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Introduction GRADE 13
LOCATION OF POSITION
MDH – OES Eligibility Determination Division
6 St. Paul Street
Baltimore, MD 21202
Main Purpose of Job
The main purpose of this position is to provide guidance, direction and technical assistance in cooperation with the unit MCP Supervisor, to an Appeals and Special Projects Unit involved in the Fair Hearings Process, Quality Control and State Audit Reviews, Corrective Action Plans, Reconciliation Reports and Quality Analysis studies to track data and trends to ensure compliance and integrity for the Home and Community Based Services Waivers, (HCBS), Family Planning (FP), Employed Individuals with Disabilities (EID), Institutions for Mental Diseases (IMD) and Women’s Breast and Cervical Cancer Health Program (WBCCHP). This position works closely with the unit supervisor in developing plans to direct, control, and monitor activity within the unit to ensure Fair Hearings and Special Projects are processed appropriately according to regulations, policies and procedures. This position facilitates and supports team staffing by providing oversight, arranging meeting space and ensuring that Fair Hearings scheduling is conflict free. The MCP Specialist is responsible for interpreting, developing and applying eligibility regulations and policies, handling complex, high profile eligibility issues, inquiries and complaints. This position helps in the professional development of the unit by providing ongoing mentoring, training, and feedback. The MCP Specialist will analyze current policies and procedures, develop recommendations for improved program efficiencies, and serve as a liaison to other State, Federal and Local Government and private agencies. The MCP Specialist must establish and maintain effective working relationships with the Director, Assistant Directors, other supervisors and subordinates both inside and outside of the Maryland Department of Health (MDH). The MCP Specialist must exercise tact and discretion when dealing with constituents who are denied Medical Assistance, or their advocates. This position will assist in mitigating customer anxiety by providing prompt and courteous responses to customer inquiries and complaints.
Minimum Qualifications
Education: Graduation from an accredited high school or possession of a high school equivalency certificate.
Experience: One year of administrative staff or professional work.
Notes
- Candidates may substitute 30 college credit hours from an accredited college or university for the required experience.
- Candidates may substitute U.S. Armed Forces military service experience as a commissioned officer involving staff work that included regular use of independent judgment and analysis in applying and interpreting complex administrative plans, policies, rules or regulations or analysis of operational programs or procedures with recommendations for improvement on a year-for-year basis for the required experience.
Desired Or Preferred Qualifications
The desired candidate should possess the following:
- Experience processing complex Medicaid eligibility applications
- Experience interpreting medical assistance policies, regulations and procedures
- Experience working with consumers and other stakeholders resolving concerns
- Knowledge of Home and Community Based Waivers, Long Term Care (LTC) Medicaid, and Employed Individuals with Disabilities (EID) policies and regulations
- Experience preparing cases including preparing concise hearing summaries and presenting Appeals before an Administrative Law Judge
- Ability to meet established deadlines
- Willingness to attend hearings in person and/or remotely throughout the State of Maryland
- Systems Knowledge, Long Term Service and Supports (LTSSMaryland), Eligibility & Enrollment (E&E), Medicaid Management Information System (MMIS)
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 [email protected] .
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.
