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MEDICAL CARE PROGRAM SPECIALIST II (ENROLLMENT SPECIALIST)

FULL-TIME CONTRACTUAL

Recruitment #19-000928-0010

GRADE

15

LOCATION OF POSITION

MDH, Medical Care Programs-Office of Health Services, Baltimore, MD

Main Purpose of Job

The Medical Care Program Specialist II (Enrollment Specialist) will perform high priority Medicaid policy analyses and implement high priority projects related to Medicaid home and community-based services. The position will research, develop, evaluate, and analyze policies and data regarding the special populations served by the home and community-based programs. This position will assist with development of LTSS programs and establish policy and compliance procedures for existing and new programs that fall under the Directorate. The Enrollment Specialist will develop and apply medical assistance policies and regulations for the Home and Community-Based Options waiver, Community Personal Assistance Services, Community First Choice, and Increased Community Services programs. This position will be primarily responsible for data analytics related to the implementation, evaluation, and assessment of programs, be responsible for data reliability with the LTSS Maryland tracking system and with MMIS, as the System of record. The Enrollment Specialist will be responsible for verifying eligibility and enrolling participants, acting as a liaison with participants and supports planners on issues related to policy and regulations for the programs. The Enrollment Specialist will monitor utilization and compliance with program rules. This position will be responsible for analyzing health care data to support policy, programs and service development for the Community Personal Assistance Services, Community First Choice, Increased Community Services, and Home and Community-based Options waiver program. The Enrollment Specialist 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 of the aforementioned programs. The Enrollment Specialist will provide guidance to support staff and other personnel of the Department regarding the programs. The Enrollment Specialist will represent the Division and the Department in meetings and in telephone contacts with advocates, supports planners, and participants.

MINIMUM QUALIFICATIONS

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.

NOTE:

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

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

SELECTION PROCESS

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. 

Incorrect application forms will not be accepted. Resumes will not be accepted in lieu of a completed application.

Candidates may remain on the certified eligible list for a period of at least one year. The resulting certified eligible list for this recruitment may be used for similar positions in this or other State agencies.

BENEFITS

Contractual employees who work for an agency covered under the State Employee and Retiree Health and Welfare Benefits Program, have a current employment contract and work 30 or more hours a week (or on average 130 hours per month) may be eligible for subsidized health benefits coverage for themselves and their dependents. As a contractual employee, you will be responsible for paying 25% of the premiums for your medical and prescription coverage, including any eligible dependents you have enrolled. The State of Maryland will subsidize the remaining 75% of the cost for these benefits. You can also elect to enroll in dental coverage, accidental death and dismemberment insurance, and life insurance, but will be responsible to pay the full premium for these benefits.

Leave may be granted to a contractual employee who has worked 120 days in a 12 month period. This leave accrues at a rate of one hour for every 30 hours worked, not to exceed 40 hours per calendar year.

FURTHER INSTRUCTIONS

Online applications are highly recommended. However, if you are unable to apply online, the paper application (and supplemental questionnaire) may be submitted to MDH, Recruitment and Selection Division, 201 W. Preston St., Room 114-B, Baltimore, MD 21201. Paper application materials must be received by 5 pm, close of business, on the closing date for the recruitment, no postmarks will be accepted.

If additional information is required, the preferred method is to upload.  If you are unable to upload, please fax the requested information 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.

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.

We thank our Veterans for their service to our country.

People with disabilities and bilingual candidates are encouraged to apply.

As an equal opportunity employer, Maryland is committed to recruitment, retaining and promoting employees who are reflective of the State's diversity.



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