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Recruitment #18-002711-0050




MDH-OES Eligibility Determinations-Appeals & Special Projects, Baltimore, MD

Main Purpose of Job

The main purpose of this position is to provide guidance, direction and technical assistance in cooperation with the unit MCP Supervisor, to an Appeals and Special Projects Unit involved in the Fair Hearings Process, Quality Control and State Audit Reviews, Corrective Action Plans, Reconciliation Reports and Quality Analysis studies to track data and trends to ensure program compliance and integrity for the Home and Community Based Services Waivers (HCBS), Affordable Care Act (ACA), Family Planning (FP), Employed Individuals with Disabilities (EID), Institutions for Mental Diseases (IMD) and Women's Breast and Cervical Cancer Health Program (WBCCHP). This position works closely with the unit supervisor in developing plans to direct, control, and monitor activity within the unit to ensure Fair Hearings and Special Projects are processed appropriately according to regulations, policies and procedures. This position facilitates and supports team staffing by providing oversight, arranging meeting space and ensuring that Fair Hearings scheduling is conflict free. The MCP Specialist is responsible for interpreting, developing and applying eligibility regulations and policies, handling complex, high profile eligibility issues, inquiries and complaints. This position helps in the professional development of the unit by providing ongoing mentoring, training, and feedback. The MCP Specialist will analyze current policies and procedures, develop recommendations for improved program efficiencies, and serve as a liaison to other State, Federal and Local Government and private agencies. The MCP Specialist must establish and maintain effective working relationships with the Deputy Director, Program Chiefs, other supervisors and subordinates both inside and outside of the Department of Health and Mental Hygiene. The MCP Specialist must exercise tact and discretion when dealing with constituents who are denied Medical Assistance, or their advocates. This position will assist in mitigating customer anxiety by providing prompt and courteous response to customer inquiries and complaints.


Education: Possession of a Bachelor's degree from an accredited four-year college or university.

Experience: One (I) year experience in administrative or professional work.


1. Candidates may substitute additional experience in administrative staff or professional work on a year-for-year basis for the required education.

2. Candidates may substitute additional graduate level education at an accredited college or university at the rate of 30 semester credit hours for each year of the required experience.

3. Candidates may substitute U.S. Armed Forces military service experience as a commissioned officer involving staff work that included regular use of independent judgment and analysis in applying and interpreting complex administrative plans, policies, rules or regulations or analysis of operational programs or procedures with recommendations for improvement on a year-for-year basis for the required education and experience.


The successful applicant should have extensive working knowledge of Medical Assistance eligibility processing, regulations, policies and procedures, coordination and processing of the Fair Hearings and Appeals process, effective oral and written communication skills, experience using the Client Automated Resource Eligibility and Medicaid Management Information Systems (CARES/MMIS); and working knowledge of Microsoft Excel and Word with a demonstrated history of creating and maintaining Excel spreadsheets.


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.



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.