Administrative Officer Iii; Contractual

GRADE

15

LOCATION OF POSITION

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

This full-time contractual position is responsible for addressing high priority projects, which include the evaluation, analysis, research and development of health care services and policies within Policy and Compliance. Particularly, this position is responsible for training the Provider Enrollment and Compliance Team; providing administrative support; developing policies and procedures regarding the site visit process and integrity monitoring; communicating with Medicaid providers regarding general enrollment, re-validation and re-enrollment requirements.

This position represents the State in multistate CMS work groups focusing on analyzing federal mandates and the implementation of State policies, creating databases and preparing reports for internal program monitoring and for the Centers for Medicare and Medicaid Services (CMS).

The Administrative Officer II is also responsible for the development, implementation and continued oversight of Maryland Medicaid’s federally mandated enhanced screening process for all High‑Risk providers. Developing a process to report findings, triaging the results with the federal Provider, Enrollment, Chain and Ownership System (PECOS) and determining if further action is required.

This position is responsible for conducting on‑site reviews within the Office of Provider Services for the Maryland Medicaid Program which requires a clear and concise knowledge of both federal and State laws as well as various sanction regulations regarding Conditions of Participation for providers participating in Maryland Medicaid. The ability to work independently scheduling and conducting unannounced on‑site reviews of health care providers for the purpose of enrollment, re‑enrollment or re‑validation of their Medicaid provider status is required.

This position is required to review and prepare detailed comprehensive reports of all assigned on‑site visits.

• Education:
  
  Graduation from an accredited high school or possession of a high school equivalency certificate.
• Experience:
  
  Three years of administrative staff or professional work.

Notes:

• Candidates may substitute 30 college credit hours from an accredited college or university for each year up to two years of the required experience.
• Candidates may substitute the possession of a Bachelor's degree from a college or university for the required experience.
• Candidates may substitute U.S. Armed Forces military service experience as a commissioned officer involving staff work that included the regular use of independent judgment and analysis in applying and interpreting complex administrative plans, policies, rules or regulations or analysis of operational programs or procedures with recommendations for improvement on a year‑for‑year basis for the required experience.

• Experience conducting site visits.
• Experience working with a state Medicaid agency, large healthcare organization or government healthcare entity.
• A vehicle to travel to various provider sites on a regular basis.

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.

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…