at the Maryland Department of Health (MDH) and external customers at various agencies regarding issues related to Medicaid eligibility. Act as a liaison with community partners such as hospitals, Social Security Administration and LDSS regarding all policy and procedural requirements of the Medicaid Management Information System (MMIS) Eligibility file.

MINIMUM QUALIFICATIONS

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

Experience: Three years of clerical experience applying policies in a medical care, health insurance or federal or State entitlement 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 with Microsoft Office and Google Suites.
  • Experience with MMIS (Medicaid Management Information System), MHC (Maryland Health Connection) and E&E (Eligibility and Enrollment) software.  
  • Both internal and external customer service experience.
  • Experience interpreting and implementing Federal and State mandated policies, procedures and regulations to ensure medical services and claims payment for eligible recipients.
  • Experience demonstrating leadership skills in creating new ideas for developing new policies, procedures and regulations concerning Medical Assistance eligibility.

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

Contractual employees who work for an agency covered under the State Employee and Retiree Health and Welfare Benefits Program, have a current employment contract and work 30 or more hours a week (or on average 130 hours per month) may be eligible for subsidized health benefits coverage for themselves and their dependents. As a contractual employee, you will be responsible for paying 25% of the premiums for your medical and prescription coverage, including any eligible dependents you have enrolled. The State of Maryland will subsidize the remaining 75% of the cost for these benefits. You can also elect to enroll in dental coverage, accidental death and dismemberment insurance, and life insurance, but will be responsible to pay the full premium for these benefits.

Leave may be granted to a contractual employee who has worked 120 days in a 12 month period. This leave accrues at a rate of one hour for every 30 hours worked, not to exceed 40 hours per calendar year.

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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