PROVIDER POLICY & COMMUNICATIONS, DIVISION CHIEF ADMINISTRATOR V SUPERVISOR

State of Maryland; Maryland; On-site; USD 90,000 - 120,000; Full time

Job summary

The State of Maryland’s Medicaid Provider Policy & Communications Division seeks a senior analyst to lead policy development, implementation, and communications for provider programs. You will oversee regulations, SPAs, and provider transmittals, ensure compliance, and coordinate with CMS and OGA.

You will draft reports, guide staff, and represent the department in high-level meetings and workgroups. Strong leadership required.

Qualifications

• Education: Graduation from an accredited high school or possession of a high school equivalency certificate.
• Experience: Six years of administrative staff or professional work.
• 30 credit hours substitution for each year up to four years of required experience.
• Bachelor's degree plus two years of related experience may substitute for required experience.
• Master's degree may substitute five years of required experience.

Responsibilities

• This role directs and coordinates all activities of the Provider Policy & Communications Division.
• It oversees provider policy including Medicaid regulations, SPAs and Provider Transmittals while ensuring SPA compliance.
• It establishes policies, procedures and oversees implementation for oversight and compliance among providers.
• It writes reports and represents the Department in high-level meetings, committees and workgroups.
• It identifies future provider policy needs and develops short- and long-range plans.

Skills

Health policy analysis

Policy development

Project coordination

Education

Bachelor's degree

Master's degree

High school diploma

Job description

Position Details

* * THIS RECRUITMENT IS LIMITED TO CURRENT STATE OF MARYLAND EMPLOYEES ONLY. * * * GRADE STD0020 LOCATION OF POSITION MDH - Medicaid Provider Services Administration 201 West Preston Street

Baltimore, MD 21201

Main Purpose of Job

The primary purpose of Medicaid’s Provider Policy & Communications Division is to coordinate provider policy implementation and communications, both internally and externally, and evaluate and develop implementation and communications for other Medicaid programs that relate to provider policy. It additionally coordinates and represents Provider Policy, Compliance, & CQI throughout regulatory processes and functions as Medicaid advisor with OGA on provider policy issues to evaluate feasibility of implementation and identify necessary compliance actions needed to implement.

This position directs and coordinates all activities of the Provider Policy & Communications Division. It oversees provider policy including all Medicaid regulations, State Plan Amendments (SPAs) and Provider Transmittals while simultaneously ensuring compliance with SPAs to pull down federal funds; establishes overall policies, procedures and oversees and directs implementation for oversight and compliance among providers; and promotes the program by improving understanding via sub-regulatory guidance and communications to providers. Additionally, the position directs and coordinates the writing of reports and represents the Department and Provider Services in liaison capacity in high level meetings, committees and workgroups both internal and external. The position must identify future provider policy needs and develop short and long-range plans to satisfy developing provider needs, both policies to implement or adjust and developing communications to better facilitate providers’ understanding of policy or requirements. This position researches and evaluates goals and standards of critical or highly political provider programs, and coordinates as needed with OGA, that include third party liability; Medicare cost sharing; Medicaid Regulations; State Plan Amendments; provider constituent issues; billing instructions and the provider information website; and coordinating communication with CMS. Lastly, this position sets goals and deadlines and oversees the workflow of the Division and plans, organizes and supervises the work of subordinate staff that includes: 2 Health Policy Analyst-II's and 3 Health Policy Analysts Associate's (SPPs).

Minimum Qualifications

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

Experience: Six years of administrative staff or professional work.

Notes

• Candidates may substitute 30 credit hours from an accredited college or university for each year up to four years of the required experience.


• Candidates may substitute the possession of a Bachelor's degree from an accredited college or university and two years of experience in administrative staff or professional work for the required experience.


• Candidates may substitute the possession of a Master's degree from an accredited college or university for five years of the required experience.


• Candidates may substitute U.S. Armed Forces military service experience as a commissioned officer involving staff work related to the administration of rules, regulations, policy, procedures and processes, or overseeing or coordinating unit operations or functioning as a staff assistant to a higher ranking commissioned officer on a year-for-year basis for the required experience.

Desired Or Preferred Qualifications

• Experience evaluating, analyzing, researching, and developing health care services, policies and programs.


• Experience supervising or leading staff in projects, reviewing the work of staff for accuracy and completeness, and leading projects across multiple teams.


• Experience analyzing, interpreting and applying State and Federal Medicaid regulations and policies. This includes work promulgating Medicaid regulation and submitting State Plan Amendments.


• Experience managing projects related to the implementation of policies as they pertain to social service programs.

LIMITATIONS ON SELECTION

• * * THIS RECRUITMENT IS LIMITED TO CURRENT STATE OF MARYLAND EMPLOYEES ONLY. * * * LICENSES, REGISTRATIONS AND CERTIFICATIONS Employees in this classification may be assigned duties which require the operation of a motor vehicle. Employees assigned such duties will 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).

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

STATE OF MARYLAND BENEFITS

FURTHER INSTRUCTIONS

Additional Information

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