MEDICAL CARE PROGRAM MANAGER II

18

DHMH, Office of Systems, Operations and Pharmacy, Baltimore, MD

The main purpose of this position is to direct the Division of Claims Processing in the Medical Care Operations Administration for the processing of all medical claims from providers of services for Medical Assistance recipients. The Division ensures that all Medical Assistance Program policies are affected by the MMIS-II adjudication process.

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

Experience: Three years of experience supervising employees in developing and applying policies and regulations or directing a program or project in a medical care program.

Note: 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 may be substituted on a year-for-year basis for the required education.

The successful candidate should have knowledge in the Medical Care Programs (MCP), claims adjudication, and developing and applying policies and regulations as they apply to MCP.

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 operator’s license valid in the State of Maryland.

Applicants who meet the minimum qualifications will be evaluated.  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.  For education obtained outside the U.S., a copy of the equivalent American education as determined by a foreign credential evaluation service must accompany the application.  All information concerning your qualifications must be submitted by the closing date.  We will not consider information submitted after this date.  Applicants certified to list will receive eligibility for a period of one (1) year.
Eligibility may be extended beyond one (1) year period.  For Recorded Job Information Call:  410-767-6018.

Online applications are highly recommended, however the paper application may be submitted to DHMH, Recruitment and Selection Division, 201 W. Preston St., Room 114-B, Baltimore, MD 21201.  The paper application must be received by 5 pm, close of business, on the closing date for the recruitment, no postmarks will be accepted.

Incorrect application forms will not be accepted.

If you need to submit additional information, the preferred method is to upload.  If unable to upload, please fax requested information only to 410-333-5689.

Appropriate accommodations for individuals with disabilities are available upon request by calling: (410) 767-1251 or MD TTY Relay Service 1-800-735-2258.

STATE OF MARYLAND BENEFITS  

As an equal opportunity employer Maryland is committed to recruiting, retaining and promoting employees who are reflective of the State’s diversity.

The resulting certified eligible list for this recruitment may be used for similar positions in this or other State agencies.