MEDICAL CARE PROGRAM ASSOCIATE II (ELIGIBILITY DETERMINATION ASSOCIATE)

State of Maryland - MDH Med Care Prgms - Ofc of Eligibility • Full-time • Baltimore, MD, US • $48.49k - $61.46k / year • 5d ago

GRADE

ASTD11

LOCATION OF POSITION

MDH - Eligibility Determination Division

6 St. Paul Street

Baltimore, MD 21202

Main Purpose of Job

The primary function of the Medical Care Program Associate II is applying and interpreting federal and State Medicaid regulations and policies when reviewing and verifying Non-MAGI and MAGI Medicaid applications, verifications, and data to render eligibility determinations. Case Managers are responsible for accurately reviewing and verifying verifications including but not limited to, applications, technical verifications, income, asset, resource, financial verifications, and clearances for accuracy, completeness and compliance prior to rendering an eligibility decision. Additionally, the review and verification process may encompass contact with applicants, recipients, or authorized representatives to secure missing eligibility verifications required to render accurate eligibility decisions. The Case Manager is also responsible for ensuring all data systems are updated timely and accurately, this includes ensuring verifications are uploaded when applicable.

MINIMUM QUALIFICATIONS

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

Experience: Two 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.

DESIRED OR PREFERRED QUALIFICATIONS

The desired candidate should possess the following:

Experience determining eligibility for government assistance programs; interpreting and applying policies, regulations and procedures.
Public contact experience involving interviewing, explaining information, and gathering and compiling data.
Experience with Microsoft Word, Excel and Google Docs.

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

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