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HEALTH POLICY ANALYST ADVANCED

Recruitment #21-002420-0006

GRADE

18

LOCATION OF POSITION

MDH, Medical Benefits Management Administration, 201 W. Preston Street, Baltimore, MD

Main Purpose of Job

This position will work under the supervision of the Deputy Director in the Managed Care Administration to review, analyze, edit, and contribute to drafts of contracts, regulations, transmittals, reports, and data prior to finalization. This position will also assist the Deputy Director by coordinating processes necessary for the operation of the Program across the Department and by serving as a technical advisor for the Managed Care Organizations (MCOs). This position will coordinate the annual MCO contract renewal process and ensure the contracts follow applicable laws and regulations; manage any interim contract updates and execution; and coordinate maintaining and updating Managed Care Administration policies and procedures related to MCO oversight and internal operations, including the MCO Performance Monitoring Policies. This position will be responsible for monitoring updates in state and federal laws and regulations related to Medicaid Managed Care and updating the HealthChoice website with current information. This position will also review and develop internal and external policies and procedures, as well as interpret current managed care policies and procedures for MCOs and other internal and external stakeholders. This position will plan, organize, implement, evaluate, and coordinate managed care compliance activities. This position will also perform and coordinate special projects, including but not limited to serving as the lead for overseeing MCO compliance with CMS Interoperability regulations and contributing to cross-cutting workgroups for development and maintenance of billing and policy manuals. This position will supervise two Health Policy Analysts to assist with the above duties and other special projects.

MINIMUM QUALIFICATIONS

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

Experience: Three years of experience evaluating, analyzing, researching and developing health care services, policies and programs.

Notes:

1. Candidates may substitute the possession of a Master's degree in Health Sciences, Health Care Administration, Public Health, Public Policy or closely related field for one year of the required experience.

2. Candidates may substitute the possession of a Doctorate degree in Health Sciences, Health Care Administration, Public Health, Public Policy or closely related field for two years of the required experience.

DESIRED OR PREFERRED QUALIFICATIONS

The desired candidate should have experience managing projects, editing and writing policies and procedures.

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.