MEDICAL CARE PROGRAM ASSOCIATE II

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Department of Health and Mental Hygiene

Office of Systems, Operations, and Pharmacy

201 W. Preston Street Room SS-3

Baltimore, MD  21201

The Contractual Medical Care Program Associate II is the full performance level of work in a Medical Assistance Program in the Department of Health and Mental Hygiene. The main purpose of this position is to effectively function as a Medical Care Program Associate II in the Medicaid Office of Systems, Operations, and Pharmacy (OSOP) by serving in a multi-task position to be cross trained in a variety of medical care related functions including but not limited to determining eligibility, processing claims-batch claims, processing both paper and electronic claims, reconciling errors related to claims, resolving provider issues and all claims related functions for pharmacy, physicians, and hospitals. The incumbent will respond to inquiries from applicants, recipients, pharmacies, providers, advocates and others to provide information and resolve complaints and outstanding issues, complete any clerical duties associated with the functions listed above, provide clerical support as requested and perform other duties as assigned.

Education:   Graduation from an accredited high school or possession of a high school equivalency certificate.

Experience:  Two years of clerical experience applying policies in a medical care, health insurance or federal or State entitlement program.

NOTES:

1.  Additional general clerical experience may be substituted on a year-for-year basis for the required education.

2.  College credits from an accredited college or university may be substituted for the required experience at the rate of 30 credit hours for one year of experience.

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. For Recorded Job Information Call: 410-767-6018.

This is a full-time contractual position with no benefits.

Online application process is STRONGLY preferred. If online process is not available, please send your paper application 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.

We thank our Veterans for their service to our country, and encourage them to apply.

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