MEDICAL CARE PROGRAM ASSOCIATE III

MD; Baltimore (MD); On-site; USD 52,000 - 66,000; Full time

Job summary

Maryland Department of Health is seeking a lead level paraprofessional in the Beneficiary Services/Recipient Relations Unit. You will supervise and train Medical Care Program Associates, respond to inquiries from beneficiaries, and liaise with providers and agencies.

The role involves overseeing calls on the 800 hotline, researching issues, and applying Medicaid policies with discretion. Strong knowledge of MA guidelines and excellent judgment are essential.

Qualifications

• High school diploma or GED required.
• Three years clerical experience in medical care, health insurance, or entitlement programs.
• Notes: substitutions allowed: extra clerical experience for education.
• Preferred: Medicaid regulations knowledge and data systems experience.

Responsibilities

• Respond to inquiries and complaints from beneficiaries and provide liaison services.
• Oversee and monitor calls on the 800 hotline for Medical Assistance beneficiaries.
• Research and resolve problems related to MA program data.
• Apply MA policies with discretion and independent judgment.

Skills

Clerical experience

Policy interpretation

Medicaid knowledge

Data systems (MMIS HBX E+E)

Microsoft Excel and Word

Supervisory coaching

Education

High school diploma or GED

Tools

MMIS

HBX

E+E

Excel

Word

Job description

Introduction

* * * THIS RECRUITMENT IS LIMITED TO CURRENT MARYLAND DEPARTMENT OF HEALTH EMPLOYEES ONLY. * * *

GRADE

ASTD12

LOCATION OF POSITION

MDH - Office of Eligibility Services

201 W. Preston Street​

Baltimore, MD 21201

Main Purpose of Job

This position is the lead level of paraprofessional work in the Beneficiary Services/Recipient Relations Unit, which includes the training of Medical Care Program Associates. Duties include responding to inquiries and complaints from beneficiaries and providing liaison services to health care providers, insurance companies or other governmental agencies. This position is responsible for overseeing and monitoring calls on an 800 hotline for Medical Assistance beneficiaries and researching and resolving any problems presented by the beneficiaries. This position requires a thorough knowledge and demonstrated application of Medical Assistance policies, regulations and guidelines, and requires the exercise of discretion and independent judgment directly related to Medical Assistance Program data and situations.

MINIMUM QUALIFICATIONS

• Education: Graduation from an accredited high school or possession of a high school equivalency certificate.
• Experience: Three 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.
• Notes: 2. Candidates may substitute thirty credit hours from an accredited college or university for one year of the required experience.

DESIRED OR PREFERRED QUALIFICATIONS

• Experience directing staff; coaching staff members on improving performance using best practices, supporting staff in providing Medicaid recipients with current and accurate information on a daily basis to achieve program goals​
• Experience accurately applying or interpreting and analyzing Medicaid regulations, policies, and procedures​
• Experience working with a supervisor to manage resources and workflows to ensure operational goals are successfully met​
• Experience using multiple data systems including MMIS, HBX and E+E​
• Experience with Medical Assistance eligibility and billing​
• Experience with Microsoft Excel and Word​

LIMITATIONS ON SELECTION

* * * THIS RECRUITMENT IS LIMITED TO CURRENT MARYLAND DEPARTMENT OF HEALTH EMPLOYEES ONLY. * * *

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. 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

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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