PROGRAM SPECIALIST MEDICAL CARE PROGRAM SPECIALIST II

State of Maryland; Maryland; Hybrid; USD 70,000 - 110,000; Full time

Job summary

State of Maryland is seeking a professional to support the Maryland Medicaid Hospice program enrollment, administrative processes, and stakeholder communication. This role includes gathering and analyzing data on Hospice services and monitoring providers to ensure services meet regulatory standards.

The position operates in a hybrid manner, with duties performed both remotely and on-site unless directed otherwise.

Responsibilities

• Support the Maryland Medicaid Hospice program enrollment and administrative processes.
• Monitor Hospice providers to ensure medically necessary services follow regulations.
• Provide guidance and direction to Hospice providers and initiate corrective actions as needed.
• Make recommendations to management regarding corrective and innovative actions.

Job description

GRADE STD0016 LOCATION OF POSITION MDH - Division of Hospice and PACE Services 201 W. Preston Street Baltimore, MD 21201

Main Purpose of Job

The main purpose of this position is to support the Maryland Medicaid Hospice program enrollment, administrative processes, and stakeholder communication including general inquiries. Hospice is a fee-for-service program that provides services to terminally ill Medicaid participants. This position provides the following support: gathering and analyzing data on Hospice services; monitoring Hospice providers to ensure that medically necessary services are provided in accordance with federal and State regulations, policies, and standard medical practice; providing guidance and direction to Hospice providers; initiating corrective and improvement action as needed; and making recommendations to management regarding corrective and innovative actions.

This position operates in a hybrid manner, meaning job duties will be performed both remotely and on-site unless otherwise directed by the appointing authority.

Minimum Qualifications

Experience: Seven years of administrative or professional experience developing or applying policies and regulations in medical assistance, health insurance, federal or State entitlement programs.

Notes

• Candidates may substitute the possession of a Bachelor's degree from an accredited college or university and three years of administrative or professional experience developing or applying policies and regulations in medical assistance, health insurance, federal or State entitlement programs for the required experience.
• Candidates may substitute the possession of a Master’s degree from an accredited college or university in the related field of work for the required experience.
• Candidates may substitute U.S. Armed Forces military service experience as a commissioned officer in Operational Analysis classifications or Health Services Management specialty codes in the health-related field of work on a year-for-year basis for the required experience.

LIMITATIONS ON SELECTION

Employees in this classification may be assigned duties which require the operation of a motor vehicle. Employees assigned such duties may be required to possess a motor vehicle operator's license valid in the State of Maryland.

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).

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.

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.