Medicaid Enrollment Program Lead (HealthChoice)

MDH Med Care Prgms - Office of Eligibility Svcs; Baltimore (MD); Presencial; USD 55.000 - 85.000; Jornada completa

Descripción de la vacante

Maryland Department of Health – Office of Eligibility Services seeks a Medical Care Program Associate III to lead paraprofessional staff in the HealthChoice Enrollment Unit. The role processes online enrollment files, manages MCO transactions, verifies enrollment validity and resolves issues raised by medical providers and stakeholders.

The ideal candidate has thorough knowledge of Medical Assistance policies, strong organizational and interpersonal skills, and the ability to interpret

Formación

• High school diploma or equivalency.
• 3 years of clerical experience applying policies in medical care, health insurance, or entitlement programs.
• Experience directing staff and overseeing work accuracy.
• Experience interpreting and analyzing Medicaid regulations and policies.
• Experience with data systems such as MMIS, HBX, and E+E; strong organizational and interpersonal skills.

Responsabilidades

• Lead paraprofessional staff in the HealthChoice Enrollment Unit.
• Process online enrollment files and verify enrollment validity.
• Manage MCO transactions and resolve issues for providers and stakeholders.

Conocimientos

Staff supervision

Policy interpretation

Medicaid policy analysis

Organizational skills

Interpersonal skills

Clerical experience

Educación

High school diploma or equivalency certificate

Herramientas

MMIS/HBX/E+E systems

Descripción del empleo

Maryland Department of Health – Office of Eligibility Services seeks a Medical Care Program Associate III to lead paraprofessional staff in the HealthChoice Enrollment Unit. The role processes online enrollment files, manages MCO transactions, verifies enrollment validity and resolves issues raised by medical providers and stakeholders.

The ideal candidate has thorough knowledge of Medical Assistance policies, strong organizational and interpersonal skills, and the ability to interpret