Administrative Officer III

State of Maryland•Baltimore City, MD

About The Position

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 workgroups 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.

Requirements

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

Nice To Haves

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.

Responsibilities

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
Representing the State in multistate CMS workgroups 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)
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
Conducting on-site reviews within the Office of Provider Services for the Maryland Medicaid Program
Reviewing and preparing detailed comprehensive reports of all assigned on-site visits

Benefits

Contractual employees who work for an agency covered under the State Employee and Retiree Health and Welfare Benefits Program, have a current employment contract and work 30 or more hours a week (or on average 130 hours per month) may be eligible for subsidized health benefits coverage for themselves and their dependents.
As a contractual employee, you will be responsible for paying 25% of the premiums for your medical and prescription coverage, including any eligible dependents you have enrolled. The State of Maryland will subsidize the remaining 75% of the cost for these benefits.
You can also elect to enroll in dental coverage, accidental death and dismemberment insurance, and life insurance, but will be responsible to pay the full premium for these benefits.
Leave may be granted to a contractual employee at a rate of one hour for every 30 hours worked, not to exceed 40 hours per calendar year.

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