Director, Office Of Eligibility Services

Baltimore, MD - USA

Monthly Salary: Not Disclosed

Posted on: 10-11-2025

Vacancies: 1 Vacancy

Job Summary

GRADE

LOCATION OF POSITION

MDH Office of Health Care Financing Baltimore MD

Main Purpose of Job

The main purpose of this position is to supervise and manage the Office ofEligibility Services (OES) within the Health CareFinancing & Medicaid Administration helping to ensure that Marylandersreceive efficient and accurate eligibility services. This role is responsible for overseeing theeligibility operations systems regulation and policy and staff for MedicaidMaryland Childrens Health Insurance Program (MCHP) andother Medical Assistance Programs.

Thisposition directs the implementation and continuous improvement of eligibilityoperations including policy development system functionality and eligibilitycaseworker training programs. This work crosses the Maryland HealthBenefits Exchange Department of Human Services and local health departments. The Director is also responsible formaintaining strong operational performance standards that ensure eligibility and frontline staff effectively supportMarylanders as they enroll in and renew coverage.

Key operational responsibilities includeoverseeing the development implementation and maintenance of eligibilityoperations regulations and policies under the Code of Maryland Regulations(COMAR). This role also involves leading the design and delivery of statewideeligibility training and technical assistance programs for eligibility caseworkers across the Maryland Department of Health local health departments theDepartment of Human Services and the Maryland Health Benefit responsibilities include ensuring the accuracy integrity andoperational functionality of the master eligibility file and supporting theMedicare Part B Buy-In program. The position also manages the issuance ofMedical Assistance identification cards and related customer service processesoversees eligibility determinations for specialized programs such as Home andCommunity-Based Services (HCBS) waivers and implements operationalimprovements that enhance efficiency accuracy and member satisfaction.

Functional leadershipresponsibilities include supervising and developing OES staff to strengthenoperational execution and service excellence as well as serving as a liaisonwith state and federal partners to coordinate eligibility operations and resolverecipient issues. The role also includes providing legislative testimony andsupporting executive decision-making through operational data and the position collaborates with CMS and internal technical groupsincluding the Medical Assistance Advisory Committee and the MCO rate settingworkgroup to align eligibility operations with broader program goals.

MINIMUM QUALIFICATIONS

Qualified candidates must possess a bachelors degree from an accredited college or university and six years of experience in State Medicaid Programs particularly eligibility policy. Three years of this experience must have been at a supervisory or management level in one or more of the following areas: health care policy and/or administration Medical Assistance eligibility determination and coordination and creation of eligibility policy & regulations.

A Masters degree is preferred and will substitute for one year of general experience. A Doctorate will substitute for two years of general experience.

DESIRED OR PREFERRED QUALIFICATIONS

The desired candidate should possess the following:

Extensive experience managing large-scale eligibility or public benefits operations ideallywithin Medicaid health coverage or other human services programs.

Proven leadership in operational management including overseeing staff performanceworkflow and service delivery systems.

Experience improving customer service systems and processes with a focus on memberexperience accessibility and efficiency.

Strong understanding of eligibility policy systems and regulations including how policychanges translate into operational implementation.

Experience coordinating across multiple agencies or partners such as human servicesdepartments health exchanges or IT system vendors.

Background in training and workforce development ensuring consistent understanding andapplication of eligibility policies statewide.

Demonstrated ability to use data and performance metrics to manage operations improveaccuracy and enhance customer satisfaction.

Familiarity with federal and state Medicaid requirements including reporting complianceand quality standards.

SELECTION PROCESS

This is a Management Service position and serves at the pleasure of the Appointing Authority. A resume is required and must be uploaded to your application. While cover letters are not mandatory if you choose to include one please upload it together with your resume as a single file.

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 it is essential that you provide complete and accurate information on your report all related education experience dates and hours of 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 submitted after this date will not be added.Incorrect application forms will not be accepted.

Candidates may remain on thecertified 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 onlinethe paper application (and supplemental questionnaire) may be submitted to MDH Recruitment and Selection Division 201 W. Preston St. Room 114-B Baltimore MD 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 informationto .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 theMDH Recruitment and Selection Division at .

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.

Appropriate accommodations for individuals with disabilities are available upon request by calling: or MD TTY Relay Service 1-.

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 States diversity.

Required Experience:

Director

GRADE 25 LOCATION OF POSITION MDH Office of Health Care Financing Baltimore MD Main Purpose of Job The main purpose of this position is to supervise and manage the Office ofEligibility Services (OES) within the Health CareFinancing & Medicaid Administration helping to ensure that Maryla...