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ADMINISTRATOR II

Special Projects Manager

Recruitment #22-002587-0005

Introduction

MHBE is accepting applications for a vacant Special Projects Manager position! 

Maryland Health Benefit Exchange is responsible for the administration of Maryland Health Connection the State's health insurance marketplace, under the Patient Protection and Affordable Care Act of 2010(ACA). MHBE works with the Maryland Department of Health, Maryland Insurance Administration, Department of Human Services, and stakeholders statewide.

Vision Statement: High-quality, affordable health coverage for all Marylanders.
Mission Statement: We improve the health and well-being of Marylanders by connecting them with high-quality, affordable health coverage through innovation, technology, and customer service.
Values: Diverse & Inclusive, Innovative, Collaborative, & Ethical.

For more information on MHBE, please visit our website.

GRADE

17

LOCATION OF POSITION

MHBE is adhering to a hybrid work schedule. Work for this position will be completed at a remote location of your choice (3 days) and at our office located at 750. E. Pratt St, 6th Floor, Baltimore, MD 21202 (2 days).

POSITION DUTIES

The main purpose of this position is to provide direct support and very high-level systems recommendations to Director of Consumer Assistance. This position will share knowledge and deep understanding of the HBX system and its portals with internal and external stakeholders. This position will attend multiple meetings daily, draft detailed notes for Senior Leadership and makes recommendations on system modifications. This position will assist in implementing federal and state regulation as it relates to Medicaid and Qualified Health Plans under the ACA in HBX systems. In addition, this position will be responsible for handling all case investigations on inquiries referred by Senior Leadership. This position will oversee special projects in the Operation’s Department. Serves as a MHBE liaison to outside agencies and organizations. Will give high level presentations regarding updates and modifications to HBX systems to Consumer Assistance team members and partners.

  • Participates in monthly workgroups to identify challenges that impact Latino health and make health policy recommendations to improve health equity for Latinos at the local, state, and national level. Meets with senior leadership from JHU, CASA de Maryland, and various Healthcare Organizations, including members of State Legislature/Delegates. Review documents and translate Spanish into English. Handle complex cases and interprets healthcare policy for Spanish Speaking Consumers. Draft agency documents in Spanish and English. 
  • Prepare written reports analyzing alternatives and consequences, specifying findings and recommendations for management action, strategy, policy determinations and process changes. Provide extensive interpretation of state and federal eligibility statutes, regulations, policies and guidelines to the administrative vendor, enrolled subscribers and the general public. Takes corrective action to resolve compliance and privacy issues affecting consumers eligibility for health care coverage.  
  • Act as a point of contact for leadership and the consumer assistance teams to identify needed or desired system modifications, contributes to prioritization decisions at Work Management meetings, writes up JIRA tickets to describe issues, works closely with requirements team and attends requirement and design sessions to provide input into the requirements and design process, acts as a resource to the IT team to resolve policy and/or system-policy interaction issues, works closely with MDH to facilitate solutions while tempering impact to QHP consumers and ITOPs, works with marketing team on text changes and WordPress edits, if needed, works with compliance and privacy team, as appropriate, to ensure suggested changes are not inconsistent with privacy requirements, coordinates stakeholder testing, attends go/no go meetings to note defects and work-arounds to share with consumer assistance teams, and reviews Release Notes for accuracy and completeness. This position may also act as a resource to the training team.
  • Investigate large employer federal appeals for Health Human Services, Gather data and submit case investigation findings. Handle following report for Consumer Assistance Director; IRS Tax Exemptions Report, Primary Decedent Member (PDM) Report, Exemption Certificates Numbers and Employer Sponsor Insurance. 

MINIMUM QUALIFICATIONS

Experience:   Nine 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. Candidates may substitute 30 credit hours from an accredited college or university for each year up to four years of the required experience. 

2. Candidates may substitute the possession of a Bachelor's degree from an accredited college or university and five years of experience in administrative staff or professional work for the required experience.  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.

3. Candidates may substitute additional graduate level education at an accredited college or university at the rate of 30 credit hours on a year-for-year basis for the required experience.

4. 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 experience.

SELECTIVE QUALIFICATIONS

This position is open to current MHBE employees only.

DESIRED OR PREFERRED QUALIFICATIONS

  • Proficient working knowledge of HBX configurations
  • Proficient in HBX, MMIS, CARES, E&E, Beacon and Salesforce 
  • Ability to read and write documents Spanish.

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

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 eligible (employment) list for at least one year.

EXAMINATION PROCESS

The assessment may consist of a rating of your education, training, and experience related to the requirements of the position. It is important that you provide complete and accurate information on your application. Please report all experience and education that is related to this position.

BENEFITS

FURTHER INSTRUCTIONS

The online application process is STRONGLY preferred. If you are unable to apply online, you may submit a paper application and resume: via email: jasciel.stamp@maryland.gov via mail:
MHBE Office of Human Resources  
750 E. Pratt St, 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.

Appropriate accommodations for individuals with disabilities are available upon request by calling MDTTY Relay Service.

TTY Users: call via Maryland Relay. As an equal opportunity employer, Maryland is committed to recruiting, retaining, and promoting employees who are reflective of the State's diversity. People with disabilities and bilingual candidates are encouraged to apply.

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

This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that 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 cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact the Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issues before the employer can take any employment action against you.




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