MEDICAL CARE PROGRAM ASSOCIATE I

State of Maryland; Maryland; On-site; USD 36,000 - 54,000; Full time

Job summary

State of Maryland is seeking staff to assist residents with Medical Assistance applications, enrollments, redeterminations and continued eligibility through Maryland Health Connection. The role reviews eligibility information and coordinates referrals to health and community resources to support access to services.

The position emphasizes accuracy, regulatory compliance, and strong client interaction within the Kent County Health Department setting.

Qualifications

• Education: Graduation from an accredited high school or GED.
• Experience: Six months of clerical experience in medical care, health insurance, or entitlement programs.
• Alternative: six months of general clerical tasks and data handling.

Responsibilities

• Assist Maryland residents with Medical Assistance applications and enrollment through Maryland Health Connection.
• Review, verify and process eligibility information per state and federal regulations.
• Provide client education and coordinate referrals to health and community resources.
• Support access to health coverage and services for residents.

Skills

Clerical experience

Data entry

Customer service

Policy application

Education

High school diploma or GED

Job description

Main Purpose of Job

The main purpose of this position is to assist Maryland residents with application, enrollment, redetermination and continued eligibility for Medical Assistance programs through Maryland Health Connection. This position reviews, verifies and processes eligibility information in accordance with state and federal regulations, provides client education, coordinates referrals to health and community resources and supports access to health coverage and services.

GRADE

ASTD10

LOCATION OF POSITION

MDH - Kent County Health Department
300 Scheeler Road
Chestertown, MD 21620

Main Purpose of Job

The main purpose of this position is to assist Maryland residents with application, enrollment, redetermination and continued eligibility for Medical Assistance programs through Maryland Health Connection. This position reviews, verifies and processes eligibility information in accordance with state and federal regulations, provides client education, coordinates referrals to health and community resources and supports access to health coverage and services.

Minimum Qualifications

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

Experience: Six months of clerical experience applying policies in a medical care, health insurance or federal or State entitlement program.

-OR-

Six months of general clerical or administrative experience in one more of the following: data entry and record keeping, intake and interviewing, responding to inquiries, explaining information, writing correspondence, maintaining policies, procedures, rules, and regulations, and completing general clerical tasks.

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 the required experience.

Desired Or Preferred Qualifications

The desired candidate should possess the following:

• Experience assisting individuals with application, enrollment, or case maintenance activities for medical assistance, Medicaid, Maryland Health Connection, Health Benefit Exchange programs or other public health benefit programs
• Experience reviewing, verifying, and obtaining documentation necessary to process eligibility determinations, maintain case records and resolve complex eligibility issues or case discrepencies
• Experience processing program referrals and specialized program documentation, including activities related to Complaint Resolution Unit referrals, Prenatal Risk Assessments, Newborn Reports, Local Health Service requests or similar program-specific functions
• Experience conducting community outreach activities, participating in community resource events and educating clients regarding managed care organizations, health insurance options, public health programs and available community resources
• Experience determining eligibility for state-funded or federally-funded assistance programs, including applying policies, regulations and eligibility criteria to individual cases.

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.

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

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.