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#18-004394-0007
Supplemental Questionnaire

Last Name
First Name

 

**Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.**

 


1.

Bilingual applicants are encouraged to apply.

Are you able to speak, read and write in both English and another language?

Yes No
2.

Describe in 1-3 paragraph(s), your experience/knowledge of the Affordable Care Act (ACA) and/or Maryland Medicaid.

Do not copy and paste from your resume. Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application.  If you do not possess experience in this area, put N/A in the box below.

3.

Describe your clerical experience applying policies in a medical care, health insurance or Federal or State entitlement program.

Please include name of employer, job title, dates of employment, and hours worked per week.  If you do not possess experience in this area, put N/A in the box below.

4.

Describe your experience with customer service.

Do not copy and paste from your resume. Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application.  If you do not possess experience in this area, put N/A in the box below.

5.

Describe in 1-3 paragraph(s), your professional working experience with Microsoft Access and other Microsoft Office Products.

Do not copy and paste from your resume. Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application.  If you do not possess experience in this area, put N/A in the box below.

6.

What is your level of experience in Microsoft Word?  (Check one)

Expert
Average
Basic
None
7.

What is your knowledge of Microsoft Excel?  (Check one)

Expert
Average
Basic
None
8.

Please identify your level of proficiency in Microsoft Outlook.

Beginner
Intermediate
Expert
No experience
9.

What is your knowledge of Microsoft PowerPoint?  (Check one)

Expert
Average
Basic
None
10.

What is your knowledge of Microsoft Access?  (Check one)

Expert
Average
Basic
None

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