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HEALTH POLICY ANALYST ASSOCIATE

COMPLIANCE SPECIALIST (FULL-TIME CONTRACTUAL)

Recruitment #24-002417-0004

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Introduction

GRADE

16

LOCATION OF POSITION

MDH - LTSS Maryland Provider Billing Support Office
201 W. Preston Street
Baltimore, MD 21201

Main Purpose of Job

This full-time contractual position supports the Office of Medicaid Provider Services (MPS) with specific focus on the LTSSMaryland solution. This position will learn to analyze Medicaid health care data to support Medicaid and MPS policies and programs.

This position will learn how to prepare reports, conduct research and analysis relevant to LTSSMaryland providers, and address high priority projects. This includes the evaluation, analysis, research and development of health care services and policies within MDH. Particularly, this position will learn to perform duties such as researching and evaluating policies, analyzing LTSSMaryland system requirements, coordinating service compliance projects, processing of provider authorizations and payments, and communicating with internal and external MDH stakeholders. 

This position processes certain billing activities, learns to evaluate internal workflows, learns how to monitor program integrity and reporting, performs data analysis with a focus on administrative support and the processing of provider adjustments, exceptions, and billing. 

Specific focus for this position will be to support the Electronic Visit Verification (EVV) and Non-EVV service billing for various Medicaid Home and Community-Based waivers including programs operated by the Developmental Disabilities Administration (DDA) and other administrations as necessary. This position will be required to learn and understand waiver service billing requirements, learn Person Centered Plan and/or Plan of Service structure, and communicate with program staff in order to address billing and policy issues.

MINIMUM QUALIFICATIONS

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

Experience: One year of experience performing qualitative or quantitative analysis.

Note: Candidates may substitute eighteen credit hours towards a Master’s degree in Health Sciences, Health Care Administration, Public Policy or closely related field from an accredited college or university for the required experience.

DESIRED OR PREFERRED QUALIFICATIONS

The desired candidate should possess the following:
  • Experience researching, evaluating, and analyzing policies and data regarding provider enrollment
  • Experience developing communication materials and targeted based trainings on provider enrollment
  • Experience with both internal and external customer service

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

Contractual employees who work for an agency covered under the State Employee and Retiree Health and Welfare Benefits Program, have a current employment contract and work 30 or more hours a week (or on average 130 hours per month) may be eligible for subsidized health benefits coverage for themselves and their dependents. As a contractual employee, you will be responsible for paying 25% of the premiums for your medical and prescription coverage, including any eligible dependents you have enrolled. The State of Maryland will subsidize the remaining 75% of the cost for these benefits. You can also elect to enroll in dental coverage, accidental death and dismemberment insurance, and life insurance, but will be responsible to pay the full premium for these benefits.

Leave may be granted to a contractual employee who has worked 120 days in a 12 month period. This leave accrues at a rate of one hour for every 30 hours worked, not to exceed 40 hours per calendar year.

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.




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