MEDICAL CARE PROGRAM ASSOCIATE II (REPOST)

Introduction

* * * RECRUITMENT REPOST. PREVIOUS APPLICANTS NEED NOT REAPPLY. * * *

GRADE


ASTD11


LOCATION OF POSITION


MDH - Office of Eligibility Services
Eligibility Determination Division


201 W. Preston Street


Baltimore, MD 21201

Main Purpose of Job


This position under the direction of MDH Office of Eligibility Services (OES) Eligibility Determination Division (EDD) has the responsibility for reviewing and determining specialized financial and technical eligibility for individuals statewide applying for Home and Community Based Waivers (HCBS) Services, Institutions for Mental Disease, Employed Individuals with Disabilities (EID), Family Planning and Affordable Care Act (ACA), Modified Adjusted Gross Income (MAGI) Medicaid programs. This position is responsible for completing initial determinations, redeterminations and interim changes in accordance with regulations, policies and procedures and for maintaining ongoing case management for these programs. Duties for staff assigned to EID include some fiscal responsibilities such as premium calculation, creation of invoices and day to day tracking of premium collections.


Examples of work include:

• Communicate with customers, authorized representatives, and various agencies and organizations via telephone, fax, and e-mail to conduct interviews to verify financial and technical information in order to process Medicaid applications and redeterminations.
• Determine eligibility timely in accordance with policies and procedures. Complete appropriate forms and ensure appropriate notices are mailed.
• Determine eligibility accurately, in accordance with policies and procedures as measured by SRS reviews, customer complaints and appeals.
• Ensure that interim changes are completed timely and accurately, in accordance with policies and procedures.
• Ensure databases and tracking systems have current and accurate information for tracking and reporting purposes.
• Submit daily productivity reports for compilation of unit production and accountability purposes.

MINIMUM QUALIFICATIONS

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


Experience: Two 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 an accredited college or university for one year of the required experience.

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).


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


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 View phone number on click.appcast.io. 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 View phone number on click.appcast.io.


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 View phone number on click.appcast.io or View email address on click.appcast.io.


Appropriate accommodations for individuals with disabilities are available upon request by calling: View phone number on click.appcast.io or MD TTY Relay Service View phone number on click.appcast.io.


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