Introduction
*** THIS RECRUITMENT IS LIMITED TO CURRENT MDH PROMOTIONAL CANDIDATES ONLY. ***
GRADE
18
LOCATION OF POSITION
MDH - Office of Eligibility Services - Policy/MCHP
201 W. Preston Street
Baltimore MD 21201
Main Purpose of Job
This position functions as the Division Chief of the Policy and MCHP units which involves oversight and management of 2 Medicaid Eligibility Policy units: Policy and Maryland Childrens Health Program (MCHP). The initial Policy unit is responsible for Modified Adjusted Gross Income (MAGI and Non-MAGI) case reviews Aged Blind & Disabled Long-Term Care and Waivers for special circumstances within Medicaid. This includes tracking specific advanced casework activities such as Pre and Post-Medical Expenses (PEMEs) and for developing and disseminating Medicaid eligibility policy Standard Operating Procedures (SOPs) Memos briefs and reports. Furthermore this unit is tasked with responding to policy inquiries via multiple delegated email boxes and conducting research to address customer inquiries.
The second unit Maryland Childrens Health Program (MCHP) policy is responsible for developing and disseminating Medicaid eligibility policy addressing policy and case inquiries and researching and responding to customer inquiries. This includes inquiries into Medicaid policies responding to customer inquiries on behalf of the Maryland Department of Health (MDH) for both Non-MAGI and MAGI cases assigning and tracking specific advanced casework activities and serving as a liaison with headquarters and local offices for the Department of Human Services cases.
In addition to overseeing the successful completion of the duties listed above this position is responsible for requesting coordinating reviewing and processing revised agency grant applications from Local Health Departments (LHDs) as well as overseeing the work processed by the LHDs under the grants. Activities must be coordinated with other offices within OES (Operations Eligibility Determination Division) within MDH (such as the Office of Innovation Research & Development the Office of Communication and the Office of Constituent Services) and other State of Maryland departments primarily the Department of Human Services and the Maryland Health Benefit Exchange.
This position is also responsible for assisting the MCHP Supervisor and Policy Supervisor with the development analysis and revision of Federal and State laws regulations and policies that form the basis for the MAGI/MCHP and eligible non-MAGI regulations and applying them to the development interpretation or enforcement of Marylands MAGI/MCHP and Non-MAGI eligibility policies. This position also conducts in-depth review of Federal and State statutes CMS regulations CFR and COMAR provisions to determine their operational impact on Marylands Medicaid programs.
MINIMUM QUALIFICATIONS
Education:A Bachelors degree from an accredited college or university.
Experience: Two years of experience supervising employees in developing and applying policies and regulations or directing a program or project in a medical care program.
Notes:
1. Candidates may substitute additional administrative or professional experience developing or applying policies and regulations in medical care health insurance federal or State entitlement programs or in a health or human service program on a year-for-year basis for the required education.
may substitute U.S. Armed Forces military service experience at a rank of Corporal/Petty Officer or higher as a commissioned officer in Health Care Administration classifications or Health ServicesManagement specialty codes in the health-related field ofwork on a year-for-year basis for the required experience and education.
DESIRED OR PREFERRED QUALIFICATIONS
The desired candidate should possess the following:
- Experience supervising staff in a Medicaid/public assistance setting.
- Experience with eligibility policy processes and procedures.
- Experience managing complex workflows and meeting deadlines.
LIMITATIONS ON SELECTION
*** THIS RECRUITMENT IS LIMITED TO CURRENT MDH PROMOTIONAL CANDIDATES ONLY. ***
LICENSES REGISTRATIONS AND CERTIFICATIONS
Employees in these classifications may be assigned duties which require the operation of a motor vehicle. Employees assigned such duties will be required to possess a motor vehicle operators 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 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 will not be accepted in lieu of a completed application.
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
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.
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