ADMINISTRATIVE OFFICER III (PROVIDER SPECIALIST)
|Department||MDH Med Care Prgms - Ofc of Health Services|
|Date Opened||5/9/2019 3:50:00 PM|
|Filing Deadline||5/23/2019 11:59:00 PM|
|Salary||$20.33 - $26.26/hour|
|HR Analyst||Carolyn Chase|
LOCATION OF POSITION
MDH, Medical Care Programs-Office of Health Services, 201 W. Preston Street, Baltimore, MD
Main Purpose of Job
The Administrative Officer III (Provider Specialist) develops and applies medical assistance policies and regulations for the Community Personal Assistance Services, Community First Choice, Increased Community Services, and Home and Community-based Options Waiver programs. The Specialist interprets and applies policies and regulations for providers and other partners, acting as a liaison for the Department, communicating guidance, developing and conducting training, and offering consultation and technical assistance to providers of the aforementioned programs. A specialist provides guidance to support staff and other personnel of the Department regarding the programs. The Specialist reviews complaints against providers as documented on Reportable Events (RE) forms using information available in the Long Term Supports and Services (LTSS) Tracking System, Unit Claims Reports, program regulations, program policy statements as well as other pertinent section of the RE. This requires speaking with program participants to support the planner and the provider to gather additional information depending on the findings of the review follow-up with the provider about any consequences they face (Plan of Correction, suspension, disenrollment, recovery of payments, etc.). The Specialist is knowledgeable of the Maryland Medicaid Information System (MMIS) and the Medicaid system and is able to establish and edit provider screens, to create or modify program procedure codes and to review claims to assure that MMIS is making program payments that are consistent with program regulations. The Specialist represents the Department in meetings and in telephone contacts with advocates, providers, and participants as directed by the Unit Supervisor or Division Chief.
Education: Possession of a Bachelor's degree from an accredited four-year college or university.
Experience: Three years 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 the 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.
LICENSES, REGISTRATIONS AND CERTIFICATIONS
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.
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.
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.
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.