MEDICAL CARE PROGRAM MANAGER III

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MDH, Division of Community Long Term Care, 201 W. Preston Street, Baltimore, MD

This position will function as the Chief, Division of Long Term Care (DCLTC), Nursing and Waiver Services, Long Term Services and Supports Administration, Office of Health Services. This position will also administer the activities of the DCLTC and provide personnel management of its employees. This includes planning, organizing, and supervising the work of the Division; developing, revising, and implementing protocols, guidelines and controls for the administration of new or existing Medicaid programs; monitoring changes in federal and State laws and regulations; and making recommendations for Medical Assistance program response to changes in federal and State laws and regulations. This position will represent the State, Maryland Department of Health, and Medical Assistance Program in dealing with officials from other states, the federal government, the health care industry, and in legal proceedings. This position will also occasionally act as the Deputy Director of Nursing and Waiver Services in their absence.

The Division is responsible for surveillance and utilization control, regulatory enforcement, preauthorization of services, and the development and drafting of regulatory changes and policies. The primary function of the DCLTC is to ensure the provision, professional quality, appropriateness, and medical necessity of health care services provided to and reimbursed on behalf of Medical Assistance beneficiaries. This position will be responsible for overseeing the development and maintenance of procedures to meet these responsibilities and mission.

The Division is responsible for six (6) separate and distinct home and community-based services (HCBS) waiver programs within Medicaid. Additionally, this position will provide contract monitoring for 26 Adult Day Care contracts and the Capital Bonds Program. This position will be responsible for setting goals and priorities of the DCLTC as well as coordinating and managing the Division's efforts in realizing these goals. As such, this position will routinely direct the staff in their interpretation and application of Medical Assistance regulations as well as oversee and direct the activities of the professional staff within the Division.

The Division's approach is multi-disciplinary in that the activities which are performed to achieve its goals are performed by medical and administrative personnel. The Division currently employs ten (10) full time personnel, one of which is a registered nurse.

Education: A Bachelor’s degree from an accredited college or university.

Experience: Two (I), three (II), four (III) years of experience supervising employees in developing and applying policies and regulations or directing a program or project in a medical care program.

Note: 1. Additional administrative or professional experience developing or applying policies and regulations in medical care, 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. Candidates may substitute U.S. Armed Forces military service experience at a rank of Corporal/Petty Officer or higher as a commissioned officer in Health Care Administration 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.

The desired candidate should have:

- experience managing home and community based programs

- experience related to the systems development life cycle

- experience handling competing priorities

Employees in these classifications 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.

STATE OF MARYLAND BENEFITS

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.