Medical Care Program Associate Iii; Contractual

GRADE

ASTD
12

• MDH - Office of Eligibility Services
• 201 W. Preston Street
• Baltimore, MD 21201

This full-time contractual position assists the Medical Care Program Associate Supervisor in coordinating operational functions, which include reviewing, interpreting, verifying, and utilizing Medicaid eligibility data to accurately update and maintain the Medicaid Management Information System (MMIS) Recipient Eligibility sub-system in accordance with State and Federally mandated policies and regulations necessary to establish eligibility for Medical Assistance consumers. This position requires knowledge of Federal and State regulations, policies and procedures as they pertain to the Medical Assistance Programs.

This position requires technical knowledge to access, interpret, and verify data in the Maryland Health Connect (MHC), Eligibility and Enrollment (E&E), and other systems of record. This Lead Worker position provides technical assistance and guidance to Medical Care Program Associates, including assigning, reviewing work, and conducting quality assurance reviews. This position recommends solutions to problems as identified and provides training for staff as indicated.

This position will also provide customer service to internal staff at the Maryland Department of Health (MDH) and external customers at various agencies regarding issues related to Medicaid eligibility. Additionally, this position acts as a liaison with community partners such as hospitals, Social Security Administration and LDSS regarding all policy and procedural requirements of the Medicaid Management Information System (MMIS) Eligibility file.

• Education:
  
  Graduation from an accredited high school or possession of a high school equivalency certificate.
• Experience:
  
  Three years of clerical experience applying policies in a medical care, health insurance or federal or State entitlement program.
• Notes:
  • 1. Candidates may substitute additional general clerical experience on a year-for-year basis for the required education.
  • 2. Candidates may substitute thirty credit hours from an accredited college or university for one year of the required experience.

• Experience with Medicaid or other health programs
• Experience with the Eligibility and Enrollment Program (E&E), Maryland Health Connection (MHC) or the Health Benefit Exchange (HBX), and Medicaid Management Information Systems (MMIS)
• Excellent customer service background with the ability to communicate effectively with internal and external stakeholders, respond professionally to inquiries, resolve issues efficiently, and build and maintain positive working relationships with partnering agencies

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…