SUPERVISOR, NON-MAGI POLICY UNIT (MEDICAL CARE PROGRAM SUPERVISOR)

JobAps; Baltimore, Northern (MD, KY); Hybrid; USD 75,000 - 110,000; Full time

Job summary

JobAps is seeking a supervisor for the Eligibility Policy Unit to manage Non-MAGI Medicaid policy at the Maryland Department of Health in Baltimore. The role includes coordinating complex casework, waivers, and investigations in collaboration with MDH offices.

The candidate should have extensive policy experience, strong written communication, and analytical skills to interpret Medicaid rules and ensure compliance across MAGI and Non-MAGI programs.

Qualifications

• 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.
• Candidates may substitute a Bachelor's degree from an accredited college or university and four years of related experience for the required experience.
• Candidates may substitute 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.

Responsibilities

• Supervise the Eligibility Policy Unit for Non-MAGI Medicaid policy.
• Respond to inquiries on Non-MAGI and MAGI cases on behalf of MDH.
• Coordinate advanced casework activities (PEMEs), waivers, overdue cases, and referrals to OIG/AG for fraud, overpayments, and appeals.

Skills

Medicaid policy knowledge

Written communication

Analytical thinking

Education

Bachelor's degree

Master’s degree

Job description

GRADE

STD0017

LOCATION OF POSITION

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

Main Purpose of Job

The main purpose of this position is to supervise the Eligibility Policy Unit for Non-MAGI Medicaid 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 (such as Pre and Post-Medical Expenses, PEMEs), waivers for special circumstances in Medicaid cases, overdue 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, as well as incoming general inquiries about Medicaid that need to be referred to the appropriate office.

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. 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:

• Advanced knowledge of Medicaid Eligibility rules and regulatory interpretation
• Exceptional written communication skills
• High level analytical and critical thinking skills

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

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