Introduction
GRADE
22
LOCATION OF POSITION
MDH - Office of Long Term Services and Supports
201 W. Preston Street
Baltimore, MD 21201
Main Purpose of Job
This position serves as the Assistant Director for the Community Integration Programs directorate within the Office of Long- Term Services and Supports (OLTSS). The Assistant Director plans and directs the functional operations and processes for four divisions within the directorate. The incumbent provides leadership and oversight of specific elements of OLTSS: Administration, Quality and Utilization Control, Medical Assessments, and Monitoring. In addition, this position leads all elements within OLTSS as they pertain to legal services such as serving as the Department’s designee on the Nursing Facility Appeal Board (on behalf of the Secretary), appeals process management, records requests, constituent inquiries, and Public Information Act (PIA) requests. Collaborative and process-driven management is required to assure program integrity and rendering of quality services in a cost-effective manner.
In addition, this position plans and directs utilization of program services. It is responsible for the management and oversight of technical and medical appeals and is responsible for facilitating improvements within program and service utilization. This position directly relates to the mission of the Medical Care Program – specifically, assuring access to medically necessary health care services to Marylanders who cannot afford them.
The four divisions under this Assistant Director’s purview include:
The Division of Community Support Services is responsible for operations, policy, regulations, transmittals, and program integrity activities regarding Medicaid coverage of disposable medical supplies (DMS) and durable medical equipment (DME), oxygen and related respiratory equipment, non-emergency medical transportation (NEMT) grants, and ambulance services.
The Division of Legal Services works collaboratively with the Office of the Attorney General (OAG), other OLTSS divisions, The Hilltop Institute, the Division of Administrative Services (PIA and Appeals), and the Office of Constituent Services for Intranet Quorum (IQ) requests.
The Division of Community Long Term Care Services manages six (6) of Maryland’s eight (8) home and community-based services (HCBS) waiver programs. It is responsible for administration of the Medical Day Care Waiver. This includes, but is not limited to, developing and implementing federal waiver authorities, federal and State regulations, transmittals, and policy. It manages participant enrollment and provider enrollment and program activities to ensure federal assurances are met. It is responsible for providing the administrative oversight for the Children with Autism Spectrum Disorder, Adults with Brain Injury, Community Pathways, Community Supports, and Family Supports waiver programs, which includes providing direction and technical assistance to its operating state agencies - the Maryland State Department of Education (MSDE), Developmental Disabilities Administration (DDA), and Behavioral Health Administration (BHA).
The Division of Quality and Utilization Control comprises the appeals team, the Physician Advisors responsible for medical reviews and consultation, and the Utilization Control Agent contract.
The position actively participates in planning efforts regarding long term care reform and works with the Centers for Medicare and Medicaid Services (CMS) regarding quality and compliance activities for federal home and community-based services programs. The position reports directly to the Deputy Director of OLTSS and may act for the Deputy Director in the Deputy Director’s absence or as assigned by the Deputy Director.
Program services for which the Assistant Director is responsible represent over $1.2 billion in Medicaid expenditures annually, serving a large portion of the Medical Assistance population.
This position operates in a hybrid manner unless otherwise directed by the appointing authority.
MINIMUM QUALIFICATIONS
Qualified applicants must possess a Bachelor's degree from an accredited college or university and six years of health or human services professional experience, including three years at a supervisory or managerial level.
A Master's degree will substitute for one year of the general experience and a Doctorate will substitute for two years of the general experience. Additional experience will substitute on a year-for-year basis for the college degree.
DESIRED OR PREFERRED QUALIFICATIONS
The desired candidate should possess the following:
- Two or more years of experience working with a Medicaid program
- Two or more years of experience interpreting and implementing State and federal regulations
SELECTION PROCESS
This is a Management Service position, and serves at the pleasure of the Appointing Authority. A resume must accompany your application.
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.
