Medical Care Program Associate III

Introduction

* * * THIS RECRUITMENT IS LIMITED TO CURRENT MARYLAND DEPARTMENT OF HEALTH EMPLOYEES ONLY. * * *

GRADE

ASTD12

LOCATION OF POSITION

MDH - Office of Eligibility Services

201 W. Preston Street

Baltimore MD 21201

Main Purpose of Job

The main purpose of this position is to lead paraprofessional staff in the HealthChoice Enrollment Unit which includes the training of Medical Care Program Associates and the assigning reviewing and approval of their daily work. This position is responsible for processing on-line files MCO additions changes withdrawals and corrections including independent verification of the validity of enrollment and disenrollment transactions prior to data entry. This position provides liaison services to the Managed Care Organizations (MCOs) to include but not limited to special capitation payments recipient eligibility for enrollment in special programs and verification of validity of enrollment and disenrollment activities. This position identifies and resolves problems presented by medical care providers MCOs and their staff members and various external stakeholders using knowledge of established policies that govern enrollment and disenrollment procedures. This position requires a thorough knowledge and demonstrated application of Medical Assistance policies regulations and guidelines; and requires the exercise of discretion and independent judgment in making decisions and interpreting and applying policies procedures and regulations.

MINIMUM QUALIFICATIONS

Education: Graduation from an accredited high school or possession of a high school equivalency certificate.

Experience: Three years of clerical experience applying policies in a medical care health insurance or federal or State entitlement program.

Notes:

1. Candidates may substitute additional general clerical experience on a year-for-year basis for the required education.

2. Candidates may substitute thirty credit hours from anaccredited college or university for one year of the requiredexperience.

DESIRED OR PREFERRED QUALIFICATIONS

The desired candidate should possess the following:

• Experience directing staff overseeing work accuracy and timeliness and coaching team members to achieve program goals
• Experience interpreting and analyzing Medicaid regulations policies and procedures
• Experience utilizing data systems such as MMIS HBX and EE
• Strong organizational skills
• Excellent interpersonal skills emphasizing communication and conflict resolution

LIMITATIONS ON SELECTION

* * * THIS RECRUITMENT IS LIMITED TO CURRENT MARYLAND DEPARTMENT OF HEALTH EMPLOYEES ONLY. * * *

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 it is essential that you provide complete and accurate information on your report all related education experience dates and hours of 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).

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

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

Candidates may remain on thecertified 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

FURTHER INSTRUCTIONS

Online applications are highly recommended. However if you are unable to apply onlinethe paper application (and supplemental questionnaire) may be submitted to MDH Recruitment and Selection Division 201 W. Preston St. Room 114-B Baltimore MD 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 informationto .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 theMDH Recruitment and Selection Division at .

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 or .

Appropriate accommodations for individuals with disabilities are available upon request by calling: or MD TTY Relay Service 1-.

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 States diversity.

MDHMedCare

Required Experience:

IC