medical care program supervisor

2 weeks ago

Baltimore, Maryland, United States State of Maryland - MDH Med Care Prgms - Ofc of Eligibility Full time

Introduction

\r

GRADE

17\r

LOCATION OF POSITION

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

Main Purpose of Job

This position is responsible for the supervision of a Medical Care Program Specialist, a Medical Care Program Associate-Lead Advanced, and an Administrative Officer involved in the Fair Hearings Process, State Audit Reviews and Responses, Corrective Action Plans, Reconciliation Reports, Quality Analysis to track data and trends to ensure program compliance and integrity for the Home and Community Based Services Waivers, (HCBS), Employed Individuals with Disabilities (EID), Institutions for Mental Diseases (IMD) and Women's Breast and Cervical Cancer Health Program (WBCCHP). The MCP Supervisor is responsible for interpreting, developing and applying eligibility regulations and policies, handling complex, high profile eligibility issues, inquiries and complaints. This position will educate the staff within the Division to clarify or update them on any new policies and procedures. The MCP Supervisor will conduct case action reviews to ensure accurate and timely completion of the Fair Hearing process, such as analyzing current policies and procedures and recommending revised or new policies and procedures and serving as a liaison to other State, federal and local government and private agencies. This position must establish and maintain effective working relationships with MDH internal partners including EDD Assistant Directors, Supervisors, Leads and case managers and external customers. Additionally, the MCP Supervisor must exercise tact and discretion when interacting with internal and external customers verbally, in person or in writing including but not limited to Administrative Law Judges, constituents who are denied Medical Assistance or their advocates.\r

MINIMUM QUALIFICATIONS

Experience:�Eight years of administrative or professional experience developing or applying policies and regulations in medical assistance, health insurance, federal or State entitlement programs.�One year of this experience must have been in a medical assistance program.\r
Notes:\r
1. Candidates may substitute the possession of a Bachelor's degree from an accredited college or university and four years of administrative or professional experience developing or applying policies and regulations in medical�assistance, health insurance, federal or State entitlement�programs for the required experience.� One year of this experience must have been in a medical assistance program.\r
2. Candidates may substitute the possession of a Master's degree from an accredited college or university in the related�field of work for the required experience.\r
3. Candidates may substitute U.S. Armed Forces military service experience as a commissioned officer in Operational�Analysis classifications or Health Services Management specialty codes in the health-related field of work on a year-for-year basis for the required experience.\r

DESIRED OR PREFERRED QUALIFICATIONS

The desired candidate should possess the following:\r
\r
\r
\r
Experience processing complex Medicaid eligibility applications\r
Experience interpreting medical assistance policies, regulations and procedures\r
Experience working with consumers and other stakeholders resolving concerns\r
Experience with Home and Community Based Waivers, Long Term Care (LTC) Medicaid, and Earned Income Disallowance (EID) policies and regulations\r
Experience preparing cases including preparing concise hearing summaries and presenting Appeals before an Administrative Law Judge\r
Experience managing and training staff\r
Experience with Long Term Service and Supports (LTSSMaryland), Eligibility & Enrollment (E&E), Medicaid Management Information System (MMIS)\r
Ability to meet established deadlines\r
Willingness to attend hearings in person and/or remotely throughout the State of Maryland\r
\r
\r

LICENSES, REGISTRATIONS AND CERTIFICATIONS

Employees in this classification 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.\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

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