MEDICAL CARE PROGRAM SPECIALIST II
|Department||MDH Med Care Prgms - Ofc of Health Services|
|Date Opened||8/7/2018 11:59:00 PM|
|Filing Deadline||8/21/2018 11:59:00 PM|
|Salary||$41,358.00-$53,431.00/ year with, potential growth to $65,827.00/year|
|HR Analyst||Wendi Lott|
LOCATION OF POSITION
MDH, Office of Health Services, Baltimore, MD
Main Purpose of Job
This position performs high priority Medicaid policy analyses and implements high priority projects related to Medicaid home and community-based services.
This position will perform utilization review of service plans for the Community Personal Assistance Services, Community First Choice, Increased Community Services, and Home and Community-based Options waiver programs to ensure that supports are adequate to meet health and safety requirements and that all services are medically necessary and follow all applicable state and federal regulations. The position will research, evaluate, and analyze policies and data regarding the programs in order to improve policies and processes related to utilization review.
This position is responsible for analyzing health care data to support policy, programs and service development for the programs and will assist with development of LTSS programs and establish policy and compliance procedures for existing and new programs that fall under the Directorate.
This position will also interpret and apply policy and regulations for participants, supports planners and other partners, acting as a liaison for the Department, communicating guidance and offering consultation and technical assistance to both participants and supports planning providers. The position provides guidance to support staff and other personnel of the Department regarding the programs.
This position will represent the Division and the Department in meetings and in telephone contacts with advocates, supports planners, and participants.
Education: A Bachelor's degree from an accredited college or university.
Experience: Three years of administrative or professional experience developing or applying policies and regulations in medical assistance, health insurance, federal or State entitlement programs.
1. Additional administrative or professional experience applying policies and regulations in medical assistance, health insurance, federal or State entitlement programs or in a health or human service program may be substituted on a year-for-year basis for the required education.
2. A Master's degree in the related field of work can be substituted for the required experience.
3. Candidates may substitute U.S. Armed Forces military service experience as a commissioned officer in Operational Analyst classifications or Health Services Management specialty codes in the health related field of work on a year-for-year basis for the required experience and education.
LICENSES, REGISTRATIONS AND CERTIFICATIONS
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). Complete applications must be submitted by the closing date. Information submitted after this date will not be added. Candidates may remain on the certified eligible list for a period of at least one year.
Online applications are highly recommended. However, if you are unable to apply online, the paper application may be submitted to MDH, Recruitment and Selection Division, 201 W. Preston St., Room 114-B, Baltimore, MD 21201. The paper application must be received by 5 pm, close of business, on the closing date for the recruitment, no postmarks will be accepted.
Incorrect application forms will not be accepted.
If additional information is required, the preferred method is to upload. If unable to upload, please fax requested information only to 410-333-5689. Only additional materials that are required will be accepted for this recruitment. All additional information must be received by the closing date and time.
Resumes will not be accepted in lieu of a completed application.
For questions regarding this recruitment, please contact the MDH Recruitment and Selection Division at 410-767-1251.
If 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 410-767-4850 or Application.Help@maryland.gov.
Appropriate accommodations for individuals with disabilities are available upon request by calling: 410-767-1251 or MD TTY Relay Service 1-800-735-2258.
As an equal opportunity employer, Maryland is committed to recruiting, retaining and promoting employees who are reflective of the State’s diversity. People with disabilities and bilingual candidates are encouraged to apply. We thank our Veterans for their service to our country.
The resulting certified eligible list for this recruitment may be used for similar positions in this or other State agencies.