DEPUTY CHIEF, PROGRAM INTEGRITY
PROGRAM MANAGER III
|Department||MDH Executive Direction|
|Date Opened||11/16/2020 12:42:00 PM|
|Filing Deadline||11/30/2020 11:59:00 PM|
|Salary||$64,565.00 - $103,661.00/year|
|HR Analyst||Janet Esser|
LOCATION OF POSITION
MDH, Office of the Inspector General, Baltimore, MD
Main Purpose of Job
This executive level position is reporting directly to the Assistant Inspector General with responsibility for the administration, and operations of the Division of Program Integrity. In this capacity this position is responsible for effectively managing the resources that target and identify trends and patterns of fraud, abuse and over payments of providers within the Medicaid program or fraud, waste or abuse with regards to recipient eligibility for the Medical Assistance Program. The unit ensures that Medicaid Program resources are expended in accordance with State and Federal laws and regulations. The unit is responsible for investigation of recipient fraud for the purpose of seeking criminal prosecution for violations of law and for the purpose of maximizing the recovery of monies spent for Program benefits for which there were no entitlement.
The Division of Program Integrity is divided into Provider Reviews, and Recipient Reviews and Data Analysis (RRDA). The RRDA is further divided into Recipient Medicaid Fraud Reviews, Data Analysis, Clinical, and Special Projects.
The Division of Provider Program Integrity conducts audits, investigations, and billing reviews of private providers who receive payment from MDH/Medicaid for services provided to MDH/ Medicaid clients. Federal law requires States to make efforts to detect and prevent improper payments to such providers. The Division works closely with the Medicaid Fraud Control Unit of the Office of the Attorney General and with Medicaid staff.
This position will serve as a deputy point of contact for the Medicaid Fraud Control Unit and the new Program Integrity Unit with-in, the Centers for Medicare and Medicaid Services (CMS).
Qualified candidates must possess a Bachelor's degree from an accredited college or university and at least 4 years of professional experience conducting investigations, performing financial or compliance reviews and audits; conducting data analysis, writing and reviewing audit reports; and, a minimum of 2 years supervising a multi-tasked staff.
Additional professional experience as defined above can substitute on a year for year basis for a bachelor's degree.
DESIRED OR PREFERRED QUALIFICATIONS
Desirable candidates will possess the following:
Experience supervising the work of other employees;
Experience developing short and long-range plans for program operations and resources;
Experience establishing program goals;
Familiarity with data systems; and,
Ability to work collaboratively with federal and state stakeholders.
This is a Management Service position, and serves at the pleasure of the Appointing Authority. A resume must accompany your 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.
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.