Skip to Main Content

Powered by JobAps

PHYSICIAN PROGRAM SPECIALIST

Physician for Clinical Services and Quality Assurance

Recruitment #19-004605-0004

GRADE

35

LOCATION OF POSITION

MDH, Medicaid Program - HealthChoice and Acute Care Administration, Baltimore, MD

Main Purpose of Job

The Physician Program Specialist will report to the Director of the Medical Benefits Management Administration within the Maryland Department of Health. The incumbent will allocate 100 percent of his/her time to Medicaid-related issues. The position will be responsible for medical decisions regarding clinical issues for Medicaid recipients, developing and implementing program policy and quality measures, developing clinical guidelines for coverage and coding issues, representing the Medicaid Program at internal and external standing committees and advisory groups and representing the State at the Office of Administrative Hearings in appeal cases.

MINIMUM QUALIFICATIONS

Education: Possession of a degree in medicine from an accredited college or university.

Experience: As required for certification in an area of medical specialization by an American Medical Association Specialty Board.

Note: Candidates may substitute U.S. Armed Forces military service experience as a commissioned officer in Medical Corpsman and Physicians classifications or Nursing or Physician and Medical Services and Special Corpsman Officer specialty codes in the medicine field of work on a year-for-year basis for the required education.

DESIRED OR PREFERRED QUALIFICATIONS

The desired candidate should have:

- clinical experience

- experience in a leadership and management position in the health care industry

- experience making strategic decisions, leading staff and engaging stakeholders, including physicians and other health care providers

LICENSES, REGISTRATIONS AND CERTIFICATIONS

1. Applicants must be certified by an American Medical Association Specialty Board in an area of medical specialization.

2. Applicants must be licensed by the Maryland Board of Physicians to practice medicine under Maryland State Law. A copy of the current license must be attached to the application.

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

STATE OF MARYLAND 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 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.