MEDICAL CARE PROGRAM ASSOCIATE I

10

Department of Health and Mental Hygiene

Office of Health Services

HealthChoice Community Liaison and Care Coordination

201 W. Preston Street

Baltimore, MD  21201 

The Contractual Medical Care Program Associate I is the intermediate level of work in a Medical Assistance Program in the Department of Health and Mental Hygiene.  Employees in this classification apply, interpret and process program specific information, policies, regulations and guidelines in a variety of activities.  This position acts as a telephone triage agent to various 800 hotlines for the HealthChoice and Acute Care Administration in the Division of HealthChoice Customer Relations by providing customer service and resolution of recipient and provider concerns for various Medicaid programs which include but are not limited to HealthChoice, Medicaid Expansion Programs, Maryland Children's Health Program (MCHP),and the Family Planning Program.  All inquiries, complaint calls, enrollee provider problems and issues will be documented in the Provider Recipient Ombudsman Management Information System (PROMIS).  The incumbent's duties also include education of recipients and providers regarding navigation and access of the Medicaid system by reviewing state and federal regulations, policies, and procedures.  The agent is required to triage all medical complaints from recipients and providers in the Medicaid Programs and is required to document the complaint/issue in the PROMIS database.  All complex complaints are referred to the Complaint Resolution Unit within the Division of Outreach and Care Coordination.

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

Experience:  One year 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.  Thirty credit hours from an accredited college or university may be substituted for the required 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.

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