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ADMINISTRATIVE OFFICER III

Appeals and Constituent Services Administrative Officer

Recruitment #17-002247-0040

GRADE

15

LOCATION OF POSITION

750 E. Pratt Street

Baltimore, MD  21202

Main Purpose of Job

This position provides a high level review for constituent services and appeals escalated cases through correspondences with the Governor's office, legislators, constituents, and stakeholders involved in the health insurance process. Monitors data base systems and create reports for Program Manager.

POSITION DUTIES

This position will be responsible for:

1. Managing caseloads.

2. Researching policy and procedures related to enrollment.

3. Applying appropriate regulatory provisions to escalated cases.

4. Maintaining and developing work control and tracking systems.

5. Creating reports for Program Manager. 

MINIMUM QUALIFICATIONS

Education: Possession of a Bachelor's degree from an accredited four-year college or university.

Experience: Three years experience in administrative or professional work.

Notes:

1. Candidates may substitute additional experience in administrative staff or professional work on a year-for-year basis for the required education.

 2. Candidates may substitute additional graduate level education at an accredited college or university at the rate of 30 semester credit hours for each year of the required experience.

3. Candidates may substitute U.S. Armed Forces military service experience as a commissioned officer involving staff work that included the 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 education and experience.  

DESIRED OR PREFERRED QUALIFICATIONS

1. Experience in Qualified Health Plans, Medicaid eligibility, and knowledge of the Affordable Care  Act/ACA. 

2. Extensive customer services background.

3. Familiarity with the following systems; MMIS/Medicaid Management Information Systems, Microsoft Excel, HBX/Health Benefits Exchange and CARES/Client Automatic Resource Eligibility Systems.  

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

Please make sure that you provide sufficient information on your application to show that you meet the qualifications for this recruitment.  All information concerning your qualifications must be submitted by the closing date.  We will not consider information submitted after this date. Successful candidates will be ranked as Best Qualified, Better Qualified, or Qualified and placed on the employment (eligible) list for at least one year.

EXAMINATION PROCESS

The examination will consist of a rating of your education, training, and experience as presented on your application and as they relate to the requirements of the position.  You may be required to complete a supplemental question.  Therefore, it is important that you provide complete and accurate information on your application.

BENEFITS

FURTHER INSTRUCTIONS

Applications will not be accepted after the close of business on the closing date of the announcement. Resumes will NOT be accepted in lieu of completing the online or paper application. The online application process is STRONGLY preferred.  If online access is not available, you may submit a paper application, supplemental questionnaire and resume to:

Maryland Health Benefit Exchange

Attn: Tammy Austin 

750 E. Pratt Street, 16th Floor Baltimore, MD 21202

Email: tammy.austin@maryland.gov

TTY Users: call via Maryland Relay 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.