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medical care program associate i

2 months ago


Baltimore, Maryland, United States State of Maryland - MDH Infectious Disease & Environmental Hlth Svcs Full time

Introduction

\r

GRADE

ASTD10

LOCATION OF POSITION

MDH, Center for MADAP\r
Baltimore, MD 21223\r

Main Purpose of Job

The main purpose of this position is to provide pharmacy claims accounting support to Maryland AIDS Drug Assistance Program (MADAP). This position will also assist pharmacies with claims adjudication and processing pharmacy payments in compliance with regulations to ensure that MADAP is payor of last resort.\r

MINIMUM QUALIFICATIONS

Education: Graduation from an accredited high school or possession of a high school equivalency certificate. \r
Experience: One year of clerical experience applying policies in a medical care, health insurance or federal or State entitlement program. \r
Notes:\r
1. Candidates may substitute additional general clerical experience�on a year-for-year basis for the required education. \r
2. Candidates may substitute thirty credit hours from an accredited college or university�for the required experience. \r

SELECTIVE QUALIFICATIONS

The selected candidate must possess one year experience as a Pharmacy Technician.\r

DESIRED OR PREFERRED QUALIFICATIONS

The desired candidate should possess the following:\r
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1. Experience in pharmacy operations or other related role.\r
\r
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2. Experience/Knowledge understanding and interpreting pharmacy benefits processing information and applying it to pharmacy claims adjudication issues.\r
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3. Experience/Knowledge applying program and federal policies and procedures.\r
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4. Experience with drug formularies.\r
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5. Experience communicating with pharmacies and clients to obtain appropriate pharmacy billing codes.\r
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6. Experience/Knowledge using excel spreadsheets and the google suite apps such as docs, sheets, and drive.\r

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).�\r
Complete applications must be submitted by the closing date.�Information submitted after this date will not be added.�\r
Incorrect application forms will not be accepted.�Resumes will not be accepted in lieu of a completed application.\r
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.\r

BENEFITS

STATE OF MARYLAND BENEFITS\r

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.\r
If additional information is required, the preferred method is to upload.� If you are unable to upload, please fax the requested information�to �Only additional materials that are required will be accepted for this recruitment. All additional information must be received by the closing date and time.\r
For questions regarding this recruitment, please contact the�MDH Recruitment and Selection Division at \r
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 or��\r
Appropriate accommodations for individuals with disabilities are available upon request by calling: or MD TTY Relay Service \r
We thank our Veterans for their service to our country.\r
People with disabilities and bilingual candidates are encouraged to apply.\r
As an equal opportunity employer, Maryland is committed to recruitment, retaining and promoting employees who are reflective of the State's diversity.\r