HEALTH POLICY ANALYST I COMPLIANCE SPECIALIST

GRADE 17 LOCATION OF POSITION MDH, Developmental Disabilities Administration, 201 W. Preston Street, Baltimore, MD MAIN PURPOSE OF JOB This position supports the LTSSMaryland DDA Provider Billing Support Office (PBSO). It will learn to analyze Medicaid health care data to support Medicaid policies and programs, prepare reports, conduct research and analysis relevant to LTSSMaryland providers, and address high priority projects. It includes evaluation, analysis, research and development of health care services and policies within MDH, researching and evaluating policies, analyzing LTSSMaryland system requirements, coordinating service compliance projects, processing provider authorizations and payments, and communicating with internal and external MDH stakeholders. It processes certain billing activities, evaluates internal workflow, monitors program integrity and reporting, performs data analysis with a focus on administrative support and processing of provider adjustments, exceptions, and billing. Specific focus: support the Electronic Visit Verification (EVV) and Non‑EVV service billing for various Medicaid Home and Community-Based waivers, including programs operated by the Developmental Disabilities Administration (DDA) and others. The individual will learn waiver service billing requirements, Person Centered Plan and/or Plan of Service structure and communicate with program staff to address billing and policy issues. MINIMUM QUALIFICATIONS Bachelor's degree from an accredited college or university. One year of experience evaluating, analyzing, researching and developing health care services, policies and programs. Possession of a Master’s degree in Health Sciences, Health Care Administration, Public Health, Public Policy or a closely related field may substitute for the required experience. DESIRED OR PREFERRED QUALIFICATIONS Experience in Google Suites, Microsoft Office, Power BI, MMIS Maryland, LTSSMaryland. Experience in the HCBS waiver. Experience collecting and interpreting data. LICENSES, REGISTRATIONS AND CERTIFICATIONS Employees may be assigned duties requiring operation of a motor vehicle. Employees assigned such duties must possess a motor vehicle operator’s license valid in the State of Maryland. BENEFITS Contractual employees who work for an agency covered under the State Employee and Retiree Health and Welfare Benefits 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. The employee is responsible for paying 25% of the premiums for medical and prescription coverage, with the state subsidizing the remaining 75%. Employees may elect to enroll in dental coverage, accidental death and dismemberment insurance, and life insurance, paying the full premium for these benefits. Leave may be granted at a rate of one hour for every 30 hours worked, not to exceed 40 hours per calendar year. EEO STATEMENT As an equal opportunity employer, Maryland is committed to recruitment, retaining and promoting employees who are reflective of the State's diversity. #J-18808-Ljbffr