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MEDICAL CARE PROGRAM ASSOCIATE LEAD/ADVANCED

Recruitment #19-004434-0006

GRADE

12

LOCATION OF POSITION

MDH/Kent County Health Department, Chestertown, Maryland

Main Purpose of Job

This position will determine eligibility for the Maryland Department of Health (MDH)'s Medical Assistance Program, as well as assist with complex cases with Maryland Health Connections. This position will have the ability to perform system overrides, in order to establish correct eligibility. This position will work with multiple parties, including Managed Care Organizations (MCOs), Community Liaison and Care Coordination (CLCC) and Doctor's offices, in tracking non-compliant Medical Assistance recipients, in accordance with MDH program policies, procedures and regulations.

In addition, this position will provide in-house training and assistance to all staff members, in order to ensure that all staff members have the ability to understand access and operate Maryland Health Benefits Exchange. Finally, this position will prepare for, and provide, testimony at administrative hearings for appeals cases.

MINIMUM QUALIFICATIONS

Education: Graduation from an accredited high school or possession of a high school equivalency certificate.

Experience: Three years of clerical experience applying policies in a medical care, health insurance or federal or State entitlement program.

Notes: 1. Additional general clerical experience may be substituted on a year-for-year basis for the required education.

2. College credits from an accredited college or university may be substituted for the required experience, at the rate of 30 credit hours for one year of experience.

DESIRED OR PREFERRED QUALIFICATIONS

The desired candidate should have experience determining Medical Assistance Eligibility for multiple health programs, as well as experience setting up records and updating case information, based on COMAR regulations. He/she should also have experience assigning cases to subordinate Medical Care Program Associates.

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

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 which 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, at 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.