Medicaid Enrollment Specialist (Parole and Probation) HealthCare Access Maryland - 3.3 Baltimore, MD Job Details $57,990 a year 11 hours ago Benefits Health savings account Disability insurance Health insurance Dental insurance Flexible spending account 401(k) matching Life insurance Qualifications Customer communication Serving clients Computer literacy High school diploma or GED Medicaid health insurance Individual consumer customer service Medicaid Full Job Description About HealthCare Access Maryland (HCAM): HealthCare Access Maryland (HCAM) is a nonprofit organization dedicated to making Maryland healthier by connecting residents to health insurance coverage and providing comprehensive care coordination. Each year, HCAM assists over 80,000 individuals across the state, offering personalized guidance, health education, and advocacy to ensure every Marylander has an equal opportunity to achieve optimal health. healthcareaccessmaryland.org Job Summary The Medicaid Enrollment Specialist helps consumers apply for health insurance through Maryland Health Connection. This role provides accurate information, enrollment assistance, and access to Medicaid services for eligible individuals. The position also supports outreach and Medicaid enrollment at various Maryland Department of Public Safety and Correctional Services Parole and Probation sites. Duties and Responsibilities Assist consumers with applying for Medicaid through the Maryland Health Connection Refer consumers to the HCAM Connector team and partner agencies, as appropriate. Provide system navigation support and information about Health Choice. Conduct outreach and enrollment activities. Receive, upload, and process verification documents and work items. Maintain accurate and current consumer records. Enter data across multiple systems. Enroll consumers in Managed Care Organizations. Monitor productivity and complete required reports. Process state reports in Maryland Health Connection. Complete referrals and CTAD requests. Productivity Requirements Process a minimum of 18-24 activities/touchpoints per day , achieving at least 90% of the established productivity standard . Eligible activities include, but are not limited to: Maryland Children's Health Program (MCHP) and Medical Assistance for Families (MAF) case processing Verifications Checklist (VCL) actions Certified Turnaround Documents (CTAD) activities State reports follow up Other tasks that may be assigned Quality and Compliance Requirements Maintain a minimum 90% compliance rate on all audited cases , ensuring accuracy, completeness, and adherence to MCHP grant requirements, policies, and procedures. Ensure all case actions are processed timely and documented appropriately to support audit readiness and program integrity. State Report Processing Compliance All State reports must be reviewed and acted upon within two (2) business days of receipt. Staff are required to provide a documented response/outcome within the two-business-day timeframe, including any corrective action, follow-up, or case disposition as applicable Documentation Maintains accurate and up-to-date consumer records, including demographic, insurance, and eligibility information. Completes documentation for Managed Care Organization enrollments, Health Choice selections, and related consumer education. Tracks and documents productivity metrics, daily activities, and required internal/external reports. Processes and documents state reports and case actions when applicable Completes and documents referrals, CTAD requests, and case coordination activities in the appropriate systems. Reports and documents about any HIPAA/privacy concerns, incidents, or breaches immediately in accordance with agency policy Funder Relationships Builds and maintains professional relationships with state funders and partner organizations supporting Medicaid enrollment activities. Serves as a point of contact for funder-related communication, program updates, and operational coordination. Supports compliance with funder requirements by maintaining accurate records, timely reporting, and complete documentation. Coordinates with internal staff and external partners to address funder requests, resolve issues, and support program goals. Represents the program professionally in meetings, outreach events, and collaborative activities involving funders and stakeholders.

Additional duties and responsibilities:

Supports on site enrollment and client services with HCAM home office. Serves as a backup for additional sites. Additional duties requested by management

Education, Experience, Certifications and Licensures:

High School Diploma or GED 2 years of experience working with external partners. High level of customer service 2 years of experience processing experience with the Maryland Health Connection

KNOWLEDGE, SKILLS & ABILITIES

Strong computer literacy skills, specifically with MS Word, Excel, Outlook, and SharePoint (365). Ability to work independently. Strong attendance required Ability to manage multiple systems and meet deadlines. Strong organizational skills with the ability to meet a demanding workload Detail oriented to complete requirements of files and contract compliance. Sensitivity to cultural and socioeconomic characteristics of population served. Excellent oral and written interpersonal and communication skills required. Ability to solve problems. Ability to work efficiently and meet deadlines. Compensation In compliance with Maryland's wage transparency requirements, the compensation for this role has been included in the posting. Additionally, the benefits package includes vacation, sick, personal, and mental health leave, a 401k retirement plan with employer match, medical, dental, life, short-term and long-term disability insurance, company-paid life insurance, voluntary life insurance options, Health Savings Account (HSA) and Flexible Spending Account (FSA) options, and a voluntary emergency savings fund with employer match. EEO Statement HealthCare Access Maryland provides equal employment opportunities to all qualified individuals without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, age, national origin, physical or mental disability, military or veteran status, genetic information, or any other protected classification. Equal employment opportunity includes, but is not limited to, hiring, training, promotion, demotion, transfer, leaves of absence, and termination. HealthCare Access Maryland takes allegations of discrimination, harassment, and retaliation seriously and will promptly investigate when such behavior is reported.

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.

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.