SUPERVISOR, MAGI/MCHP POLICY UNIT

GRADE

STD0017

LOCATION OF POSITION

MDH - Division of Eligibility Policy 201 West Preston Street Baltimore, MD 21201

Main Purpose of Job

This position is responsible for supervising the day-to-day operations of the Modified Adjusted Gross Income (MAGI)/Maryland Children’s Health Program (MCHP) Unit within the Division of Eligibility Policy. This includes inquiries into Medicaid policies, responding to customer inquiries on behalf of MDH for both Non-MAGI and MAGI cases, assigning and tracking specific advanced casework activities, liaison with headquarters and local offices for the Department of Human Services cases, liaison with the MDH Office of the Inspector General for fraud and overpayment cases, and liaison with the Office of the Attorney General for appeals and high-level customer complaints and incoming general inquiries about Medicaid that need to be referred to the appropriate office. This position is responsible for assisting the manager with the development, analysis, and revision of Federal and State laws, regulations, and policies that form the basis for the MAGI/MCHP and MCHP Premium eligibility regulations and applying them to the development, interpretation, or enforcement of Maryland’s MAGI/MCHP and MCHP Premium eligibility policies. The Unit is also responsible for coordinating, reviewing, and processing grant applications for 24 local health departments for grant money totaling over $9.5 million.

MINIMUM QUALIFICATIONS

Experience: Eight years of administrative or professional experience developing or applying policies and regulations in medical assistance, health insurance, federal or State entitlement programs. One year of this experience must have been in a medical assistance program. Notes: 1. Candidates may substitute the possession of a Bachelor's degree from an accredited college or university and four years of administrative or professional experience developing or applying policies and regulations in medical assistance, health insurance, federal or State entitlement programs for the required experience. One year of this experience must have been in a medical assistance program. 2. Candidates may substitute the possession of a Master’s degree from an accredited college or university in the related field of work for the required experience. 3. Candidates may substitute U.S. Armed Forces military service experience as a commissioned officer in Operational Analysis classifications or Health Services Management specialty codes in the health-related field of work on a year-for-year basis for the required experience.

DESIRED OR PREFERRED QUALIFICATIONS

The desired candidate should possess the following: Demonstrated experience analyzing, interpreting, and applying federal and State regulations governing Modified Adjusted Gross Income (MAGI), the Maryland Children’s Health Program (MCHP), and MCHP Premium eligibility. Experience reviewing, processing, and monitoring local government or public health grants (specifically working with local health department budgets and grant deliverables). Direct experience supervising or leading staff, assigning casework, conducting performance evaluations, and training staff on complex policy matters. Experience acting as a liaison with external stakeholders such as, the Department of Human Services (DHS), the Health Benefit Exchange (MHBE), the Centers for Medicare & Medicaid Services (CMS), the Office of the Inspector General (OIG), or the Office of the Attorney General (OAG), to resolve high-level appeals, fraud cases, or complex eligibility issues.

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

STATE OF MARYLAND 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. MDHMedCare