SUPERVISOR, NON-MAGI POLICY UNIT MEDICAL CARE PROGRAM SUPERVISOR

State of Maryland; Maryland; On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

State of Maryland Benefits

Job summary

State of Maryland is seeking a leader to supervise the Eligibility Policy Unit for Non-MAGI Medicaid policy at the Maryland Department of Health. The role includes guiding policy, handling inquiries on behalf of MDH for Non-MAGI and MAGI cases, and coordinating with the Inspector General and Attorney General offices on complex issues.

The position requires extensive experience in policy development within medical assistance programs, strong written communication, and analytical skills.

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.
• 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 can substitute for the required experience.
• Master's degree from an accredited college or university in a related field can substitute for the required experience.
• 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 can substitute for the required experience.

Responsibilities

• Supervise the Eligibility Policy Unit for Non-MAGI Medicaid policy.
• Respond to customer inquiries for MDH on non-MAGI and MAGI cases.
• Assign and track advanced casework activities (e.g., PEMEs), waivers, and overdue Human Services cases.
• Coordinate with the MDH Office of the Inspector General for fraud and overpayment cases.
• Liaise with the Office of the Attorney General for appeals and high-level customer complaints.
• Handle incoming general Medicaid inquiries and refer to the appropriate office.

Job description

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.

GRADE

STD0017

LOCATION OF POSITION

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

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.

• 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.
• 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.

Desired Or Preferred Qualifications

• 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.

Benefits

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.

MDHMedCare