Provider Policy & Communications, Division Chief

State of Maryland•Baltimore City, MD

5d•Onsite

About The Position

The Provider Policy & Communications Division Chief directs and coordinates all activities of Medicaid’s Provider Policy & Communications Division within the Medicaid Provider Services Administration. The division coordinates provider policy implementation and internal and external communications, and evaluates and develops implementation and communications for other Medicaid programs related to provider policy. The position oversees provider policy, including Medicaid regulations, State Plan Amendments (SPAs), and Provider Transmittals, and ensures SPA compliance to obtain federal funds. It establishes policies and procedures and oversees implementation for provider oversight and compliance, while promoting understanding of program requirements through sub-regulatory guidance and communications to providers. The Division Chief also coordinates reports and represents the Department and Provider Services in high-level internal and external meetings, committees, and workgroups. The role identifies future provider policy needs and develops short- and long-range plans, including policies and communications that address evolving provider needs. It researches and evaluates goals and standards for critical or highly political provider programs, coordinating as needed with OGA. Areas include third-party liability, Medicare cost sharing, Medicaid regulations, State Plan Amendments, provider constituent issues, billing instructions, the provider information website, and communication with CMS. The position sets goals and deadlines, oversees division workflow, and plans, organizes, and supervises subordinate staff: two Health Policy Analyst-IIs and three Health Policy Analyst Associates (SPPs). This recruitment is limited to current State of Maryland employees. The position is with the Maryland Department of Health at 201 West Preston Street, Baltimore, Maryland. Employees may be assigned duties requiring operation of a motor vehicle and, if assigned, must hold a valid Maryland motor vehicle operator’s license.

Requirements

High school graduation from an accredited school or possession of a high school equivalency certificate.
Six years of administrative staff or professional work, subject to the listed education, college-credit, or military-service substitutions.
If assigned duties requiring operation of a motor vehicle, a valid Maryland motor vehicle operator’s license is required.
Applicants must be current State of Maryland employees.

Nice To Haves

Experience evaluating, analyzing, researching, and developing health care services, policies, and programs.
Experience supervising or leading staff on projects, reviewing staff work for accuracy and completeness, and leading projects across multiple teams.
Experience analyzing, interpreting, and applying State and Federal Medicaid regulations and policies, including promulgating Medicaid regulations and submitting State Plan Amendments.
Experience managing projects related to implementing policies for social service programs.

Responsibilities

Direct and coordinate all activities of the Provider Policy & Communications Division.
Coordinate provider policy implementation and internal and external communications, including evaluating implementation and communication needs for related Medicaid programs.
Oversee Medicaid provider policy, including regulations, State Plan Amendments, and Provider Transmittals.
Ensure compliance with State Plan Amendments to obtain federal funds.
Establish policies and procedures and oversee implementation of provider oversight and compliance.
Promote provider understanding of program requirements through sub-regulatory guidance and communications.
Coordinate the writing of reports and represent the Department and Provider Services at high-level meetings, committees, and workgroups.
Identify future provider policy needs and develop short- and long-range policy and communication plans.
Research and evaluate goals and standards for critical or highly political provider programs, coordinating as needed with OGA.
Address policy and communication matters involving third-party liability, Medicare cost sharing, Medicaid regulations, State Plan Amendments, provider constituent issues, billing instructions, the provider information website, and coordination with CMS.
Set division goals and deadlines and oversee workflow.
Plan, organize, and supervise the work of two Health Policy Analyst-IIs and three Health Policy Analyst Associates (SPPs).