MEDICAL CARE PROGRAM MANAGER I

GRADE

18

LOCATION OF POSITION

MDH - Office of Eligibility Services - Policy/MCHP

201 W. Preston Street

Baltimore, MD 21201

Main Purpose of Job

This position functions as the Division Chief of the Policy and MCHP units which involves oversight and management of 2 Medicaid Eligibility Policy units: Policy and Maryland Childrenâs Health Program (MCHP). The initial Policy unit is responsible for Modified Adjusted Gross Income (MAGI and Non-MAGI) case reviews, Aged, Blind & Disabled, Long-Term Care, and Waivers for special circumstances within Medicaid. This includes tracking specific advanced casework activities, such as Pre and Post-Medical Expenses (PEMEs), and for developing and disseminating Medicaid eligibility policy, Standard Operating Procedures (SOPs), Memos, briefs, and reports. Furthermore, this unit is tasked with responding to policy inquiries via multiple delegated email boxes and conducting research to address customer inquiries.

The second unit, Maryland Childrenâs Health Program (MCHP) policy, is responsible for developing and disseminating Medicaid eligibility policy, addressing policy and case inquiries, and researching and responding to customer inquiries. This includes inquiries into Medicaid policies, responding to customer inquiries on behalf of the Maryland Department of Health (MDH) for both Non-MAGI and MAGI cases, assigning and tracking specific advanced casework activities, and serving as a liaison with headquarters and local offices for the Department of Human Services cases.Â

In addition to overseeing the successful completion of the duties listed above, this position is responsible for requesting, coordinating, reviewing, and processing revised agency grant applications from Local Health Departments (LHDs), as well as overseeing the work processed by the LHDs under the grants. Activities must be coordinated with other offices within OES (Operations, Eligibility Determination Division) within MDH (such as the Office of Innovation, Research & Development, the Office of Communication, and the Office of Constituent Services), and other State of Maryland departments, primarily the Department of Human Services and the Maryland Health Benefit Exchange.Â

This position is also responsible for assisting the MCHP Supervisor and Policy Supervisor with the development, analysis, and revision of Federal and State laws, regulations, and policies that form the basis for the MAGI/MCHP and eligible non-MAGI regulations and applying them to the development, interpretation, or enforcement of Marylandâs MAGI/MCHP and Non-MAGI eligibility policies. This position also conducts in-depth review of Federal and State statutes, CMS regulations, CFR, and COMAR provisions to determine their operational impact on Marylandâs Medicaid programs.

MINIMUM QUALIFICATIONS

Education:Â Â Â A Bachelorâs degree from an accredited college or university.

Experience: Two years of experience supervising employees in developing and applying policies and regulations or directing a program or project in a medical care program.

Notes:

1. Candidates may substitute additional administrative or professional experience developing or applying policies and regulations in medical care, health insurance, federal or State entitlement programs or in a health or human service program on a year-for-year basis for the required education.

2. Candidates may substitute U.S. Armed Forces military service experience at a rank of Corporal/Petty Officer or higher as a commissioned officer in Health Care Administration 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.

DESIRED OR PREFERRED QUALIFICATIONS

The desired candidate should possess the following:

• Experience supervising staff in a Medicaid/public assistance setting.
• Experience with eligibility policy, processes, and procedures.
• Experience managing complex workflows and meeting deadlines.

LICENSES, REGISTRATIONS AND CERTIFICATIONS

Employees in these classifications may be assigned duties which require the operation of a motor vehicle. Employees assigned such duties will be required to possess a motor vehicle operatorâs license valid in the State of Maryland.

SELECTION PROCESS

Applicants who meet the minimum (and selective) qualifications will be included in further evaluation. 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. Clearly indicate your college degree and major on your application, if applicable. For education obtained outside the U.S., any job offer will be contingent on the candidate providing an evaluation for equivalency by a foreign credential evaluation service prior to starting employment (and may be requested prior to interview).Â

Complete applications must be submitted by the closing date. Information submitted after this date will not be added.Â

Incorrect application forms will not be accepted. Resumes will not be accepted in lieu of a completed application.

Candidates may remain on the certified eligible list for a period of at least one year. The resulting certified eligible list for this recruitment may be used for similar positions in this or other State agencies.

BENEFITS

STATE OF MARYLAND BENEFITS

FURTHER INSTRUCTIONS

Online applications are highly recommended. However, if you are unable to apply online, the paper application (and supplemental questionnaire) may be submitted to MDH, Recruitment and Selection Division, 201 W. Preston St., Room 114-B, Baltimore, MD 21201. Paper application materials must be received by 5 pm, close of business, on the closing date for the recruitment, no postmarks will be accepted.

If additional information is required, the preferred method is to upload. If you are unable to upload, please fax the requested information to 410-333-5689. Only additional materials that are required will be accepted for this recruitment. All additional information must be received by the closing date and time.

For questions regarding this recruitment, please contact the MDH Recruitment and Selection Division at 410-767-1251.

If you are having difficulty with your user account or have general questions about the online application system, please contact the MD Department of Budget and Management, Recruitment and Examination Division at 410-767-4850 or Application.Help@maryland.gov.Â

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

We thank our Veterans for their service to our country.

People with disabilities and bilingual candidates are encouraged to apply.

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

MDHMedCare