ADMINISTRATIVE OFFICER II

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Reviews inbound escalations, determines appropriate next actions, and/or performs required corrections. Communicates trending of inbound cases to Manager of Escalations & Special Projects. 

Maintain QHP and guide Medicaid case inventory, ensuring efficient movement of complex issues.

Navigate and research resolutions for Retro Medicaid and Mixed Household escalations.

 

Collaboratively negotiate issue resolution with multiple internal and external stakeholders.  Navigate and research complex case narratives and coordination of efficient resolutions. 

 

Prepares written communication as necessary to respond to case and carrier resolution inconsistencies.

Regularly supports high-intensity case resolution conference calls with QHP carrier partners.

 

Uses Google Sheets, Excel, and similar systems to track staff case assignment, reporting on workload and case origin per business owner (MHBE, Call Center, and Carrier Issues). 

Education: Possession of a Bachelor's degree from an accredited four-year college or university.

Experience: Two years experience in administrative or professional work.

Notes:

1. Candidates may substitute additional experience in administrative staff or professional work on a year-for-year basis for the required education.

2. Candidates may substitute additional graduate level education at an accredited college or university at the rate of 30 semester credit hours for each year of the required experience.

3. Candidates may substitute U.S. Armed Forces military service experience as a commissioned officer involving staff work that included regular use of independent judgment and analysis in applying and interpreting complex administrative plans, policies, rules or regulations or analysis of operational programs or procedures with recommendations for improvement on a year-for-year basis for the required education and experience. 

Preferred Qualifications: 

Experience determining eligibility for Affordable Care Act/ACA Programs, Medicaid or Private Health Plans.

Experience using Salesforce CRM, Excel pivot tables.

Experience using Case tracking via Google docs.

Experience providing case resolutions.

Experience interpreting and creating correspondence (i.e. presentations, reports, memos, and e-mails). 

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. 

Please make sure that you provide sufficient information on your application to show that you meet the qualifications for this recruitment.  All information concerning your qualifications must be submitted by the closing date.  We will not consider information submitted after this date. Successful candidates will be ranked as Best Qualified, Better Qualified, or Qualified and placed on the employment (eligible) list for at least one year. 

The examination will consist of a rating of your education, training, and experience as presented on your application and as they relate to the requirements of the position.  You may be required to complete a supplemental question(s).  Therefore, it is important that you provide complete and accurate information on your application. 

STATE OF MARYLAND BENEFITS

 

The online application process is STRONGLY preferred. If you are unable to apply online, you may submit a paper application and resume to:

 

Maryland Health Benefit Exchange

Attn: Office of Human Resources or

Email: tammy.austin@maryland.gov

750 E. Pratt Street, 6th Floor

Baltimore, MD 21202

Resumes will NOT be accepted in lieu of completing the online or paper application. Applications must be received no later than the close of business on the closing date.

 

We thank our Veterans for their service to our country, and encourage them to apply.

As an equal opportunity employer, Maryland is committed to recruiting, retaining and promoting employees who are reflective of the State’s diversity.

Appropriate accommodations for individuals with disabilities are available upon request by calling: 410-767-1251 or MD TTY Relay Service at, 1-800-735-2258.  

This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm you are authorized to work in the U.S. Employers can only use E-Verify once you have accepted a job offer and completed the Form I-9. If E-Verify is unable to confirm your authorization to work, this employer is required to give you written instructions, and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) to resolve the issue before the employer can take any employment action against you.