medical care program associate lead/ advanced - Baltimore, United States - State of Maryland

Description

Introduction
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GRADE
ASTD12\r

LOCATION OF POSITION
MDH - Office of Eligibility Services\r201 W. Preston Street\rBaltimore, MD 21201\r
Main Purpose of Job

The main purpose of this position is to lead paraprofessional staff in the HealthChoice Enrollment Unit, which includes the training of Medical Care Program Associates and the assigning, reviewing, and approval of their daily work.

This position is responsible for verifying and validating the validity of enrollment and disenrollment transactions prior to data entry.

This position provides liaison services to the Managed Care Organizations (MCOs) to include but not limited to special capitation payments, recipient eligibility for enrollment in special programs, and verification of validity of enrollment and disenrollment transactions.

This position identifies and resolves problems presented by medical care providers, MCOs and their staff members, and various external stakeholders in accordance with established policies that govern enrollment and disenrollment procedures for special programs.

This position requires a thorough knowledge and demonstrated application of Medical Assistance policies, regulations, and guidelines and requires the exercise of discretion and independent judgment in making decisions and interpreting and applying policies, procedures and regulations.

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MINIMUM QUALIFICATIONS

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

\rExperience:

Three years of clerical experience applying policies in a medical care, health insurance or federal or State entitlement program

\rNotes:

\r1. Candidates may substitute additional general clerical experience on a year-for-year basis for the required education. \r2. Candidates may substitute thirty credit hours from anaccredited college or university for one year of the requiredexperience.\r

DESIRED OR PREFERRED QUALIFICATIONS
The desired candidate should possess the following:\r\r\r\r

Experience applying or interpreting and analyzing Medicaid regulations, policies and procedures\r

Experience monitoring program compliance\r

Experience managing resources and workflows to ensure operational goals are met successfully\r

Experience using multiple data systems\r

Project management experience and the ability to complete tasks timely and accurately\r

Experience with Microsoft Office and Google Suites\r\r\r

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).\rComplete applications must be submitted by the closing date.

Information submitted after this date will not be added.\rIncorrect application forms will not be accepted.

Resumes will not be accepted in lieu of a completed application.\rCandidates may remain on thecertified 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.

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BENEFITS
STATE OF MARYLAND
BENEFITS\r

FURTHER INSTRUCTIONS
Online applications are highly recommended.

However, if you are unable to apply online,the paper application (and supplemental questionnaire) may be submitted to MDH, Recruitment and Selection Division, 201 W.

Preston St., Room 114-B, Baltimore, MD 21201.Paper application materials must be received by 5 pm, close of business, on the closing date for the recruitment, no postmarks will be accepted.\rIf additional information is required, the preferred method is to upload.

If you are unable to upload, please fax the requested informationto Only additional materials that are required will be accepted for this recruitment.

All additional information must be received by the closing date and time.

\rFor questions regarding this recruitment, please contact theMDH Recruitment and Selection Division at \rIf you are having difficulty with your user account or have general questions about the online application system, please contact the MD Department of Budget and Management, Recruitment and Examination Division at \rAppropriate accommodations for individuals with disabilities are available upon request by calling:

or MD TTY Relay Service \rWe thank our Veterans for their service to our country.\rPeople with disabilities and bilingual candidates are encouraged to apply.\rAs 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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