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#20-000931-0002
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

Do you have a bachelor's degree from an accredited college or university?

Yes No
2

In which field of study is your degree? If you do not have a degree, enter N/A.

3

Describe your administrative or professional experience developing or applying policies and regulations in medical assistance, health insurance, federal or State entitlement programs.

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. 

4

Please describe your supervisory experience.  Include employer name(s), job title(s), dates of employment, and titles of those you supervised.  If you do not possess this experience, enter N/A.

5

Describe your experience as a lead or manager in a call center setting.

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

Describe your experience developing, interpreting and implementing policies for use in customer service.

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.

7

Describe your knowledge of and experience with the Customer Relations Management systems (CRM) and Medicaid programs.

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.

8

Please describe your experience creating spreadsheets, reports and the software used to create the spreadsheets and reports. If you do not possess this experience, please indicate by using n/a.

9

Describe your experience obtaining, analyzing and interpreting data to develop reports.

This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.


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