MEDICAID SPECIALIST MEDICAL CARE PROGRAM ASSOCIATE II

State of Maryland; Maryland; On-site; USD 42,000 - 54,000; Full time

Job summary

State of Maryland is seeking a full-time candidate to facilitate enrollments and reapplications for Medicaid and Maryland Children’s Health Program. The role also supports Medicaid programs by applying and interpreting program policies, regulations, and guidelines within a health‑care setting.

The position requires at least a high school diploma and two years of clerical experience in related programs, with substitutions allowed for education or experience. Located at MDH St.

Qualifications

• Two years of clerical experience applying policies in a medical care, health insurance or federal or State entitlement program.
• Graduation from an accredited high school or possession of a high school equivalency certificate.
• Substitution of additional clerical experience for education on a year-for-year basis.
• Thirty credit hours from an accredited college or university for one year of the required experience.

Responsibilities

• Facilitate enrollments and reapplications for the Medicaid Insurance Program and Maryland Children's Health Program.
• Support Medicaid Insurance Programs by applying, interpreting, and processing program information, policies, regulations, and guidelines.

Skills

Medicaid policy knowledge

Eligibility data interpretation

Effective communication

Education

High School Diploma or GED

Job description

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.

GRADE

ASTD11

LOCATION OF POSITION

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

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

• Candidates may substitute additional general clerical experience on a year-for-year basis for the required education.
• Candidates may substitute thirty credit hours from an accredited college or university for one year of the required experience.

Desired Or Preferred Qualifications

The desired candidate should possess:

• 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.

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.

We thank our Veterans for their service to our country.

Appropriate accommodations for individuals with disabilities are available upon request by calling: 410-767-1251 or MD TTY Relay Service 1-800-735-2258.