Director, Office of Eligibility Services (Repost)

Position Overview

This reposted management-service role is centered on leading the Office of Eligibility Services within Maryland’s Health Care Financing and Medicaid Administration. The position exists to make sure residents receive timely, precise eligibility support across Medicaid, the Maryland Children’s Health Insurance Program, and related Medical Assistance programs.

The director oversees eligibility operations, systems, rules, policy, and staff. The role also drives process improvements, supports operational performance, and helps ensure that enrollment and renewal activities are handled effectively for Marylanders.

Key Duties

You will guide the development, rollout, and upkeep of eligibility operations, regulations, and policy under the Code of Maryland Regulations. The role includes building and delivering statewide training and technical assistance for eligibility caseworkers across the Maryland Department of Health, local health departments, the Department of Human Services, and the Maryland Health Benefit Exchange.

Additional responsibilities include safeguarding the integrity and accuracy of the master eligibility file, supporting the Medicare Part B Buy-In program, handling issuance of Medical Assistance ID cards and related customer service processes, and overseeing eligibility decisions for specialized programs such as Home and Community-Based Services waivers. You will also lead operational changes intended to improve efficiency, accuracy, and member satisfaction.

As part of functional leadership, you will supervise and develop OES staff, coordinate with state and federal partners on eligibility operations and recipient concerns, provide legislative testimony, and support executive decisions with operational data and analysis. The position also involves working with CMS and internal technical bodies, including the Medical Assistance Advisory Committee and the MCO rate setting workgroup, to keep eligibility processes aligned with broader program objectives.

Minimum Qualifications

Candidates must hold a bachelor’s degree from an accredited college or university and have at least six years of experience in large-scale program administration, operations, or change management, ideally in health care, Medicaid, or eligibility programs. At least three of those years must be in a supervisory or management capacity, and that leadership experience should include guiding complex, organization-wide operational or change efforts in health care administration, government program operations, or eligibility systems management.

Experience with Medicaid programs, Medical Assistance eligibility determinations, or related policy and regulatory frameworks is strongly preferred. A master’s degree may replace one year of general experience, and a doctorate may replace two years of general experience.

Preferred Experience

The ideal candidate will bring substantial experience running large-scale eligibility or public benefits operations, especially in Medicaid, health coverage, or human services settings. Strong candidates will also have a record of managing staff, workflows, performance, and service delivery systems.

Helpful background includes improving customer service processes, understanding how eligibility policy is implemented operationally, coordinating with multiple agencies or vendors, leading training and workforce development efforts, using data and performance measures to improve operations, and working within federal and state Medicaid compliance and quality requirements.

Selection and Application Notes

This is a management service appointment that serves at the pleasure of the Appointing Authority. A resume is required and must be uploaded with the application. A cover letter is optional, but if submitted it must be combined with the resume into one file.

Applicants who meet the minimum and selective qualifications will be evaluated, and selection may be based on the details provided in the application about education, training, and experience. Complete and accurate reporting of relevant education, employment dates, work hours, and duties is essential. Applicants should clearly identify their degree and major where applicable.

If education was completed outside the United States, any offer will depend on providing a foreign credential equivalency evaluation before starting work, and it may be requested before interview. Applications must be complete by the closing date, and information submitted after that deadline will not be considered. Incorrect application forms will not be accepted.

The resulting certified eligible list may remain active for at least one year and may be used for similar positions in this or other state agencies.

Additional Information

Grade: 25

Work location: MDH Office of Health Care Financing, Baltimore, Maryland

Benefits: State of Maryland benefits

Application options: Online applications are preferred. If online submission is not possible, paper applications and supplemental questionnaires may be mailed to MDH, Recruitment and Selection Division, 201 W. Preston St., Room 114-B, Baltimore, MD 21201.

Paper submissions must be received by 5:00 PM on the closing date; postmarks are not accepted. If extra documents are required, uploading is preferred. If upload is not possible, the requested materials may be faxed to 410-333-5689. Only required additional materials will be accepted, and they must also arrive by the closing date and time.

Recruitment contact: MDH Recruitment and Selection Division, 410-767-1251

Online application system help: Maryland Department of Budget and Management, Recruitment and Examination Division, 410-767-4850 or Application.Help@maryland.gov

Reasonable accommodations for individuals with disabilities are available on request by calling 410-767-1251 or the MD TTY Relay Service at 1-800-735-2258.

Veterans are thanked for their service. Candidates with disabilities and bilingual applicants are encouraged to apply. Maryland is an equal opportunity employer and seeks a workforce that reflects the state’s diversity.

Repost notice: Previous applicants do not need to apply again.