medical care program associate lead/advanced

1 month ago

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

Introduction

\r

GRADE

ASTD12\r

LOCATION OF POSITION

MDH - Eligibility Determination Division\r
6 St. Paul Street\r
Baltimore, MD 21202\r

Main Purpose of Job

The primary function of the Eligibility Determination Associate Lead Worker (Medical Care Program Associate Lead/Advanced) is to assign, analyze, issue corrective action requests, and approve the work of an Eligibility Determination Associate I and/or II (Medical Care Program Associate I/II) for Non-MAGI and/or MAGI Medicaid based on accurate analysis and interpretation of regulations and policies. Eligibility Determination Associate Lead Workers may also assist with training Eligibility Determination Associates I and/or II and drafting Standard Operating Protocols.�The Lead Worker may also participate in the appeals process and hearings.�\r
\r
\r
The Eligibility Determination Associate Lead Worker must continuously be knowledgeable of federal and State Medicaid regulations and policies. This knowledge is imperative to the Lead Worker's success in analyzing eligibility determinations to ensure regulations and policies were interpreted and applied accurately and timely by Eligibility Determination Associates I and/or II. The Lead Worker's review must ensure the Eligibility Determination Associates I and/or II accurately reviewed and authenticated verifications including but not limited to applications, technical verifications, income, asset, resource, financial verifications, and clearances in the appropriate federal and state data systems for accuracy and timeliness compliance when rendering their eligibility decision. This knowledge is also required when assisting Supervisors with training Eligibility Determination Associates I and/or II, drafting Standard Operating Protocols (SOP) and serving as the Department's expert witness at administrative appeals hearings.\r
The Lead Worker may participate in the appeals process by conducting pre-hearing conferences, providing expert testimony based on accurate analysis of federal and State regulations and policies at administrative appeals hearings and ensuring compliance to the Administrative Law Judge's dispositions.�\r
\r
\r
\r
\r
The Lead Worker may assist the Supervisor with maintaining data reports for key performance indicators related to assigned and/or reviewed work. Additionally, the Lead Worker may have contact with applicants, recipients, authorized representatives or federal and State government entities to address complex cases or cases as a result of the Department of State's inquiry process.�\r
\r
\r
At all times, this position will provide customer service to both internal and external customers that meet or exceed the standards by EDD, the Department, and or State.\r
\r
\r
\r
\r

MINIMUM QUALIFICATIONS

Education:���Graduation from an accredited high school or possession of a high school equivalency certificate. \r
Experience: Three years 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 one year of the required�experience.\r

DESIRED OR PREFERRED QUALIFICATIONS

The desired candidate should possess the following:\r
\r
\r
\r
Experience working with federal or State entitlement programs\r
Experience with Medicaid programs\r
Experience analyzing and creating reports to inform members of the management team of the unit's productivity and performance metrics\r
Experience with Microsoft Office and Google Suite systems�\r
Experience conducting quality assurance analysis to ensure compliance with federal and State regulations and Department policies\r
\r
\r
\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

  • medical care program associate i

    1 month ago

    Baltimore, Maryland, United States State of Maryland - MDH Dep Secretary Health Care Financing Full time

    GRADEASTD10\r LOCATION OF POSITIONMDH, Maryland Medicaid Administration, Baltimore, MD\r Main Purpose of JobThe Medical Care Program Associate in the Maryland Medicaid Administration performs both administrative and skilled functions to determine programmatic eligibility for medical assistance. By interpreting and applying the State and Federal policies,...

  • 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 GRADE17\r LOCATION OF POSITIONMDH - Office of Eligibility Services\r6 St. Paul Street\rBaltimore, MD 21202\r Main Purpose of JobThis 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...

  • medical care program associate ii

    7 days ago

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

    Introduction\r GRADEASTD11\r LOCATION OF POSITIONMDH - Eligibility Determination Division\r6 St. Paul Street\rBaltimore, MD 21202\r Main Purpose of JobThe primary function of the Case Manager is applying and interpreting federal and State Medicaid regulations and policies when reviewing and verifying Non-MAGI and MAGI Medicaid applications, verifications,...

