HealthCare Access Maryland, Inc.
Medicaid Supervisor (Healthcare)
Job Title: Medicaid Supervisor
Reports To: Administrative Program Manager
Classification: Exempt
Department: MATCH Program
Prepared By: Administrative Program Manager
Created Date: July 12, 2023
Revision Date: August 30, 2024
JOB PURPOSE
The Medicaid Supervisor provides direct supervision of the medical assistance staff to ensure that standards of practice are met and ensures the timely completion of required forms for Medical Assistance enrollment, Managed Care Organization enrollment and redeterminations for children committed to the Baltimore City Department of Social Services (BCDSS) foster care.
ESSENTIAL DUTIES
The primary responsibilities of this position are:
● Provide supervisory leadership to the Medicaid Specialists assigned to the department
● Provide training to new Medicaid Specialists and temporary employees assigned to the department as well
as provide medical assistance overview to new MATCH staff
● Utilize the MMIS and E&E systems to verify coverage of current foster care children
● Troubleshoot problems with Medicaid enrollment including identifying reasons for inactivation or problems
completing enrollment
● Enter medical assistance case information required for BCDSS reporting into MATCH database according
to program practice guidelines
● Assist when necessary to coordinate and track Medicaid enrollment by working with FIA-MA Foster Care
Unit, MDH, and Maryland Health Connection
● Assist when necessary to track and distribute MA cards, MCO cards, and Dental cards to caregivers
and BCDSS permanency staff
● Assist when necessary to upload MA cards, MCO cards, and Dental cards into MATCH database and
BCDSS Child Welfare database
● Prepare and submit monthly dental card report via email to the Medicaid Dental Provider and
Administrative Program Manager
● Recommend changes in Medical Assistance office procedures as necessary to improve efficiency to the
Administrative Program Manager
● Audit work performed by Medicaid Specialists by reviewing, verifying, and interpreting LJ Mandates,
BCDSS/MATCH/Medical Assistance policies and procedures to determine whether they have been followed and work to resolve any problems
● Other job duties as assigned
KNOWLEDGE, SKILLS & ABILITIES
● Self-motivated individual to assist with general office duties
● Proven ability to meet deadlines
● Critical thinking skills
● Problem solving skills
● Strong customer service skills
● Ability to thrive in a Team environment
● Good planning and organization skills
● Well-developed interpersonal & communication skills
● Professional appearance and demeanor
● Perpetual Learner
● Computer literate specifically MS Word, Excel, PowerPoint, Google mail, and Outlook mail
PHYSICAL REQUIREMENTS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to talk, hear and respond to customers and employees. The employee frequently is required to stand; use hands to finger, handle, or feel; reach with hands and arms; climb or balance; and stoop, kneel, crouch, or crawl. The employee is occasionally required to walk and sit. The employee must regularly lift and/or move up to 25 pounds and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
SAFETY & HEALTH RESPONSIBILITIES
HCAM is committed to providing and maintaining a safe, secure and healthy work environment for all employees, clients served, volunteers and visitors. As part of this commitment, HCAM has developed safety, security and occupational health policies, practices, and standards.
With this understanding, all employees are required to: Adhere to all local, state and federal safety and environmental codes, ordinances, standards and laws; adhere to all HCAM and local safety plans, policies, practices and standards; be aware of and follow all safety rules of your work site; report any unsafe conditions or accidents to your supervisor; practice standard precautions (formerly universal precautions) at all times, and; participate in mandatory or available safety training.
WORK ENVIRONMENT
While performing the duties of this job, the employee is exposed to both indoor and outdoor conditions. The employee will be subject to noise.
OUR CULTURE
HCAM is dedicated to fostering diversity, equity, and inclusion in our commitment to support our employees and the Marylanders we serve.
HCAM's DEI Vision Statement: “To be regarded as a leader in equitable access to health care through policy and practices, and a workplace whose culture promotes diversity, values its team, and fosters inclusion.”
QUALIFICATIONS:
Education, Experience, Certifications and Licensures:
● Bachelor's Degree preferred; Minimum of 2 years college required.
● Minimum of 2 years of experience as lead worker or supervisor
● Minimum of 3 years administrative experience
●Experience with Maryland Medicaid preferred
●Experience in the health field preferred