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ADMINISTRATOR III

Recruitment #20-002588-0042

GRADE

18

LOCATION OF POSITION

MDH Office of the Inspector General, Baltimore, MD

Main Purpose of Job

This position is responsible for overseeing and coordinating agency operations within the Program Integrity Provider Review unit of the Office of the Inspector General (OIG), the Maryland Department of Health (MDH). This position supervises a team of professional investigators who conduct investigations of Medicaid providers, in order to review, monitor, and verify that Medicaid providers are in compliance with COMAR, MDH policies and procedures, and other standards. The supervisor manages the team and the team caseload, and is responsible for planning, organizing, supervising and directing the activities of the team of investigators, toward the department mission to protect the integrity of the Department of Health and promote standards that benefit the citizens of Maryland and beneficiaries of its programs. The investigators are tasked with investigating referrals of fraud, waste and abuse of Medicaid funds by providers, as well as investigating aberrant claims data for fraud, waste, abuse and overbillings. This position receives managerial or executive supervision from a higher-level administrator or executive: The Program Manager and the Assistant Inspector General. This position ensures the Department and its employees comply with all applicable State and federal laws and regulations in investigating the billing practices of Medicaid providers, with the intended purpose of preventing fraud, waste and abuse of department funds. This position and the positions supervised, significantly contributes to the OIG’s recoveries and cost avoidance savings of more than $20 million annually. Investigations, and inspections that this position oversees, result in Medicaid monetary recoveries from providers, that are subsequently deposited into the State’s General Fund and directly impacts/increases the State’s budget.

MINIMUM QUALIFICATIONS

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

Experience: Five years of experience in administrative staff or professional work. One year of this experience must have involved one or more of the following: the supervision of other employees, overseeing and coordinating the general operations of a unit, applying rules and regulations, or exercising responsibility for the development of policies or procedures.

Notes:

1. Additional experience in administrative staff or professional work may be substituted on a year-for-year basis for the required education.

2. Additional graduate level education at an accredited college or university may be substituted at the rate of 30 semester credit hours on a year-for-year basis for the required general experience.

3. Candidates may substitute U.S. Armed Forces military service experience as a commissioned officer involving staff work related to the administration of rules, regulations, policy, procedures and processes, or overseeing or coordinating unit operations or functioning as a staff assistant to a higher ranking commissioned officer on a year-for-year basis for the required education and experience.

DESIRED OR PREFERRED QUALIFICATIONS

The desired candidate should have:
  • Experience investigating Medicaid providers.
  • Experience supervising the work of others employees.
  • Experience establishing program goals.
  • Familiarity with data systems.
  • Ability to work collaboratively with federal and state stakeholders.

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.

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 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.