HEALTH POLICY ANALYST I

2 weeks ago

Baltimore, United States State of Maryland Full time $64,984 - $84,702
Introduction GRADE 17 LOCATION OF POSITION MDH - Medicaid Provider Services Administration, PRD 201 W. Preston Street Baltimore, MD 21201 Main Purpose of Job This position's primary goal is to review, analyze, investigate, and create provider policies and programs to solve high-priority issues within the Provider Resolution Division. To fulfill its responsibilities, this position will analyze and develop recommendations regarding provider activities governed by the policy, procedures, and regulations; establish internal communication materials; facilitate data-driven communications, analysis, and process coordination across Administrations regarding provider policy and compliance; prepare reports summarizing research findings; analyze data to support policy, program, and service development; and plan, coordinate new policy implementation projects. This position will be the main analyst, collaborating closely with the Assistant Director, Deputy Director, Director of Medicaid Provider Services, MDH executives, and a wide range of Medicaid program workers.
This position may represent the Assistant Director at internal and external meetings to articulate provider policy needs and justifications for implementation decisions. This position serves as a liaison for internal and external entities, both public and private, regarding the Medicaid Program, which provides services to the provider community, the Maryland Department of Health Services (MDHS), and other Maryland Department of Health (MDH) administrations, concerning non-payment issues concerning recipient eligibility and Long Term Care (LTC). This position serves as the key information resource for internal staff, the provider community, and fiscal representatives who make inquiries and file complaints about policy and processes that affect claim nonpayment. This position develops, advises, and participates in training programs related to the Medicaid Program; identifies methods for cost avoidance; participates in system development projects, audits, investigations, and utilization reviews of the Medicaid Program for quality assurance; and makes recommendations on unusual situations regarding policy interpretation.
Additionally, this position must train, direct and instruct lower-level staff and service providers by applying and interpreting Medical Assistance regulations and policies. This position may operate in a hybrid manner, meaning job duties may be performed both remotely and on-site (e.g., 80% remote, 20% onsite), based on the designated telework schedule/plan that best fits the unit and or otherwise directed by the Appointing Authority, as well as other duties, responsibilities, and qualifications may be required and/or assigned as necessary. MINIMUM QUALIFICATIONS

Education: A Bachelor's degree from an accredited college or university.

Experience: One year of experience evaluating, analyzing, researching and developing health care services, policies and programs.

Note: Candidates may substitute the possession of a Master's degree in Health Sciences, Health Care Administration, Public Health, Public Policy or closely related field from an accredited college or university for the required experience.

DESIRED OR PREFERRED QUALIFICATIONS The desired candidate should possess the following:
  • Experience with state Medicaid eligibility
  • Customer service experience
  • Experience with Federal/State health insurance program policies
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. 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

STATE OF MARYLAND 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.

  • Fiscal and Policy Analyst

    4 months ago

    Baltimore, United States DelDOT Full time

    Summary Statement This is for multiple opportunities in the full performance and expert levels assigned to work with agencies on issues of increasing complexity, size, high visibility or public interest. This position provides operating and capital budgetary and programmatic expertise to agency heads, fiscal officers, the Legislature, and assists in...

  • Data Analyst Leader for Health Policy Research

    3 weeks ago

    Baltimore, Maryland, United States Johns Hopkins University Full time

    We are seeking a highly skilled Sr. Statistical Programmer Analyst to join our team at the Johns Hopkins Bloomberg School of Public Health (BSPH). As a key member of our research group, you will be responsible for analyzing large datasets and implementing statistical models to inform policy decisions related to mental health and addiction. The successful...

  • Sr. Data Analyst, Health Economics

    3 weeks ago

    Baltimore, United States InsideHigherEd Full time

    Johns Hopkins University's School of Medicine is seeking a dedicated Sr. Data Analyst, Health Economics to assist with the collection and analysis of data related to the costs of tuberculosis care for two clinical trials in Brazil and India. This role involves working with a large research team to synthesis health economic evidence and conduct key analyses...

  • Advanced Data Analyst Specialist

    3 days ago

    Baltimore, Maryland, United States Johns Hopkins University Full time

    About the OpportunityThis exciting opportunity to join our research team as a Sr. Statistical Programmer Analyst at Johns Hopkins University's School of Public Health comes with a highly competitive salary package. Starting at $62,900 annually, based on your level of experience, you can expect a compensation that reflects your skills and qualifications.Job...

  • Public Health Analyst

    1 week ago

    Baltimore, Maryland, United States State of Maryland Full time

    The State of Maryland is seeking a highly skilled Public Health Analyst to join our team in the Office of Medicaid Provider Services. This is a full-time contractual position that supports the LTSSMaryland solution, with a focus on analyzing Medicaid healthcare data to inform policies and programs.Salary and BenefitsThe estimated salary for this position is...

  • Budget Analyst

    2 weeks ago

    Baltimore, United States InsideHigherEd Full time

    Development and Alumni Relations (DAR) supports Johns Hopkins' focus on research, teaching, and patient care, and its role as a national and global leader in higher education. We create and foster enduring relationships that result in advocacy and philanthropic support for Johns Hopkins University & Medicine”strengthening the institution through...

  • Rules Analyst I

    2 weeks ago

    Baltimore, MD, United States Amentum Full time

    **This position is contingent upon contract award** Amentum is seeking a cleared Rules Analyst I to support an upcoming opportunity in Annapolis Junction, MD . Responsible for analyzing legal and policy documents to extract key information from the documents in accordance with established guides and procedures. Responsible for identifying compliance...

