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ADMINISTRATIVE OFFICER I

Appeals Lead Worker

Recruitment #17-002711-0010

Introduction

**This position is limited to current State of Maryland employees only.**

GRADE

13

LOCATION OF POSITION

DHMH, Office of Eligibility Services, Baltimore, MD

Main Purpose of Job

The main purpose of this position is to provide guidance, direction and technical assistance in cooperation with the unit MCP Supervisor, to an Appeals and Special Projects Unit involved in the Fair Hearings Process, Qualify Control and State Audit Reviews, Corrective Action Plans, Reconciliation Reports and Quality Analysis studies to track data and trends to ensure program compliance and integrity for Home and community Based Services Waivers, (HCBS), Primary Adult Care Program (PAC), Family Planning (FP), Employed Individuals with Disabilities (EID), Institutions for Mental Diseases (IMD) and Women's Breast and Cervical Cancer Health Program (WBCCHP). This position works closely with the unit supervisor in developing plans to direct, control, and monitor activity within the unit to ensure Fair Hearings and Special Projects are processed appropriately according to regulations, policies and procedures. This position facilitates and supports team staffing by providing oversight, arranging meeting space and ensuring that Fair Hearings scheduling is conflict free. The MCP Specialist is responsible for interpreting, developing and applying eligibility regulations and policies, handling complex, high profile eligibility issues, inquiries and complaints. This position helps in the professional development of the unit by providing ongoing mentoring, training, and feedback. The MCP Specialist will analyze current policies and procedures, develop recommendations for improved program efficiencies, and serve as a liaison to other State, Federal and Local Government and private agencies. The MCP Specialist must establish and maintain effective working relations with the Deputy Director, Program Chiefs, other supervisors and subordinates both inside and outside of the Department of Health and Mental Hygiene. The MCP must exercise tact and discretion when dealing with the constituents who are denied Medical Assistance, or their advocates. This position will assist in mitigating customer anxiety by providing prompt and courteous response to customer inquiries and complaints.

MINIMUM QUALIFICATIONS

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

Experience: One (I) year 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 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 to year basis for the required education and experience.

DESIRED OR PREFERRED QUALIFICATIONS

The successful applicant should have extensive working knowledge of Medical Assistance eligibility processing, regulations, policies and procedures, coordination and processing of the Fair Hearings and Appeals process. Effective oral and written communication skills, experience using the client automated resource eligibility and Medicaid Management Information Systems (CARES/MMIS), working knowledge of Microsoft Excel and Word with a demonstrated history of creating and maintaining Excel spreadsheets.

LIMITATIONS ON SELECTION

**This position is limited to current State of Maryland employees only.**

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

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.

BARGAINING UNIT STATUS

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.

BENEFITS

FURTHER INSTRUCTIONS

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.




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