  • medical care program specialist ii

    1 month ago

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

    Introduction\r GRADE16\r LOCATION OF POSITIONMDH - Division of Participant Enrollment and Service Review\r201 W. Preston Street\rBaltimore, MD 21201\r Main Purpose of JobThis full time contractual Medical Care Program Specialist II will develop, implement, and evaluate policies,\rprocedures, and regulations for Medicaid home and community-based services...

  • MedStar Health Neurocritical Advanced Practice

    1 day ago

    Baltimore, Maryland, United States Medstar Health Full time

    MedStar Franklin Square Medical Center is seeking motivated Advanced Practice Providers to join our Neurocritical Care Unit (NCCU) unit.In conjunction with a Neuro intensivist, our Advanced Practice Providers directly manage patients in a 15-bed, high-complexity, level 1 NCCU. MedStarFranklin Square is certified by the Joint Commission as a Comprehensive...

  • medical care program specialist ii

    1 month ago

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

    Introduction\r GRADE16\r LOCATION OF POSITIONMDH - Long Term Services and Supports-Community Settings\r201 W. Preston Street\rBaltimore, MD 21201\r Main Purpose of JobThis position will monitor the Federal Community Settings Final Rule for all providers enrolled in Medicaid, including implementation of the community settings work plan, manage the workload to...

  • Physician - Primary Care

    3 weeks ago

    Baltimore, Maryland, United States Ascension Baltimore Full time

    Details Specialty: Family Practice Schedule: Monday through Friday with 36 clinical hours per week Practice Detail: Join our team of primary care physicians and mid-level providers EMR System: eCW Facility: Ascension Saint Agnes Health Center Location: Baltimore, MD Visa Eligibility: J1, H1BBenefitsPaid time off (PTO)Various health insurance options &...

  • OB/GYN - Hoffman & Associates

    1 month ago

    Baltimore, Maryland, United States Mercy Medical Center Full time

    Job Description:OB/GYN - Hoffman & AssociatesBaltimore, Maryland; Baltimore, MarylandPhysicianFull Time - RegularJob description:Hoffman and Associates OB-GYN is proud to offer a diverse all-female team of doctors and clinicians, dedicated to the gynecologic and obstetric health of Baltimore women. We are currently seeking a full-time OB/GYN to join our...

  • MedStar Health Neurocritical Advanced Practice Nocturnist in Baltimore, MD

    1 day ago

    Baltimore, Maryland, United States Medstar Health Full time

    MedStar Franklin Square Medical Center is seeking motivated Advanced Practice Providers to join our Neurocritical Care Unit (NCCU) unit.In conjunction with a Neuro intensivist, our Advanced Practice Providers directly manage patients in a 15-bed, high-complexity, level 1 NCCU. MedStarFranklin Square is certified by the Joint Commission as a Comprehensive...

  • Nurse Residency Program

    1 day ago

    Baltimore, Maryland, United States Johns Hopkins Medicine Full time

    Are you ready to embark on an extraordinary journey in healthcare? Look no further than the Medical Progressive Care Unit (MPCU) at The Johns Hopkins Hospital, where opportunity and growth await. Get ready to join a team of dedicated professional who are passionate about patient care, clinical excellence and continuous learning.Our MPCU is a 21-bed high...

  • Internal Medicine Residency Program Director

    4 weeks ago

    Baltimore, Maryland, United States Ascension Baltimore Full time

    Details Specialty: Internal Medicine Residency Director Schedule: Full-Time Practice Detail: Oversight of 48 internal medicine residents EMR System: Meditech Facility: Ascension Saint Agnes Hospital Location: Baltimore Visa Eligibility: N/ABenefitsPaid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match...

