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DIRECTOR, OFFICE OF ELIGIBILITY SERVICES

PROGRAM MANAGER SENIOR I

Recruitment #22-005482-0001

GRADE

23

LOCATION OF POSITION

MDH, Office of Eligibility Services, Baltimore, MD

Main Purpose of Job

This senior level position in the Medicaid program serves as a Director who is responsible for the management of eligibility policy, local health department grants, training, data analysis and management, program integrity activities, and policy training. This requires working in several eligibility systems such as CARES, Maryland Health Connection and Eligibility & Enrollment (on the MD THINK platform), etc. to ensure that eligibility decisions are accurate, timely and reconcile with MMIS, the MDH system of payment. This individual is also responsible for identifying and providing team oversight for enhancements in all systems to ensure the appropriate benefits are provided to applicants. In order to manage the process, this position provides direct oversight to four divisions: Division of Policy, Division of Program Integrity, Division of Training and the Division of Information Analysis & Monitoring.

In this capacity, the Director develops, implements and manages staff on short and long-range plans for program operations. The mentioned divisions also are responsible for audit findings, prevention and mitigation of legislative audits, federal reviews and audits of the local offices by the Office of the Inspector General. The measure of success, using training, policy compliance, monitoring of data and reports for recipient eligibility determinations, is that eligibility determinations are accurate and comply with all Federal and State regulations to ensure the integrity of Maryland’s Medicaid Program.

MINIMUM QUALIFICATIONS

Qualified candidates must possess a bachelor’s degree from an accredited college or university and six years of experience in State Medicaid Programs, particularly eligibility policy. Three years of this experience must have been at a supervisory or management level in one or more of the following areas:  health care policy and/or administration, Medical Assistance eligibility determination, and coordination and creation of eligibility policy & regulations.

A Master’s degree is preferred and will substitute for one year of general experience.  A Doctorate will substitute for two years of general experience.

DESIRED OR PREFERRED QUALIFICATIONS

Preferred candidates should possess the following:
  • Extensive leadership experience with administering programs and leading multiple divisions or units;
  • Experience with the interpretation and analysis of Federal and State laws, regulations, and policies;
  • Experience with analyzing data;  
  • Experience developing plans of action in response to planned initiatives and daily challenges; and
  • Experience with Medicaid policy and operations.

SELECTION PROCESS

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. 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.