Medicaid Specialist

SMCHD; Leonardtown, Northern (MD, KY); Hybrid; USD 32,000 - 42,000; Full time

Job summary

SMCHD is hiring for a full-time position to facilitate enrollments and reapplications for Medicaid and Maryland Children's Health Program. The role involves applying, interpreting, and processing program information, policies, and guidelines to support eligibility determinations. The department serves St.

Mary’s County residents’ health needs. Minimum qualifications include a high school diploma or GED and two years of clerical experience in a health or government program.

Qualifications

• Two years of clerical experience applying policies in a medical care, health insurance or federal or State entitlement program.
• Experience reading and applying program policies and guidelines.

Skills

Communication skills

Interpersonal skills

Attention to detail

Education

High school diploma or GED

Job description

GRADE

ASTD11

LOCATION OF POSITION

MDH St. Mary's County Health Department
21580 Peabody Street
Leonardtown, MD 20650

Main Purpose of Job

The main purpose of this full-time position is to facilitate enrollments and reapplications for the Medicaid Insurance Program and Maryland Children's Health Program. This position will also support the Medicaid Insurance Programs by applying, interpreting, and processing program-specific information, policies, regulations and guidelines in a variety of activities. St. Mary's County Health Department is responsible for protecting and promoting the health of all St. Mary's County residents. Within the scope of its resources, the health department delivers a variety of services to our community, based on local health needs and federal, state, and county regulations. As the county's leader in public health, the agency is committed to ensuring that community members have access to personal and environmental health services and information.

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.

DESIRED OR PREFERRED QUALIFICATIONS

Knowledge of Medicaid policies: Experience applying Medical Care Program policies, procedures, and regulations within health care or public-benefit delivery systems.

Ability to interpret eligibility data: Experience reviewing and interpreting Medical Assistance eligibility information to clarify or apply program rules, policies, or guidelines.

Effective communication skills: Experience communicating clearly and professionally with coworkers, supervisors, clients, and community partners.

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

Equal Opportunity Employer Statements

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.

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