MEDICAL CARE PROGRAM SPECIALIST II

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

DHMH, Office of Health Services, Baltimore MD

This recruitment is for two vacancies within the Deputy Secretary Health Care Financing

1.) The first position is located within the Office of Systems, Operations, and Pharmacy: The main purpose of this position is to provide direct supervision of the Provider Services Division. The Division's primary objective is to provide assistance to the Medicaid provider community regarding the Medicaid Program's enrollment requirements. This position is responsible for applying and interpreting Medical Assistance regulations and policies regarding services covered by the Program which includes tracking and reviewing internal processes such as: Policy Instruction Statements (PIS), Provider Status Statements (PSS), etc., and verifying provider applications for accuracy and completion. This position is also responsible for ensuring that providers receive prompt and positive customer service. This employee is primarily responsible for assuring that staff inform, apply and interpret Medical Assistance regulations and policies regarding services covered by the Program accurately.

2.) The second position is located in the Office of Health Services: The main purpose of this position is to perform tasks related to ensuring the health and welfare of participants receiving assisted living services through the Medicaid Home and Community- Based Options Waiver (Waiver). This includes tasks associated with the investigation and resolution of critical events and complaints involving participants residing in assisted living facilities, ensuring services are rendered by qualified assisted living services providers and on or off-site quality assurance monitoring of assisted living services provider compliance with the State and Federal regulations. The mission of the agency is to ensure that the Medical Care Program's policies and regulation provide for coordinated, cost-effective, accountable and quality health care services to participants in Medicaid programs throughout the State. The purpose of this position relates to this mission through duties which focus on the provision of quality assisted living services rendered by qualified providers in order to assure the health and welfare of Waiver participants.

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

Experience: Three years of administrative or professional experience developing or applying policies and regulations in medical assistance, health insurance, federal or State entitlement programs.

Note:

1.  Additional administrative or professional experience applying policies and regulations in medical assistance, 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.

2.  A Master's degree in the related field of work can be substituted for the required experience.

3. Candidates may substitute U.S. Armed Forces military service experience as a commissioned officer in Operational Analyst classifications or Health Services Management specialty codes in the health related field of work on a year-for-year basis for the required experience and education.

Employees in this classification may be assigned duties which require the operation of a motor vehicle. Employees assigned such duties may 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.

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.

Should additional information regarding this recruitment be required, please contact the DHMH Recruitment and Selection Division at 410-767-1251 or via email at dhmh.jobs@maryland.gov. 

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

The incumbent in this position is a member of a covered bargaining unit and will be required to pay a bi-weekly service fee to the exclusive representative of the bargaining unit.

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. People with disabilities and bilingual candidates are encouraged to apply. We thank our Veterans for their service to our country.

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