Skip to Main Content

Powered by JobAps


MCO Coordinator

Recruitment #18-002586-0040




MDH, Office of the Inspector General, Baltimore, MD

Main Purpose of Job

The Office of the Inspector General (OIG) is charged with investigating fraud, waste and abuse of Departmental funds. The Program Integrity Unit of the OIG is charged with investigating fraud, waste and abuse within the Medicaid Program. It investigates Medicaid providers and recipients. Approximately 80% of Medicaid recipients are in Managed Care Organizations (MCO'S). There are 9 MCO's. The MCO's are required to perform its own program integrity efforts. Those efforts and subsequent results, are coordinated with the OIG. The primary purpose of the OIG-MCO Coordinator within the Office of the Inspector General (OIG) is to lead and coordinate all OIG interaction with the 9 MCO's serving the Maryland Medicaid Program. The OIG is charged with coordinating all investigations of providers within MCO networks, reviewing and approving all identified recoveries for overpayments identified by the MCO. In addition, the OIG is charged with educating the MCO's regarding new State and federal regulations and policies regarding program integrity.


Education: A Bachelor's degree from an accredited college or university.

Experience: Four years of experience in administrative staff or professional work.


1. Additional experience in administrative staff or professional work may be substituted on a year-for-year basis for the required education.

2. Additional graduate level education at an accredited college or university may be substituted at the rate of 30 semester credit hours on a year-for-year basis for the required experience.

3. Candidates may substitute U.S. Armed Forces military service experience as a commissioned officer involving staff work related to the administration of rules, regulations, policy, procedures and processes, or overseeing or coordinating unit operations or functioning as a staff assistant to a higher ranking commissioned officer on a year-for-year basis for the required education and experience.


The desired candidate will have four years of administrative/professional experience developing or applying policies and regulations in medical assistance, health insurance, federal or state entitlement programs. The desired candidate will also possess a Bachelor's degree from an accredited college or university.  Candidates must be proficient with Word, Excel, and Google applications. This position does travel, therefore, candidates must have reliable transportation.


Employees in this classification may be assigned duties which require the operation of a motor vehicle. Employees assigned such duties will be required to possess a motor vehicle operator's license valid in the State of Maryland.


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

Appropriate accommodations for individuals with disabilities are available upon request by calling: 410-767-1251 or MD TTY Relay Service 1-800-735-2258.


This position is in a covered bargaining unit.



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.