MEDICAL CARE PROGRAM SPECIALIST II

Overview

Main Purpose of Job
The purpose of this position is to perform research and analysis to support the implementation and ongoing maintenance of new workflows and project tasks related to enrollments, disenrollments, and other updates to the Hospice enrollment system in the Eligibility & Enrollment (E&E) consumer platform in collaboration with the Office of Enterprise Systems staff. This position will also oversee the enrollment, disenrollments, and other updates for Hospice participants in the current Cognito-based manual system pending full implementation of the E&E consumer portal.

This position also performs qualitative and quantitative analysis to identify trends associated with Hospice enrollments and claims, and will use the analysis to make recommendations on policy or procedure changes in accordance with State and federal regulations to the leadership team.

Finally, this position also performs qualitative and quantitative analysis as needed to address issues presented by providers and participants and based on the outcome of this analysis, provides guidance and direction to providers and participants.

This position operates in a hybrid manner, meaning job duties will be performed both remotely and onsite unless otherwise directed by the appointing authority.
MINIMUM QUALIFICATIONS
Experience: Seven years of administrative or professional experience developing or applying policies and regulations in medical assistance, health insurance, federal or State entitlement programs.

Notes:

1. Candidates may substitute the possession of a Bachelor’s degree from an accredited college or university and three 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.

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:
Hospice care experience.
Experience using MMIS applications.
Experience with Microsoft Office applications (Word, Excel, PowerPoint).

LICENSES, REGISTRATIONS AND CERTIFICATIONS
Employees in this classification may be assigned duties which require the operation of a motor vehicle. Employees assigned such duties may 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.