Provider Policy & Communications, Division Chief; Administrator V Supervisor

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* * THIS RECRUITMENT IS LIMITED TO CURRENT STATE OF MARYLAND EMPLOYEES ONLY. * * *

STD
0020

MDH - Medicaid Provider Services Administration
201 West Preston Street
Baltimore, MD 21201

The primary purpose of Medicaid’s Provider Policy & Communications Division is to coordinate provider policy implementation and communications, both internally and externally, and evaluate and develop implementation and communications for other Medicaid programs that relate to provider policy. It additionally coordinates and represents Provider Policy, Compliance, & CQI throughout regulatory processes and functions as Medicaid advisor with OGA on provider policy issues to evaluate feasibility of implementation and identify necessary compliance actions needed to implement.

This position directs and coordinates all activities of the Provider Policy & Communications Division. It oversees provider policy including all Medicaid regulations, State Plan Amendments (SPAs) and Provider Transmittals while simultaneously ensuring compliance with SPAs to pull down federal funds; establishes overall policies, procedures and oversees and directs implementation for oversight and compliance among providers; and promotes the program by improving understanding via sub-regulatory guidance and communications to providers.

Additionally, the position directs and coordinates the writing of reports and represents the Department and Provider Services in liaison capacity in high level meetings, committees and work groups both internal and external. The position must identify future provider policy needs and develop short and long-range plans to satisfy developing provider needs, both policies to implement or adjust and developing communications to better facilitate providers’ understanding of policy or requirements.

This position researches and evaluates goals and standards of critical or highly political provider programs, and coordinates as needed with OGA, that include third party liability;
Medicare cost sharing;
Medicaid Regulations;
State Plan Amendments; provider constituent issues; billing instructions and the provider information website; and coordinating communication with CMS. Lastly, this position sets goals and deadlines and oversees the workflow of the Division and plans, organizes and supervises the work of subordinate staff that includes: 2 Health Policy Analyst-II's and 3 Health Policy Analysts Associate's (SPPs).

Education:

Graduation from an accredited high school or possession of a high school equivalency certificate.

Experience:

Six years of administrative staff or professional work. 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 two years of experience in administrative staff or professional work for the required experience.
• 3. Candidates may substitute the possession of a Master's degree from an accredited college or university for five years of 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.

The desired candidate should possess the following:

• Experience evaluating, analyzing, researching, and developing health care services, policies and programs.
• Experience supervising or leading staff in projects, reviewing the work of staff for accuracy and completeness, and leading projects across multiple teams.
• Experience analyzing, interpreting and applying State and Federal Medicaid regulations and policies. This includes work promulgating Medicaid regulation and submitting State Plan Amendments.
• Experience managing projects related to the implementation of policies as they pertain to social service programs.

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* * THIS RECRUITMENT IS LIMITED TO CURRENT STATE OF MARYLAND EMPLOYEES ONLY. * * *

Employees in this classification may be assigned duties which require the operation of a motor vehicle. Employees assigned such…