  • Advanced Practice Provider

    4 weeks ago

    Baltimore, Maryland, United States Medstar Health Full time

    Advanced Practice Provider (NP or PA) in Primary Care - MedStar Franklin Square Family Health CenterMedStar Medical Group offers a uniquely rewarding career in a major marketplace. Shape your future in health care in the kind of setting that's right for you and your practice. Become part of an organization that welcomes your experience, input and...

  • Registered Nurse Intermediate Care/Medical Surgical RN

    4 weeks ago

    Baltimore, Maryland, United States MEDSTAR HEALTH Full time

    Unit Highlights48 Bed Unit Mix of High Acuity Intermediate Care and Medical-Surgical patients Chronic vents, insulin drips Excellent leadership and tenured core group of RNs who work well together andwith newer nurses on the unit Flexible scheduling Key Responsibilities As a Clinical Nurse you will deliver proficient nursing care to patients and families...

  • Car Sales Associate

    5 hours ago

    Baltimore, Maryland, United States MILEONE AUTOMOTIVE Full time

    Job DescriptionExperience Everything MileOne has to Offer:Competitive compensation with unlimited earning potential; top sales professionals make over $100,000Training and mentoringGreat opportunities for advancementPositive, success driven work environmentState of the art CRM, Inventory management & Internet resourcesLarge dealership inventoriesOur MileOne...

  • Acute Care NP

    1 day ago

    Baltimore, Maryland, United States Johns Hopkins Medicine Full time

    Relocation Bonus offered if moving 50 miles or greater.The Johns Hopkins HospitalInpatient Oncology Service is part of our NCI-Designated Comprehensive Cancer Center. This Advanced Practice Team cares for acutely ill patients with cancer including those undergoing blood & marrow transplantation, surgery, chemotherapy and immunotherapy. Our patients have...

  • Special Assistant to the Vice President of Advancement

    4 weeks ago

    Baltimore, Maryland, United States Coppin State University Full time

    Posting DetailsClassification InformationFLSA ExemptPosition InformationPosition Title Special Assistant to the Vice President of AdvancementRegular/Contingent RegularFull or Part Time Full TimeStandard Hours 40Job DescriptionJOB SUMMARY:Coppin State University, located in the Charm City of Baltimore, Maryland, strives to be a destination workplace, where...

  • Director Program Management

    1 week ago

    Baltimore, Maryland, United States Precision Life Sciences Full time

    Job Description: Director of Program ManagementJoin our pioneering team at Client company, a cutting-edge biotechnology company dedicated to revolutionizing healthcare through innovative drug development. At Client company, we are committed to pushing the boundaries of science to address unmet medical needs and improve patient outcomes. Our team is comprised...

  • Acute Care Nurse Practitioner

    1 day ago

    Baltimore, Maryland, United States Johns Hopkins Medicine Full time

    Are you a skilled and passionate Nurse Practitioner seeking an opportunity to lead and contribute to the cutting-edge field of cardiac care? Join the prestigious Johns Hopkins Hospital team as a Nurse Practitioner for the Cardiac Services in PCU. Position Overview: You will play a vital role in delivering exceptional patient care and assisting in complex...

  • mhcc program manager

    1 month ago

    Baltimore, Maryland, United States State of Maryland - MDH Maryland Health Care Commission Full time

    Introduction\r GRADEMHCC 0001� \r LOCATION OF POSITIONMaryland Health Care Commission�\r4160 Patterson Avenue\rBaltimore, MD 21215\r Main Purpose of JobThe Maryland Health Care Commission (Commission) is an independent State agency\rresponsible for planning for health system needs and promoting informed decision-making by providing timely\rand accurate...

  • Pulmonary Critical Care Medical Director

    1 month ago

    Baltimore, Maryland, United States Medstar Health Full time

    MedStar Health offers a uniquely rewarding career in a major marketplace. Shape your future in health care in the kind of setting that's right for you and your practice. Become part of an organization that welcomes your experience, input and leadership— as a clinician and healthcare expert.MedStar Harbor Hospital located in Baltimore, Maryland is seeking...