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#20-002247-1023
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

This recruitment is limited to current State of Maryland employees.

Are you a current State employee?

Yes No
2

Do you possess two years of experience working with the Medicaid program that includes developing and implementing rules, regulations and/or standards. If so, please describe the duties you performed, the name of the employer(s), dates of employment and hours per week worked performing the duties. If you do not possess this experience, enter NA below.

3

Please explain your experience ensuring compliance with state and/or federal regulations departmental policies and procedures in the management of Human Services Program(s) (i.e., Medicaid, cash assistance, child support, foster care, adoption, etc.). In your response provide the name of the employer(s), dates of employment, hours worked per week and the duties performed. If you do not possess this experience, enter NA below.

4

Describe your experience preparing reports, analyzing results and evaluating the operating efficiency of Medicaid or similar other human service programs. In your response provide the type of human service program, the name of the employer(s), dates of employment, hours worked per week and the duties performed. If you do not possess this experience, enter NA below.

5

Describe your experience developing and delivering formal training, including PowerPoint presentations, WebEx, and live trainings. In your response provide the name of the employer(s), dates of employment, hours worked per week and the duties performed. If you do not possess this experience, enter NA below.

6

Describe your experience using various software such as: Microsoft Word, PowerPoint, Excel, Maryland Medicaid Management System (MMIS), Client Automated Resources and Eligibility System (CARES ). In your response provide the type of software used, name of the employer(s), dates of employment, hours worked per week and the duties performed. If you do not possess this experience, enter NA below.


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