Program Specialist

State of Maryland•Baltimore City, MD

8d•Hybrid

About The Position

The Program Specialist supports the Maryland Medicaid Hospice program’s enrollment, administrative processes, and stakeholder communications, including responding to general inquiries. Hospice is a fee-for-service program providing services to terminally ill Medicaid participants. The position gathers and analyzes data on Hospice services; monitors providers to ensure medically necessary services comply with federal and State regulations, policies, and standard medical practice; provides guidance and direction to providers; initiates corrective and improvement actions as needed; and makes recommendations to management about corrective and innovative actions. Work is performed in a hybrid manner, remotely and on-site, unless otherwise directed by the appointing authority. Recruitment is limited to current MDH Office of Long-Term Services and Supports employees.

Requirements

Seven years of administrative or professional experience developing or applying policies and regulations in medical assistance, health insurance, or federal or State entitlement programs.
Alternatively, a bachelor’s degree from an accredited college or university and three years of qualifying administrative or professional experience may substitute for the required experience.
Alternatively, a master’s degree from an accredited college or university in a related field may substitute for the required experience.
Alternatively, qualifying U.S. Armed Forces commissioned-officer experience in Operational Analysis classifications or Health Services Management specialty codes in a health-related field may substitute year for year.
Employees assigned duties requiring operation of a motor vehicle may be required to possess a motor vehicle operator’s license valid in Maryland.
Applicants must be current MDH Office of Long-Term Services and Supports employees.

Responsibilities

Support Maryland Medicaid Hospice program enrollment and administrative processes.
Communicate with stakeholders and respond to general inquiries.
Gather and analyze data on Hospice services.
Monitor Hospice providers to ensure medically necessary services are provided in accordance with federal and State regulations, policies, and standard medical practice.
Provide guidance and direction to Hospice providers.
Initiate corrective and improvement actions as needed.
Recommend corrective and innovative actions to management.