MEDICAL CARE PROGRAM ASSOCIATE III (FULL-TIME CONTRACTUAL)

MD; Baltimore (MD); On-site; USD 52,000 - 68,000; Full time

Benefits offered by this job

Health benefits subsidy

Dental coverage

Life insurance

Leave accrual program

Job summary

Maryland Department of Health seeks a full-time Lead Worker to coordinate operations, review and verify Medicaid eligibility data, and maintain the MMIS Recipient Eligibility subsystem in line with state and federal regulations.

The role requires knowledge of federal/state policies, ability to interpret data across MDH systems, and to provide training and quality assurance for staff. Strong customer service to internal and external partners is essential.

Qualifications

• High school diploma or GED required.
• At least 3 years of clerical experience in health programs.
• Experience applying policies in health entitlement programs is preferred.

Responsibilities

• Coordinate operations to review and verify Medicaid eligibility data.
• Update MMIS Recipient Eligibility subsystem per state/federal rules.
• Provide training and QA reviews to Medical Care Program staff.
• Serve as liaison with hospitals, SSA, and LDSS on policy requirements.
• Deliver customer service to internal MDH staff and external partners.

Skills

Clerical skills

Customer service

Regulatory compliance knowledge

Data interpretation

Education

High school diploma or GED

Tools

MMIS

Maryland Health Connect

Job description

GRADE

ASTD12

LOCATION OF POSITION

MDH - Office of Eligibility Services
201 W. Preston Street
Baltimore, MD 21201

Main Purpose of Job

This full-time contractual position assists the Medical Care Program Associate Supervisor in coordinating operational functions, which include reviewing, interpreting, verifying, and utilizing Medicaid eligibility data to accurately update and maintain the Medicaid Management Information System (MMIS) Recipient Eligibility sub-system in accordance with State and Federally mandated policies and regulations necessary to establish eligibility for Medical Assistance consumers. This position requires knowledge of Federal and State regulations, policies and procedures as they pertain to the Medical Assistance Programs. This position requires technical knowledge to access, interpret, and verify data in the Maryland Health Connect (MHC), Eligibility and Enrollment (E&E), and other systems of record. This Lead Worker position provides technical assistance and guidance to Medical Care Program Associates, including assigning, reviewing work, and conducting quality assurance reviews. This position recommends solutions to problems as identified and provides training for staff as indicated. This position will also provide customer service to internal staff at the Maryland Department of Health (MDH) and external customers at various agencies regarding issues related to Medicaid eligibility. Additionally, this position acts as a liaison with community partners such as hospitals, Social Security Administration and LDSS regarding all policy and procedural requirements of the Medicaid Management Information System (MMIS) Eligibility file.

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 with Medicaid or other health programs
• Experience with the Eligibility and Enrollment Program (E&E), Maryland Health Connection (MHC) or the Health Benefit Exchange (HBX), and Medicaid Management Information Systems (MMIS)
• Excellent customer service background with the ability to communicate effectively with internal and external stakeholders, respond professionally to inquiries, resolve issues efficiently, and build and maintain positive working relationships with partnering agencies

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

Contractual employees who work for an agency covered under the State Employee and Retiree Health and Welfare Benefits Program, have a current employment contract and work 30 or more hours a week (or on average 130 hours per month) may be eligible for subsidized health benefits coverage for themselves and their dependents. As a contractual employee, you will be responsible for paying 25% of the premiums for your medical and prescription coverage, including any eligible dependents you have enrolled. The State of Maryland will subsidize the remaining 75% of the cost for these benefits. You can also elect to enroll in dental coverage, accidental death and dismemberment insurance, and life insurance, but will be responsible to pay the full premium for these benefits. Leave may be granted to a contractual employee at a rate of one hour for every 30 hours worked, not to exceed 40 hours per calendar year.

FURTHER INSTRUCTIONS

If you are having difficulty with your user account or have general questions about the online application system, please contact the MD Department of Budget and Management, Recruitment and Examination Division at 410-767-4850 or [e-mail].

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.

MDHMedCare