SUPERVISOR, MAGI/ MCHP POLICY UNIT (MEDICAL CARE PROGRAM SUPERVISOR)

JobAps; Baltimore (MD); On-site; USD 90,000 - 130,000; Full time

Job summary

Maryland Department of Health is seeking a supervisor for the MAGI/MCHP Unit within the Division of Eligibility Policy in Baltimore, MD. The role includes supervising daily operations, addressing Medicaid policy inquiries, and coordinating with DHS, CMS, OIG, and OAG on high-level eligibility matters.

The position also involves assisting with development and revision of MAGI/MCHP regulations, and coordinating grant applications across 24 local health departments with multi-million dollar funding.

Qualifications

• Eight years of admin or professional experience developing or applying policies and regulations in medical assistance, health insurance, federal or State entitlement programs.

Responsibilities

• Supervise day-to-day operations of MAGI/MCHP Unit within the Division of Eligibility Policy.
• Inquiries into Medicaid policies and respond on behalf of MDH for Non-MAGI and MAGI cases.
• Liaise with headquarters and local offices for DHS cases and with OIG/OAG for complex issues.

Skills

Leadership

Policy analysis

Regulatory interpretation

Stakeholder liaison

Grant management

Staff training

Education

Bachelor's degree

Master’s degree

Job description

GRADE

STD0017

LOCATION OF POSITION

MDH - Division of Eligibility Policy

201 West Preston Street

Baltimore, MD 21201

Main Purpose of Job

This position is responsible for supervising the day-to-day operations of the Modified Adjusted Gross Income (MAGI)/Maryland Children’s Health Program (MCHP) Unit within the Division of Eligibility Policy. This includes inquiries into Medicaid policies, responding to customer inquiries on behalf of MDH for both Non-MAGI and MAGI cases, assigning and tracking specific advanced casework activities, liaison with headquarters and local offices for the Department of Human Services cases, liaison with the MDH Office of the Inspector General for fraud and overpayment cases, and liaison with the Office of the Attorney General for appeals and high-level customer complaints and incoming general inquiries about Medicaid that need to be referred to the appropriate office. This position is responsible for assisting the manager with the development, analysis, and revision of Federal and State laws, regulations, and policies that form the basis for the MAGI/MCHP and MCHP Premium eligibility regulations and applying them to the development, interpretation, or enforcement of Maryland’s MAGI/MCHP and MCHP Premium eligibility policies. The Unit is also responsible for coordinating, reviewing, and processing grant applications for 24 local health departments for grant money totaling over $9.5 million.

MINIMUM QUALIFICATIONS

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

One year of this experience must have been in a medical assistance program.

Notes:

• 1. Candidates may substitute the possession of a Bachelor's degree from an accredited college or university and four 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.
• 1. One year of this experience must have been in a medical assistance program.
• 2. 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.
• 3. 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.

DESIRED OR PREFERRED QUALIFICATIONS

The desired candidate should possess the following:

• Demonstrated experience analyzing, interpreting, and applying federal and State regulations governing Modified Adjusted Gross Income (MAGI), the Maryland Children’s Health Program (MCHP), and MCHP Premium eligibility.
• Experience reviewing, processing, and monitoring local government or public health grants (specifically working with local health department budgets and grant deliverables).
• Direct experience supervising or leading staff, assigning casework, conducting performance evaluations, and training staff on complex policy matters.
• Experience acting as a liaison with external stakeholders such as, the Department of Human Services (DHS), the Health Benefit Exchange (MHBE), the Centers for Medicare & Medicaid Services (CMS), the Office of the Inspector General (OIG), or the Office of the Attorney General (OAG), to resolve high-level appeals, fraud cases, or complex eligibility issues.

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.

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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