PHYSICIAN PROGRAM SPECIALIST
|Department||MDH Med Care Prgms - Ofc of Health Services|
|Date Opened||11/12/2019 1:07:00 PM|
|Filing Deadline||2/28/2020 11:59:00 PM|
|Salary||$120,242.00 - $198,249.00/year (Salary Negotiable)|
|HR Analyst||Janet Esser|
LOCATION OF POSITION
MDH, Medical Benefits Management, Baltimore, MD
Main Purpose of Job
This part time (80%) position will provide medical and technical expertise to the Medicaid Program. This position will report to the Director of the Medical Benefits Management Administration in the Maryland Department of Health. This position will also be responsible for developing coverage policies and medical necessity criteria for all medical, surgical and pharmaceutical services in the Physician Program; annually updating physician rates and other service rates; reviewing claims for non-standard surgical and medical procedures; 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. This position will allocate their time to Medicaid-related issues.
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
- leadership and management experience
- experience in the health care industry
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.
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.
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.