Careers

Main Purpose of Job

The main purpose of this position is to supervise and manage the Office of Eligibility Services (OES) within the Health Care Financing & Medicaid Administration, helping to ensure that Marylanders receive efficient and accurate eligibility services.  This role is responsible for overseeing the eligibility operations, systems, regulation and policy, and staff for Medicaid, Maryland Children’s Health Insurance Program (MCHP), and other Medical Assistance Programs.

This position directs the implementation and continuous improvement of eligibility operations, including policy development, system functionality, and eligibility caseworker training programs. This work crosses the Maryland Health Benefits Exchange, Department of Human Services, and local health departments. The Director is also responsible for maintaining strong operational performance standards that ensure eligibility and frontline staff effectively support Marylanders as they enroll in and renew coverage.

For more information and to apply, click here.

Main Purpose of Job

The State Medicaid program is an entitlement program managed and implemented by the Maryland Department of Health, and it provides health care access and services to over a million Maryland citizens. This position will serve as the Office of Budget Analysis’ Budget Analyst for the Medicaid portfolio as an employee of the Department of Budget and Management.

If hired you will:

• Complete quarterly or monthly forecasting of Medicaid and Maryland Children’s Health Insurance Program (MCHP) enrollment and report trends to agency leadership;
• Track monthly spending of Medicaid and Maryland Children’s Health Insurance Program (MCHP) entitlement programs and report trends to agency leadership;
• In addition to Medicaid and MCHP enrollment and spending projections, the Medicaid analyst is responsible for projecting pharmacy rebates, Medicare Part D Clawback and enrollment, Medicare Parts A and B enrollment and spending, and other projections as needed;

*This position has direct responsibility for analysis of operating budgets to assigned State agencies.

In addition to the responsibilities outlined above that are unique to Medicaid, if hired you will:

• Conduct reviews of all budget expenditures of Executive Branch units of government;
• Make recommendations to the Secretary of the Department for greater efficiency in those units, and to support the policy goals and objectives of the Moore Administration;
• Analyze and prepare budgets of assigned agencies;
• Assist in the management of the States operating budget process;
• Review and analyze agency performance data.

The selected candidates should have:

• An understanding of budget and policy analysis;
• Strong analytical skills, including understanding of mathematical concepts and an ability to review, manipulate and analyze data in Microsoft Excel;
• Excellent written and verbal communication skills;
• An ability to write clear reports and make presentations on budget recommendations to senior management and other officials;
• An ability to work independently, in teams, and under pressure.

The selected candidate should be available to work extended hours as required to meet budget deadlines, typically at times during the formulation of the Governor’s Budget Allowance from September through January. Note that extended hours worked result in earned leave, which can be used at other times in the year.

For more information and to apply, click here.

Posting Details

Interviews are anticipated to be conducted within two weeks of closing date.

This job posting may be used to fill multiple vacancies.

Our Vision

• Every New Mexican has access to affordable health care coverage through a coordinated and seamless health care system.

Our Mission

• We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.

Our Goals

• Leverage purchasing power and partnerships to create innovative policies and models of comprehensive health care coverage that improve the health and well-being of New Mexicans and the workforce.
• Achieve health equity by addressing poverty, discrimination, and lack of resources, building a New Mexico where everyone thrives.
• Implement innovative technology and data-driven decision-making to provide unparalleled, convenient access to services and information.
• Build the best team in state government by supporting employees continuous growth and wellness.

Why does the job exist?

The HR1 Implementation Director will:

• Successfully lead, coordinate and implement all federally mandated H.R. 1 initiatives focusing on the new Community Engagement Medicaid requirements;
• Ensure the agency can efficiently and compliantly adapt to evolving federal mandates, especially those affecting Medicaid eligibility and employment rules;
• Maintain New Mexico’s eligibility for critical federal Medicaid resources, uphold program integrity and safeguard ongoing services for New Mexicans.

To learn more and apply, click here.

Summary

This announcement serves as a repository of resumes for those interested in Health Insurance Specialist positions under the CMS Fellows Program located in the Centers for Medicare & Medicaid Services (CMS), Centers for Medicaid and CHIP Services (CMCS). Please ensure you provide all documentation requested and answer all questions as to your preferences. Submission of your information to this file is voluntary and does not guarantee an interview, selection or employment.

Duties

• Serve as an advisor developing and executing enterprise-wide Medicaid and CHIP program integrity strategy and operations.
• Lead Medicaid and CHIP services integrity initiatives enhancing state oversight using advanced analytics to reduce improper payments.
• Shape national Medicaid and CHIP services policy and oversight expertise in statutes and financing to strengthen state compliance and protect public resources.
• Direct data-driven studies and initiatives to identify and mitigate fraud, waste, and abuse, enhancing program integrity across Medicaid and CHIP services.

For more information and how to apply, click here.

Summary

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicaid and CHIP Services, Children & Adults Health Programs Group, Division of Tribal Affairs.As a Supervisory Health Insurance Specialist, GS-0107-15, you will serve as the Agency authority and expert lead on policy, program, and operational issues relating to American Indians and Alaska Natives (AI/AN).

Duties

• Leads and provides SME on CMS programs for American Indian and Alaska Native (AI/AN) policy and operations.
• Advises leadership and supports Tribal initiatives, including Secretary’s Tribal Technical Advisory Committee (STAC).
• Directs team priorities and delivers expert analysis of statutes, regulations, and policies impacting AI/AN and the Indian health system.
• Collaborates with Agency, Department, state, and tribal partners to implement program directives.

For more information and how to apply, click here.

Summary

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicaid and CHIP Services (CMCS). As an Auditor, GS-0511-13, you will serve as a senior auditor responsible for the development, planning, reviewing and evaluation audit programs, providing audit guidance to contractors and sub-contractors in their reviews of provider cost reports to ensure program objectives are achieved.

Duties

• Apply a comprehensive knowledge of analysis/reporting requirements, work processes, accounting systems structure and data produced to resolve significant accounting and management problems.
• Analyze and reconcile state Medicaid and CHIP expenditures, budget information, and other financial data/ reports to identify areas of financial vulnerability.
• Examine a variety of documents, records and accounting reports to ensure the integrity, reliability, propriety, accuracy, and timeliness of state reported expenditures and accounting transactions.
• Evaluate state requests related to Medicaid and CHIP financial management and policy issues to ensure compliance with regulations.
• Interact and collaborate with a team to effectively provide oversight of state Medicaid and CHIP expenditures financial policies, activities and operations.

For more information and how to apply, click here.