<p>GRADE</p> <p>25\n</p> <p>LOCATION OF POSITION</p> <p>MDH Office of Health Care Financing, Baltimore MD\n</p> <p>Main Purpose of Job</p> <p>The main purpose of this position is to supervise and manage the Office of\nEligibility Services (OES) within the Health Care\nFinancing & Medicaid Administration, helping to ensure that Marylanders\nreceive efficient and accurate eligibility services.? This role is responsible for overseeing the\neligibility operations, systems, regulation and policy, and staff for Medicaid,\nMaryland Children's Health Insurance Program (MCHP), and\nother Medical Assistance Programs.\n\n\nThis\nposition directs the implementation and continuous improvement of eligibility\noperations, including policy development, system functionality, and eligibility\ncaseworker training programs. This work crosses the Maryland Health\nBenefits Exchange, Department of Human Services, and local health departments. The Director is also responsible for\nmaintaining strong operational performance standards that ensure eligibility and frontline staff effectively support\nMarylanders as they enroll in and renew coverage.\n\n\nKey operational responsibilities include\noverseeing the development, implementation, and maintenance of eligibility\noperations, regulations, and policies under the Code of Maryland Regulations\n(COMAR). This role also involves leading the design and delivery of statewide\neligibility training and technical assistance programs for eligibility case\nworkers across the Maryland Department of Health, local health departments, the\nDepartment of Human Services, and the Maryland Health Benefit Exchange.\nAdditional responsibilities include ensuring the accuracy, integrity, and\noperational functionality of the master eligibility file and supporting the\nMedicare Part B Buy-In program. The position also manages the issuance of\nMedical Assistance identification cards and related customer service processes,\noversees eligibility determinations for specialized programs such as Home and\nCommunity-Based Services (HCBS) waivers, and implements operational\nimprovements that enhance efficiency, accuracy, and member satisfaction.\n\n\nFunctional leadership\nresponsibilities include supervising and developing OES staff to strengthen\noperational execution and service excellence, as well as serving as a liaison\nwith state and federal partners to coordinate eligibility operations and resolve\nrecipient issues. The role also includes providing legislative testimony and\nsupporting executive decision-making through operational data and analysis.\nAdditionally, the position collaborates with CMS and internal technical groups,\nincluding the Medical Assistance Advisory Committee and the MCO rate setting\nworkgroup to align eligibility operations with broader program goals.\n\n\n</p> <p>MINIMUM QUALIFICATIONS</p> <p>Qualified candidates must\npossess a bachelor's degree from an accredited college or university and six\nyears of experience in large-scale program administration, operations, or\nchange management, preferably in health care, Medicaid, or eligibility\nprograms. A minimum of three years at a supervisory or management level is also\nrequired. Qualifying supervisory experience must include leading complex,\nbroad-scope organizational or operational change in one or more of the\nfollowing areas: healthcare administration, government program operations, or\neligibility systems management. Familiarity with Medicaid programs, Medical\nAssistance eligibility determination, or related policy and regulatory\nframeworks is strongly preferred.\n\n\nA Master's degree is preferred and\nwill substitute for one year of general experience. A Doctorate will substitute\nfor two years of general experience.\n</p> <p>DESIRED OR PREFERRED QUALIFICATIONS</p> <p>The desired candidate should possess the following:\n Extensive experience managing large-scale eligibility or public benefits operations, ideally\nwithin Medicaid, health coverage, or other human services programs.?\n Proven leadership in operational management, including overseeing staff, performance,\nworkflow, and service delivery systems.?\n Experience improving customer service systems and processes, with a focus on member\nexperience, accessibility, and efficiency.?\n Strong understanding of eligibility policy, systems, and regulations, including how policy\nchanges translate into operational implementation.?\n Experience coordinating across multiple agencies or partners, such as human services\ndepartments, health exchanges, or IT system vendors.?\n Background in training and workforce development, ensuring consistent understanding and\napplication of eligibility policies statewide.?\n Demonstrated ability to use data and performance metrics to manage operations, improve\naccuracy, and enhance customer satisfaction.?\n Familiarity with federal and state Medicaid requirements, including reporting, compliance,\nand quality standards.\n</p> <p>SELECTION PROCESS</p> <p>This is a Management Service position and serves at the pleasure of the Appointing Authority. A resume is required and must be uploaded to your application. While cover letters are not mandatory, if you choose to include one, please upload it together with your resume as a single file.\nApplicants 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).?\nComplete applications must be submitted by the closing date.?Information submitted after this date will not be added.?Incorrect application forms will not be accepted.\nCandidates 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.\n</p> <p>BENEFITS</p> <p>STATE OF MARYLAND BENEFITS\n</p> <p>FURTHER INSTRUCTIONS</p> <p>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.\nIf 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.\nFor questions regarding this recruitment, please contact the?MDH Recruitment and Selection Division at 410-767-1251.\nIf 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.?\nAppropriate accommodations for individuals with disabilities are available upon request by calling: 410-767-1251 or MD TTY Relay Service 1-800-735-2258.\nWe thank our Veterans for their service to our country.\nPeople with disabilities and bilingual candidates are encouraged to apply.\nAs an equal opportunity employer, Maryland is committed to recruitment, retaining and promoting employees who are reflective of the State's diversity.\n</p>