  • Mental Health Therapist Position

    3 weeks ago

    Baltimore, Maryland, United States K&I HEALTHCARE SERVICES LLC Full time

    K&I Healthcare Services LLC is a supportive and innovative mental health organization that empowers individuals to make informed decisions about their well-being. As a full-time Licensed Mental Health Therapist, you will play a crucial role in helping our clients achieve recovery and thrive in their healing journey.With a focus on patient-centered care, you...

  • Supply Chain Business Systems Analyst

    3 weeks ago

    Baltimore, United States Johns Hopkins Medicine Full time

    Apply Refer a Friend Back Share This Page Share on Facebook Share on Twitter Share on LinkedIn Share via Email Job Details Requisition #: 641896 Location: Johns Hopkins Health System, Baltimore, MD 21201 Category: Sightline Schedule: Day Shift Employment Type: Full TimeJohns Hopkins Sightline: Unleash Your Impact The Johns Hopkins Sightline Business...

  • Policy Assistance Specialist

    1 day ago

    Baltimore, Maryland, United States State Farm Insurance Full time

    Job Summary">The Policy Assistance Specialist at State Farm Insurance plays a critical role in assisting customers with their insurance policies and ensuring that they have a positive experience with our company.">Main Responsibilities">Provide assistance to customers on policy-related queries and concerns.Process policy changes and updates accurately and...

  • Clinical Program Director

    3 weeks ago

    Baltimore, Maryland, United States Change Health Systems I Full time

    Job Opportunity: Clinical Program Director    Change Health Systems I seeks a highly skilled and experienced Clinical Program Director to lead our behavioral health clinic in Baltimore, Maryland.    About the Role:This is a full-time position with a competitive salary of $120,000 - $150,000 per year, based on experience.The successful candidate will...

  • LifeBridge Health | REGISTERED NURSE I

    2 weeks ago

    baltimore, United States LifeBridge Health Full time

    REGISTERED NURSE ISign On Bonus Potential: Up to $20,000Baltimore, MDSINAI HOSPITALNURSING-PULM/IDFull-time w/Weekend Commitment - Night shift - 7:00pm-7:30amStaff Nurse81875$35.00-$54.82 Experience basedPosted: November 11, 2024Apply Now// Setting the Saved Jobs link function setsavedjobs(externalidlist) { if(typeof externalidlist !== 'undefined') { var...

  • Information Security Analyst

    7 days ago

    Baltimore, Maryland, United States Innova Solutions Full time

    Job DescriptionThis Cyber Security Analyst I role is responsible for planning, designing, and implementing a process for cyber security monitoring, incident detection, and incident response. The ideal candidate will have 1-3 years of experience and a bachelor's degree in IT systems or a related discipline.ResponsibilitiesResponsible for planning, designing,...

  • LifeBridge Health | REGISTERED NURSE I

    2 weeks ago

    baltimore, United States LifeBridge Health Full time

    REGISTERED NURSE IBaltimore, MDSINAI HOSPITALNURSING WMS/ONC/OTHEFull-time - Night shift - 7:00pm-7:30amStaff Nurse85068$35.00-$54.82 Experience basedPosted: November 15, 2024Apply Now// Setting the Saved Jobs link function setsavedjobs(externalidlist) { if(typeof externalidlist !== 'undefined') { var saved_jobs_query =...

  • Test Analyst for Laboratory Solutions

    3 days ago

    Baltimore, Maryland, United States CTG, Inc. Full time

    About the RoleWe are seeking an experienced Test Analyst for Laboratory Solutions to join our team. The successful candidate will be responsible for testing and validating laboratory information systems, ensuring they meet the highest standards of quality and accuracy.Key Responsibilities:Perform thorough testing and validation of laboratory information...

  • LifeBridge Health | REGISTERED NURSE I

    2 weeks ago

    baltimore, United States LifeBridge Health Full time

    REGISTERED NURSE ISign On Bonus Potential: UP TO $20,000Baltimore, MDSINAI HOSPITALINTERMEDIATE CAREFull-time w/Weekend Commitment - Day shift - 7:00am-7:30pmStaff Nurse85468$35.00-$54.82 Experience basedPosted: November 15, 2024Apply Now// Setting the Saved Jobs link function setsavedjobs(externalidlist) { if(typeof externalidlist !== 'undefined') { var...

  • Applied Behavior Analyst Assistant

    1 week ago

    Baltimore, Maryland, United States A Gem of Joy ABA Full time

    Job Title: Behavioral Care SpecialistA Gem of Joy ABA is seeking a skilled Applied Behavior Analyst Assistant to join our team. As an Applied Behavior Analyst Assistant, you will work under the supervision of a Board Certified Behavior Analyst (BCBA) to implement behavior analytic programs with learners. The successful candidate will have excellent...

  • SALESFORCE Business Analyst

    1 week ago

    Baltimore, United States Softrams, a Tria Federal Company Full time

    Salesforce Health Cloud Business Analyst/AdminJob OverviewSoftrams is seeking a skilled Salesforce Health Cloud Business Analyst/Administrator to join our Salesforce Practice. This role involves gathering requirements from healthcare clients, translating them into user stories in JIRA, and working closely with the development team to provide solutions using...

  • ANESTHESIA TECHNICIAN I

    7 days ago

    Baltimore, United States LifeBridge Health Full time

    ANESTHESIA TECHNICIAN I Baltimore, MD ...

  • Applied Behavior Analyst Professional

    3 weeks ago

    Baltimore, Maryland, United States A Gem of Joy ABA Full time

    About A Gem of Joy ABAWe are a dynamic organization dedicated to providing top-notch Applied Behavior Analysis (ABA) services. Our mission is to empower individuals with Autism and Intellectual Disabilities to reach their full potential.Job Title: Applied Behavior Analyst ProfessionalWe are seeking a highly motivated and experienced Applied Behavior Analyst...