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ADMINISTRATIVE SPECIALIST II

Medicaid Monitoring Assistant

Recruitment #17-006119-0004

Introduction

 *Contractual Position*

GRADE

11

LOCATION OF POSITION

Nancy S. Grasmick building

200 W. Baltimore St.

Baltimore, MD 21201

Main Purpose of Job

The assignment requires skills necessary for data analysis and preparation of report related to compliance, and analysis using pivot table or other measurement tools. This position will participate in and coordinate Medicaid monitoring of local school systems, local lead agencies, Autism Waiver providers, the Maryland School for the Blind, the Maryland School for the Deaf, nonpublic special education schools and residential care providers participating in the School Medicaid Program and the Autism Waiver. This includes scheduling visits, preparing accurate correspondence, tracking visits and results, selecting the claims to review, preparing Excel reports, synthesizing data collected during compliance reviews. In addition, the position will involve testing new applications for compliance monitoring, i.e., Maryland On-Line IEP, Service Tracking Logs and associated billing software used by LSS

POSITION DUTIES

  • Conduct data analysis.  Select monitoring samples based on Medicaid Data Management System.  Manage and conduct compliance monitoring. Schedule and coordinate annual monitoring and review prior performance.  Prepare monitoring correspondence and participate in onsite monitoring reviews for the School-Based Medicaid.  Conduct analysis and prepares compliance reports.  Apply special education understanding to use of technology solutions for compliance monitoring.
  • Select and study paid claims as part of auditing and send information to DHMH and local school systems using HIPAA compliant procedures.  Build a file for analysis for analysis for monitoring results spanning a period of 5 years.  Identify trends and patterns and advise on changes to the audit focus, challenges and risks.  Apply understanding of special education related service delivery to findings and recommendations, training and design of TA.
  • Prepare packets for monitoring teams.  Participates as a monitor measuring compliance in assigned areas.  Collects and maintains documentation, assists with audit finding reports and end of year reports.  Prepare TA materials.
  • Performs other administrative support duties as assigned by the Section Chief or Section staff relative to the mission of MSDE and the Division of Special Education/Early Intervention Services and the Section.

MINIMUM QUALIFICATIONS

Education: Completion of 60 credit hours at an accredited college or university. Experience: One year of experience in administrative or professional work.

Notes:

1. Candidates may substitute experience as defined above for the required education at the rate of one year of experience for 30 credit hours, for up to 60 credit hours of required education.

2. Candidates may substitute 90 credit hours at an accredited college or university for the required education and experience.

3. Candidates may substitute U.S. Armed Forces military service experience as a non-commissioned officer involving staff work requiring regular use of independent judgment and analysis in applying and interpreting rules and regulations in accordance with agency laws and policies on a year-for-year basis for the required education and experience

For education obtained outside the U.S., you will be required to provide proof of the equivalent American education as determined by a foreign credential evaluation service. This evaluation must be submitted with your application.

SELECTIVE QUALIFICATIONS

Applicants must meet this selective qualification to be considered. Include clear and specific information on your application regarding your qualifications.

Six (6) months experience with Microsoft Office Suites (PowerPoint, Word, Excel, Access) & G Suite Google apps for work, including docs and sheets

DESIRED OR PREFERRED QUALIFICATIONS

The following qualifications are preferred, not required:

  • Experience working with special needs children
  • Knowledge & experience working with IDEA/IEP in MD

LIMITATIONS ON SELECTION

Proof of eligibility to work in compliance with the Immigration Reform and Control Act and travel throughout the state are required. Any misrepresentation of academic or experience requirements for this position may result in non-selection or termination of employment.

SELECTION PROCESS

Please provide sufficient information on your application (and on separate pages, if necessary) to show that you satisfy 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. Resumes may not be submitted in lieu of completing the employment application. Successful candidates will be ranked as Best Qualified, Better Qualified, or Qualified and placed on the employment (eligible) list for at least one year. The examination will consist of a rating of your education, training, and experience related to the requirements of the position. It is important that you provide complete and accurate information on your application.

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 will be required to complete a supplemental questionnaire. Therefore, it is important that you provide complete and accurate information on your application.

BENEFITS

Contractual employees who work for an agency covered under the State Employee and Retiree Health and Welfare Benefits Program (the Program), have a current employment contract and work 30 or more hours a week (or on average 130 hours per month) may be eligible for subsidized health benefits coverage for themselves and their dependents.  As a contractual employee, you will be responsible for paying 25% of the premiums for your medical and prescription coverage, including any eligible dependents you have enrolled. The State of Maryland will subsidize the remaining 75% of the cost for these benefits. You can also elect to enroll in dental coverage, accidental death and dismemberment insurance, and life insurance, but will be responsible to pay the full premium for these benefits.

FURTHER INSTRUCTIONS

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. If you need to submit additional information, the preferred method is to upload your document(s) by electronic means with the submission of your application. However, if you’re unable to upload your documents, please fax requested information only to 410-333-8950 (providing a cover sheet with the following : each page of the attachment your First and Last Name, Recruitment Number, and the last 4 digits of your SS# and indicate application Administrative Specialist II-Medicaid Monitoring 102571- [JobAps#: 17-006119-0004]). We will not consider information submitted after the closing date of this announcement.

Resumes will NOT be accepted in lieu of completing the online or paper application.

ONLINE APPLICATIONS ARE HIGHLY RECOMMENDED, however a paper application may be submitted to:

 Maryland State Department of Education

Office of Human Resources

c/o Marcia Cooper-Stokes

 200 West Baltimore Street Baltimore, Maryland 21201

If you have difficulty with your user account or have general questions about this online application system, please contact the MD Department of Budget and Management, Recruitment and Examination Division at 410-767-4850.

Appropriate accommodations for individuals with disabilities are available upon request.

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

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

Bilingual applicants are encouraged to apply.




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